Naltrexone Treatment Centers in Alabama
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 68 naltrexone providers across Alabama, with the largest concentrations in Birmingham (10), Huntsville (5) and Mobile (4).
Naltrexone (Vivitrol, Revia) is an opioid antagonist used to treat both alcohol use disorder and opioid dependence. Available as a daily oral tablet or monthly extended-release injection, it blocks opioid receptors to reduce cravings and prevent relapse.
Treatment landscape in Alabama:
- State-funded treatment options available through ADMH
- Strong faith-based recovery community
- Specialized programs for opioid addiction
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Naltrexone providers in Alabama
Birmingham · 10 centers

Fellowship House Inc
Birmingham, AL
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University of Alabama at Birmingham
Birmingham, AL
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Zukoski Outpatient
Birmingham, AL
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Kolbe Clinic
Birmingham, AL
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Pathway Healthcare
Birmingham, AL
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University of Alabama at Birmingham
Birmingham, AL
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Birmingham VA Healthcare System
Birmingham, AL
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Huntsville · 5 centers

Pathfinder Inc
Huntsville, AL
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Pathway Healthcare
Huntsville, AL
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WellStone Inc
Huntsville, AL
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WellStone Inc
Huntsville, AL
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Mobile · 4 centers

AltaPointe Health Systems Inc
Mobile, AL
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BHG Mobile Treatment Center
Mobile, AL
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Pathway Healthcare
Mobile, AL
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Bessemer · 2 centers

BHG Bessemer Treatment Center
Bessemer, AL
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Cullman · 2 centers

Lighthouse Inc
Cullman, AL
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WellStone Inc
Cullman, AL
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Daphne · 2 centers

Pathway Healthcare
Daphne, AL
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Dothan · 2 centers

SpectraCare Health Systems
Dothan, AL
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SpectraCare Health Systems
Dothan, AL
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Gadsden · 2 centers

CED Fellowship House Inc
Gadsden, AL
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Tuscaloosa · 2 centers

Tuscaloosa VA Medical Center
Tuscaloosa, AL
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Kolbe Clinic
Tuscaloosa, AL
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Alabaster · 1 center

Shelby County Treatment Center
Alabaster, AL
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Arley · 1 center

Client Care Continuum LLC
Arley, AL
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Athens · 1 center

Pathway Healthcare
Athens, AL
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Chelsea · 1 center

Kolbe Clinic
Chelsea, AL
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Clanton · 1 center

Chilton County Treatment Center
Clanton, AL
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Decatur · 1 center
Eufaula · 1 center

SpectraCare Health Systems
Eufaula, AL
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Florence · 1 center
Geneva · 1 center

SpectraCare Health Systems
Geneva, AL
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Hamilton · 1 center

Pathway Healthcare
Hamilton, AL
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Jasper · 1 center

Kolbe Clinic
Jasper, AL
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Madison · 1 center

Bradford Health Services
Madison, AL
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Montgomery · 1 center
Opelika · 1 center

East Alabama Mental Health Center
Opelika, AL
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Ozark · 1 center

SpectraCare Health Systems
Ozark, AL
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Pell City · 1 center
Phenix City · 1 center

East Alabama Mental Health Center
Phenix City, AL
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Tallassee · 1 center

Kolbe Clinic
Tallassee, AL
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Tuskegee · 1 center

Central Alabama VA Healthcare System
Tuskegee, AL
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Warrior · 1 center

