Naltrexone Treatment Centers in Delaware
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 21 naltrexone providers across Delaware, with the largest concentrations in Dover (6), Newark (6) and Wilmington (5).
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 Delaware:
- Delaware reported 525 drug overdose deaths in 2023 at 53.0 per 100,000 (CDC NCHS) — one of the highest U.S. rates.
- 29 buprenorphine providers and 12 methadone Opioid Treatment Programs operate in the state, distributed across Dover, Newark, and Wilmington.
- Delaware Medicaid (Diamond State Health Plan) covers MAT without prior authorization and supports same-day induction.
- The Division of Substance Abuse and Mental Health (DSAMH) funds a statewide Bridge Clinic network connecting overdose survivors to rapid MAT.
Naltrexone in Delaware — By the Numbers
53.0
per 100,000 drug overdose mortality (CDC 2023)
525
total overdose deaths in Delaware (2023)
27
naltrexone providers in our directory
28 / 38
facilities offering telehealth
30
accept Medicaid for treatment
12
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Dover (6) · Newark (6) · Wilmington (6)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
Delaware Medicaid (Diamond State Health Plan)
Delaware Medicaid covers MAT without prior authorization and includes same-day induction; buprenorphine and methadone are the most prescribed options.
State regulations
Delaware’s Division of Substance Abuse and Mental Health (DSAMH) licenses OTPs and funds a statewide Bridge Clinic network for rapid MAT access.
How to access MAT in Delaware
Delaware Bridge Clinics in Wilmington, Dover, and Georgetown offer walk-in same-day buprenorphine induction with no prior appointment required.
- Medicaid26
- Cash or self-payment25
- Private health insurance25
- Medicare23
- Federal, or any government funding for substance use treatment programs14
- State-financed health insurance plan other than Medicaid14
- Outpatient25
- Outpatient methadone/buprenorphine or naltrexone treatment25
- Regular outpatient treatment24
- Intensive outpatient treatment14
- Outpatient detoxification3
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Naltrexone Treatment Providers in Delaware
Naltrexone providers in Delaware
Dover · 6 centers

Dover Comprehensive Treatment Center
Dover, DE
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UHS of Dover LLC
Dover, DE
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American Treatment Network
Dover, DE
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Westside Family Healthcare
Dover, DE
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Psychotherapeutic Services Inc
Dover, DE
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Newark · 6 centers

American Treatment Network LLC
Newark, DE
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Tri State Health Inc
Newark, DE
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Westside Family Healthcare
Newark, DE
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Brandywine Counseling
Newark, DE
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SaVida Health
Newark, DE
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PursueCare LLC
Newark, DE
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Wilmington · 5 centers

Lotus Recovery Centers of
Wilmington, DE
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Brandywine Counseling and
Wilmington, DE
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Northeast Treatment Center
Wilmington, DE
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Westside Family Healthcare
Wilmington, DE
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Georgetown · 2 centers

Brandywine Counseling and
Georgetown, DE
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Milford · 2 centers

Brandywine Counseling and
Milford, DE
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Seaford · 2 centers

Coras Behavioral Health and Wellness
Seaford, DE
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Addiction Medical Facility LLC
Seaford, DE
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Bear · 1 center

Westside Family Healthcare
Bear, DE
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Millsboro · 1 center

Coras Wellness and Behavioral Health
Millsboro, DE
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New Castle · 1 center

ARS New Castle
New Castle, DE
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Rehoboth Beach · 1 center

AMS of Delaware LLC
Rehoboth Beach, DE
Services:
Frequently Asked Questions About Naltrexone in Delaware
Is naltrexone only for heroin or fentanyl use, or does it also treat prescription opioid dependence?
naltrexone is approved for opioid use disorder involving any opioid — heroin, fentanyl, prescription oxycodone, hydrocodone, or morphine. Delaware clinicians treat patients whose OUD started with a pain prescription just as readily as those using illicit opioids.
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 Delaware. The manufacturer Alkermes offers a patient-assistance co-pay savings card; state-funded programs also cover Vivitrol for uninsured patients in many counties.
What’s the difference between Delaware Medicaid (Diamond State Health Plan) managed-care plans for MAT?
Delaware Medicaid (Diamond State Health Plan) managed-care organizations (MCOs) in Delaware all cover MAT, but formulary details, prior-authorization rules, and in-network provider lists vary. Choose the MCO whose network includes your preferred naltrexone providers; you can usually switch plans once a year.
Does insurance cover the counseling portion of naltrexone the same as the medication?
Yes. Parity law requires equal coverage for the medication and counseling components of MAT. Counseling copays often match mental-health visit copays (typically $20–$50 for commercial plans in Delaware). Providers bill counseling and medication separately.
Are drug courts in Delaware allowed to ban naltrexone?
No. A 2022 Department of Justice enforcement action confirmed that Delaware drug courts cannot ban FDA-approved MAT medications; doing so violates the ADA. Patients in drug court have the legal right to remain on their prescribed naltrexone regimen.
What are the most common reasons patients stop naltrexone?
Common reasons include lifestyle stabilization (patient and clinician agree to taper), cost barriers, side effects, travel or employment disruption, and desire to try naltrexone after tapering. Many patients resume treatment later — clinics welcome return visits without judgment.
What should I avoid before my first naltrexone visit?
Avoid benzodiazepines, alcohol, and long-acting opioids for 6–12 hours before induction to reduce sedation risk. For buprenorphine, let the clinician know your last opioid use time so they can time the first dose to avoid precipitated withdrawal.
Can I drive myself home from the first naltrexone dose in Delaware?
Delaware 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.
Is long-term naltrexone safe?
Yes. Decades of research support the long-term safety of methadone, buprenorphine, and naltrexone when appropriately prescribed. Long-term MAT is associated with lower mortality, reduced infectious disease, and improved quality of life. Delaware patients frequently remain on MAT for years without medical complications.
Should I stop naltrexone when I find out I’m pregnant?
No — abrupt discontinuation is dangerous for the pregnancy. Call your Delaware MAT clinic right away; the team will coordinate with obstetrics to continue medication safely and arrange any dose adjustments needed as the pregnancy progresses.
Does Delaware Medicaid (Diamond State Health Plan) cover counseling along with naltrexone?
Yes. Delaware Medicaid (Diamond State Health Plan) covers individual therapy, group sessions, and care coordination at Delaware MAT clinics without separate deductibles in most plans. Peer-recovery support services are also covered in Delaware.
Can I be fired for taking naltrexone in Delaware?
Under the ADA, you cannot be fired solely because you are enrolled in naltrexone. Current illegal drug use is not protected, but lawful MAT enrollment is. Safety-sensitive roles (CDL, aviation) have additional rules — an employment attorney can review your specific situation.
Other Treatment Options in Delaware
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)


