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Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Naltrexone Treatment Centers in Alabama

Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 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:

  • Alabama reported 1,608 drug overdose deaths in 2023, an age-adjusted rate of 33.9 per 100,000 (CDC NCHS).
  • 67 facilities prescribe buprenorphine statewide and 17 are SAMHSA-certified methadone Opioid Treatment Programs; Birmingham, Huntsville, and Mobile carry the largest concentrations.
  • Alabama Medicaid covers buprenorphine and naltrexone; methadone for opioid use disorder is reimbursed only at licensed OTPs under Alabama Department of Mental Health oversight.
  • 94 of 125 verified facilities offer telehealth therapy, supporting MAT continuation in rural counties between in-person visits.

Naltrexone in Alabama — By the Numbers

33.9

per 100,000 drug overdose mortality (CDC 2023)

1,608

total overdose deaths in Alabama (2023)

51

naltrexone providers in our directory

94 / 125

facilities offering telehealth

83

accept Medicaid for treatment

17

SAMHSA-certified Opioid Treatment Programs

Top cities by buprenorphine provider density

Birmingham (14) · Huntsville (7) · Mobile (5)

Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026

Coverage & Regulations in AlabamaSources verified: 2026-05-14

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.

How to access MAT in Alabama

Most Alabama OTPs cluster around Birmingham, Mobile, and Huntsville; rural patients typically access buprenorphine through primary-care OBOT providers.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance in Alabama
  • 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
Available Treatment Settings in Alabama
  • Outpatient41
  • Outpatient methadone/buprenorphine or naltrexone treatment39
  • Regular outpatient treatment38
  • Intensive outpatient treatment24
  • Residential/24-hour residential11

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Naltrexone Treatment Providers in Alabama

Naltrexone providers in Alabama

Filters:

Birmingham · 10 centers

Fellowship House Inc - Facility Image

Fellowship House Inc

Birmingham, AL

$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
University of Alabama at Birmingham - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Zukoski Outpatient - Facility Image

Zukoski Outpatient

Birmingham, AL

$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Huntsville · 5 centers

Pathfinder Inc - Facility Image

Pathfinder Inc

Huntsville, AL

$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Pathway Healthcare - Facility Image

Pathway Healthcare

Huntsville, AL

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Mobile · 4 centers

AltaPointe Health Systems Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
BHG Mobile Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Bessemer · 2 centers

BHG Bessemer Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bessemer Neighborhood - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Cullman · 2 centers

Lighthouse Inc - Facility Image

Lighthouse Inc

Cullman, AL

$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Placeholder image

WellStone Inc

Cullman, AL

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Daphne · 2 centers

Pathway Healthcare - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Placeholder image
$$

Services:

Substance use treatment

Dothan · 2 centers

SpectraCare Health Systems - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Gadsden · 2 centers

Clearview at Riverview Reg Med Ctr - Facility Image
Insurance Accepted$$

Services:

Detoxification
Placeholder image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Sign language services for the deaf and hard of hearing

Tuscaloosa · 2 centers

Tuscaloosa VA Medical Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Sign language services for the deaf and hard of hearing
Kolbe Clinic - Facility Image

Kolbe Clinic

Tuscaloosa, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Alabaster · 1 center

Shelby County Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Korean+2 more

Arley · 1 center

Client Care Continuum LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Athens · 1 center

Pathway Healthcare - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Chelsea · 1 center

Kolbe Clinic - Facility Image

Kolbe Clinic

Chelsea, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Clanton · 1 center

Chilton County Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Korean+2 more

Decatur · 1 center

Decatur Morgan Hospital - Facility Image
Insurance Accepted$$

Services:

Detoxification

Eufaula · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Florence · 1 center

Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Geneva · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Hamilton · 1 center

Pathway Healthcare - Facility Image

Pathway Healthcare

Hamilton, AL

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Jasper · 1 center

Placeholder image

Kolbe Clinic

Jasper, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Madison · 1 center

Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Montgomery · 1 center

Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Opelika · 1 center

East Alabama Mental Health Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Ozark · 1 center

SpectraCare Health Systems - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Pell City · 1 center

Twelve1 Healthcare - Facility Image

Twelve1 Healthcare

Pell City, AL

$$

Services:

DetoxificationSubstance use treatment

Phenix City · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing

Tallassee · 1 center

Kolbe Clinic - Facility Image

Kolbe Clinic

Tallassee, AL

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Tuskegee · 1 center

Central Alabama VA Healthcare System - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Warrior · 1 center

Bradford Health Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Showing 51 of 68 naltrexone providers in Alabama. Browse all centers in Alabama

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

Medically Reviewed Updated May 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)