Buprenorphine Treatment Centers in Wyoming
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 27 buprenorphine providers across Wyoming, with the largest concentrations in Cheyenne (5), Rock Springs (4) and Gillette (3).
Wyoming had 135 drug overdose deaths in 2023 — a 23.7-per-100,000 age-adjusted rate — but the state has a structural distinction that profoundly shapes MAT delivery: Wyoming has zero SAMHSA-certified methadone Opioid Treatment Programs operating within its borders, making it the only U.S. state without an in-state OTP at the time this page was last verified. Buprenorphine prescribed in primary care and through telehealth is therefore essentially the only practical MAT option for Wyoming residents who want to stay in-state for treatment. NWVCIL's directory tracks 27 buprenorphine providers in Wyoming, with 5 in Cheyenne, 4 in Rock Springs, and 3 in Gillette. Wyoming Medicaid covers buprenorphine and naltrexone; methadone access requires patients to seek treatment in a neighboring state (Colorado, Utah, or Montana) or to participate in a methadone-program telehealth bridge if one is available. 42 of the 46 verified facilities in our directory accept Medicaid, and 43 offer telehealth (93%) — the high ratio reflecting state and federal policy that has prioritized remote MAT access for Wyoming's vast geography. The Wyoming Department of Health Behavioral Health Division licenses any future OTPs and funds primary-care MAT expansion. For a Wyoming resident starting buprenorphine, common pathways include: a private MAT practice in Cheyenne, Casper, Laramie, or one of the smaller towns, a community mental-health center in one of the state's 23 counties, a Federally Qualified Health Center for sliding-fee or Medicaid patients, an Indian Health Service clinic on the Wind River Reservation, or — most commonly — a telehealth visit with a Wyoming-licensed prescriber. Most providers can prescribe Suboxone, Subutex, Zubsolv, or the monthly Sublocade injection. The Wyoming 211 line, SAMHSA's national helpline (1-800-662-4357), and the 988 Suicide and Crisis Lifeline are available 24/7.
Treatment landscape in Wyoming:
- Wyoming recorded 135 drug overdose deaths in 2023 at 23.7 per 100,000 (CDC NCHS).
- 27 buprenorphine providers serve the state; Wyoming currently has no SAMHSA-certified methadone Opioid Treatment Programs in our verified dataset.
- Wyoming Medicaid covers buprenorphine and naltrexone; methadone access requires referral to out-of-state OTPs.
- MAT in Wyoming relies primarily on buprenorphine prescribing in primary care and telehealth-supported follow-up.
Buprenorphine in Wyoming — By the Numbers
23.7
per 100,000 drug overdose mortality (CDC 2023)
135
total overdose deaths in Wyoming (2023)
27
buprenorphine providers in our directory
43 / 46
facilities offering telehealth
42
accept Medicaid for treatment
0
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Cheyenne (5) · Rock Springs (4) · Gillette (3)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
Wyoming Medicaid
Wyoming Medicaid covers buprenorphine and naltrexone; methadone access is extremely limited, with only a small number of licensed OTPs.
State regulations
Wyoming Department of Health Behavioral Health Division licenses OTPs; MAT in Wyoming relies primarily on buprenorphine prescribing in primary care and telehealth.
- Cash or self-payment27
- Federal military insurance (e.g., TRICARE)27
- Private health insurance27
- Medicaid26
- Federal, or any government funding for substance use treatment programs25
- Medicare25
- Outpatient22
- Outpatient methadone/buprenorphine or naltrexone treatment21
- Regular outpatient treatment21
- Intensive outpatient treatment19
- Long-term residential10
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Buprenorphine Treatment Providers in Wyoming
Buprenorphine providers in Wyoming
Cheyenne · 5 centers
Cheyenne VA Healthcare System
Cheyenne, WY
Services:
Volunteers of America Northern Rockies
Cheyenne, WY
Services:
HealthWorks
Cheyenne, WY
Services:
Volunteers of America Northern Rockies
Cheyenne, WY
Services:
Volunteers of America Northern Rockies
Cheyenne, WY
Services:
Rock Springs · 4 centers
Southwest Counseling Service
Rock Springs, WY
Services:
Southwest Counseling Service
Rock Springs, WY
Services:
Southwest Counseling Service
Rock Springs, WY
Services:
Southwest Counseling Service
Rock Springs, WY
Services:
Gillette · 3 centers
Campbell County Health
Gillette, WY
Services:
Youth Emergency Services Inc
Gillette, WY
Services:
Personal Frontiers Inc
Gillette, WY
Services:
Casper · 2 centers
Central Wyoming Counseling Center
Casper, WY
Services:
Wyoming Recovery
Casper, WY
Services:
Cody · 2 centers
Cedar Mountain Center at
Cody, WY
Services:
West Park Behavioral Health
Cody, WY
Services:
Afton · 1 center
High Country Behavioral Health
Afton, WY
Services:
Douglas · 1 center
High Country Behavioral Health
Douglas, WY
Services:
Kemmerer · 1 center
High Country Behavioral Health
Kemmerer, WY
Services:
Laramie · 1 center
Volunteers of America Northern Rockies
Laramie, WY
Services:
Lusk · 1 center
High Country Behavioral Health
Lusk, WY
Services:
Lyman · 1 center
High Country Behavioral Health
Lyman, WY
Services:
Pinedale · 1 center
High Country Behavioral Health
Pinedale, WY
Services:
Rawlins · 1 center
High Country Behavioral Health
Rawlins, WY
Services:
Thermopolis · 1 center
High Country Behavioral Health
Thermopolis, WY
Services:
Torrington · 1 center
Volunteers of America Northern Rockies
Torrington, WY
Services:
Wheatland · 1 center
Volunteers of America Northern Rockies
Wheatland, WY
Services:
Frequently Asked Questions About Buprenorphine in Wyoming
Is there an upper age limit for buprenorphine?
