Naltrexone Treatment Centers in Delaware
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 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 Medicaid covers comprehensive addiction treatment
- Crisis intervention services available 24/7
- Strong recovery community with numerous support groups
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Naltrexone providers in Delaware
Dover · 6 centers

UHS of Dover LLC
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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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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Georgetown · 2 centers
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
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
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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.
- 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
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
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