Bradford Health Services
Warrior, AL
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Showing 51 of 68 naltrexone providers in Alabama. Browse all centers in Alabama
Alabama Medicaid
Alabama Medicaid covers buprenorphine and naltrexone; methadone for opioid use disorder is covered only at licensed Opioid Treatment Programs.
State regulations
Opioid Treatment Programs in Alabama are overseen by the Alabama Department of Mental Health (ADMH) and must meet SAMHSA 42 CFR Part 8 standards.
- Cash or self-payment48
- Private health insurance37
- Federal, or any government funding for substance use treatment programs31
- Medicare30
- Federal military insurance (e.g., TRICARE)26
- Medicaid26
- Outpatient41
- Outpatient methadone/buprenorphine or naltrexone treatment39
- Regular outpatient treatment38
- Intensive outpatient treatment24
- Residential/24-hour residential11
Frequently Asked Questions About Naltrexone in Alabama
Do I need a formal OUD diagnosis before starting naltrexone?
Yes. Providers in Alabama must document a current OUD diagnosis to prescribe naltrexone as part of medication-assisted treatment. The intake assessment typically takes 60–90 minutes and includes a physical exam, drug screen, and psychiatric history — results are used to confirm eligibility.
How much does Vivitrol (naltrexone injection) cost without insurance?
Vivitrol monthly cost without insurance typically falls between $1,100 and $1,500 per injection in Alabama. The manufacturer Alkermes offers a patient-assistance co-pay savings card; state-funded programs also cover Vivitrol for uninsured patients in many counties.
Can Alabama Medicaid pay retroactively for MAT I started before enrollment?
Yes — Alabama Medicaid can pay retroactively for up to 3 months of prior treatment in most cases, provided you were eligible during that period. Save all receipts and itemized statements from naltrexone providers and submit them to the Medicaid enrollment caseworker.
Does Medicare cover naltrexone in Alabama?
Yes. Medicare Part B covers methadone through enrolled Opioid Treatment Programs and Part D covers buprenorphine and naltrexone prescriptions. Medicare Advantage plans in Alabama include the same MAT benefits under the integrated plan structure.
What documentation does a Alabama naltrexone clinic keep about me?
Clinics maintain a confidential medical record covering diagnosis, treatment plan, drug screens, counseling notes, and dose history. Records are protected by 42 CFR Part 2 — stricter than HIPAA — and cannot be released without your written consent or a specific court order.
Can I take naltrexone while travelling outside Alabama?
Yes. Buprenorphine and naltrexone prescriptions travel with you. For methadone, your clinic coordinates with an out-of-state guest-dosing OTP; plan at least 2 weeks ahead for domestic travel, longer for international. Ask the clinic about guest-dosing letters.
Can I switch Alabama naltrexone providers later if this one isn’t a fit?
Yes. Transferring to a different Alabama provider is routine; the new clinic will request records with your consent and continue your current dose. There is no penalty for switching providers — clinical compatibility matters.
Can I drive myself home from the first naltrexone dose in Alabama?
Alabama programs generally recommend arranging a ride for the first induction visit, since initial drowsiness is common. After the first 1–2 weeks at a stable dose, patients typically resume driving and most daily activities without restriction.
Will naltrexone show on a standard drug test?
Buprenorphine and methadone do not test positive on standard 5-panel drug tests — specialty panels are needed. Naltrexone and its metabolites are not screened on standard panels. Share an MAT provider letter with any employer or court drug-testing program to avoid confusion.
Is naltrexone safe during pregnancy in Alabama?
Yes. Methadone and buprenorphine are the evidence-based standard of care in pregnancy, endorsed by ACOG and SAMHSA. Staying on MAT protects both mother and fetus; unmedicated withdrawal is riskier than continued MAT. Alabama providers coordinate care with obstetrics.
Does Alabama Medicaid cover counseling along with naltrexone?
Yes. Alabama Medicaid covers individual therapy, group sessions, and care coordination at Alabama MAT clinics without separate deductibles in most plans. Peer-recovery support services are also covered in Alabama.
Do my pharmacy records show that I’m on naltrexone in Alabama?
Buprenorphine and naltrexone prescriptions appear on pharmacy records like other prescriptions and are visible to dispensing pharmacies and authorized users of the PDMP. Methadone dispensed at an OTP is not reported to retail pharmacy systems.
Other Treatment Options in Alabama
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)