No age cap. Patients in their 60s, 70s, and 80s successfully receive buprenorphine in Wyoming. Older adults may need dose adjustments, additional ECG screening (for methadone), or monitoring for interactions with chronic-disease medications, but age alone is not a barrier.
Can I get free buprenorphine treatment in Wyoming?
Free buprenorphine treatment is possible in Wyoming for patients who qualify for Wyoming Medicaid, are enrolled in State Opioid Response–funded clinics, or use charity-care programs at community behavioral-health centers. Call 988 or 1-800-662-4357 for live referrals.
Do Wyoming Medicaid members pay for drug screens?
No. Drug screens performed as part of an MAT program are covered by Wyoming Medicaid without an additional patient copay. The clinic bills Wyoming Medicaid directly; patients should not receive separate drug-screen bills.
What happens if my Wyoming provider bills insurance out-of-network?
You may owe the full charge minus any out-of-network benefit. Ask buprenorphine providers whether they will file an insurance claim, charge you up-front, or negotiate a single-case agreement with your insurer. No Surprises Act protections may apply — request a Good Faith Estimate.
What agency regulates buprenorphine providers in Wyoming?
Wyoming’s state behavioral-health authority licenses MAT facilities, and the Substance Abuse and Mental Health Services Administration (SAMHSA) certifies Opioid Treatment Programs. The Drug Enforcement Administration (DEA) regulates controlled-substance handling at every MAT site.
What is the average length of stay at buprenorphine providers in Wyoming?
Nationwide average MAT retention is about 6–18 months; the strongest outcomes occur in patients retained beyond 12 months. Wyoming State Opioid Response data reports rising average retention since 2021 as hub-and-spoke models mature.
Can I walk in without an appointment to a Wyoming buprenorphine clinic?
Many Wyoming OTPs and low-barrier clinics accept walk-ins during intake hours. Others require an appointment; call first to confirm. Walk-in availability is most common at federally qualified health centers and State Opioid Response–funded bridge clinics.
Will I feel high or sedated after the first buprenorphine dose?
Most patients feel calm relief of withdrawal rather than euphoria. Mild drowsiness is common the first day; avoid driving or operating machinery until you know how you react. Severe sedation is rare and warrants a call to the Wyoming clinic.
Does buprenorphine interact with other medications?
Yes. Benzodiazepines, alcohol, and some sleep medications significantly increase sedation risk. HIV medications and certain antibiotics can alter methadone levels. Always share your full medication list with the Wyoming MAT clinician so interactions can be managed.
Can I start buprenorphine while already pregnant?
Yes. Starting MAT during pregnancy is strongly recommended for patients with OUD. Wyoming perinatal-addiction programs offer priority same-day access; OB-MAT coordinated care improves maternal and infant outcomes dramatically compared to untreated OUD.
Will my counseling sessions be confidential?
Yes — counseling records are protected by 42 CFR Part 2 and HIPAA. The counselor cannot disclose your MAT status or session content to family, employer, or law enforcement without your specific written consent or a narrowly tailored court order.
Can I travel internationally with buprenorphine from Wyoming?
Yes, with proper documentation. Bring a letter from your Wyoming MAT prescriber, medication in its original pharmacy container, and check destination-country rules — some countries restrict methadone and buprenorphine. The International Narcotics Control Board maintains destination-country guidance.
Other Treatment Options in Wyoming
Buprenorphine Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)