Naltrexone Treatment Centers in Hawaii
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 6 naltrexone providers across Hawaii, with the largest concentrations in Kailua Kona (2), Kailua (1) and Kaneohe (1).
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 Hawaii:
- Unique tropical therapeutic environment
- Culturally-informed Native Hawaiian healing practices
- Med-QUEST coverage for qualifying residents
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Med-QUEST
Med-QUEST covers buprenorphine and naltrexone on all plans; methadone access is limited to a small number of OTPs on Oahu and Hawaii Island.
State regulations
Hawaii has among the fewest OTPs per capita; Med-QUEST expanded telehealth reimbursement for buprenorphine induction to improve neighbor-island access.
- Cash or self-payment6
- Private health insurance6
- Medicaid4
- State-financed health insurance plan other than Medicaid3
- Federal military insurance (e.g., TRICARE)3
- Medicare2
- Long-term residential4
- Residential detoxification4
- Residential/24-hour residential4
- Short-term residential4
- Intensive outpatient treatment3
Naltrexone providers in Hawaii
Kailua Kona, HI
Situated in Kailua Kona, HI, Hawaii Island Recovery delivers an extensive array of addiction treatment options for both adults and young adults. The center features services such as detoxification, intensive outpatient therapy, long-term residential care, and outpatient programs. Emphasizing approaches like 12-step facilitation, brief intervention, and cognitive behavioral therapy, the facility customizes its treatment plans to meet the unique needs of each individual. Specialized programs are available for active duty military personnel, as well as for adult men and women. Dedicated to offering exceptional, tailored rehabilitation services, Hawaii Island Recovery aims to assist clients of all genders on their journey to recovery.
Honokaa, HI
Situated in Honokaa, HI, Hamakua Kohala Health provides targeted addiction recovery services for adults. The facility offers intensive outpatient programs, standard outpatient services, and medication-assisted treatment options including methadone, buprenorphine, or naltrexone. Employing strategies such as 12-step facilitation, anger management, and brief intervention, Hamakua Kohala Health prioritizes a personalized approach to care. Their programs are designed to meet the needs of both male and female patients, creating a welcoming atmosphere. Hamakua Kohala Health is distinguished by its dedication to crafting unique treatment strategies, supporting individuals on their path to lasting sobriety.
View detailsHonolulu, HI
Situated in Honolulu, HI, Queens Medical Center delivers an array of rehabilitation services. This facility offers intensive outpatient programs, as well as outpatient and partial hospitalization services for individuals facing substance use issues and concurrent mental health challenges, serving both adults and children/adolescents. Queens Medical Center utilizes a range of methods, including 12-step programs, anger management strategies, and brief interventions to meet the unique requirements of each patient. The center emphasizes care for adolescents, individuals with dual diagnoses, and those involved in the criminal justice system. Committed to providing high-quality care, Queens Medical Center serves male and female patients looking for tailored solutions to overcome addiction.
Kailua Kona, HI
Situated in Kailua Kona, HI, the Ohana Addiction Treatment Center delivers extensive services for those aiming to overcome substance use disorders and related mental health challenges. The facility features long-term residential treatment, encompassing detox services and round-the-clock assistance. With specialized programs for men and women, alongside support for individuals who have faced domestic violence, the center addresses a wide range of needs. Employing techniques like 12-step facilitation and anger management, the programs are customized for both adults and young adults. The Ohana Addiction Treatment Center is committed to offering exceptional care and guidance for individuals seeking to achieve sobriety.
View detailsKailua, HI
Poailani Inc, situated in Kailua, HI, delivers extensive addiction recovery support for adults and young adults. This establishment features extended stay residential treatment, inpatient detoxification, and round-the-clock residential services. Emphasizing 12-step incorporation, emotional regulation techniques, and concise intervention strategies, Poailani Inc customizes care to suit each person's distinct requirements. Unique offerings are available for active military members, adult males, and adult females. Providing specialized assistance for those with dual diagnoses of substance abuse and severe mental health issues, this facility guarantees effective care for all individuals, regardless of gender, on their journey to sobriety.
View detailsKaneohe, HI
Poailani Inc in Kaneohe, HI, is dedicated to providing exceptional addiction recovery services for adult men facing substance abuse challenges and co-occurring mental health conditions. The center offers extended residential treatment, encompassing detox and continuous round-the-clock assistance. Employing scientifically validated methods like 12-step integration, emotional regulation techniques, and short-term counseling, Poailani Inc fosters enduring sobriety. A key differentiator is its tailored programs for active-duty service members, adult males, and survivors of domestic abuse. Emphasizing personalized support for its male clientele, this establishment cultivates a nurturing atmosphere for adults and older adults pursuing complete restorative care.
View detailsFrequently Asked Questions About Naltrexone in Hawaii
Can pregnant women start naltrexone in Hawaii?
Yes. MAT with methadone or buprenorphine is the recommended standard of care in pregnancy — ACOG and SAMHSA both endorse it. Hawaii providers coordinate with obstetrics to monitor mother and baby throughout pregnancy and the neonatal period.
Are lab tests and drug screens an extra cost at naltrexone providers in Hawaii?
Most Hawaii programs include routine urine drug screens in the program fee. Baseline lab work (liver function, pregnancy test, ECG for methadone) may be billed separately — $30–$150 depending on insurance status. Ask about lab fees at intake.
Can Med-QUEST pay retroactively for MAT I started before enrollment?
Yes — Med-QUEST 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 COBRA cover naltrexone in Hawaii?
Yes. COBRA continues your former employer’s health plan unchanged for up to 18 months, including MAT benefits. The monthly COBRA premium is higher than a marketplace plan for most people; explore Marketplace options too before the 60-day COBRA deadline.
Can Hawaii patients get 28-day take-home methadone doses?
Yes. SAMHSA’s 2024 final rule allows OTPs in Hawaii to grant up to 28 days of take-home methadone once the patient meets clinical-stability criteria. Your clinician adjusts the take-home schedule based on drug screens, attendance, and time in treatment.
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.
Can I switch Hawaii naltrexone providers later if this one isn’t a fit?
Yes. Transferring to a different Hawaii 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.
Will I get medication on the first day of naltrexone?
Usually yes. Hawaii programs following low-barrier protocols provide the first buprenorphine dose or naltrexone prescription on day one. Methadone first doses are administered in-clinic and require SAMHSA-certified protocols that are typically completed during the intake visit.
Can naltrexone affect hormones or sexual function?
Long-term opioid-agonist therapy (methadone, buprenorphine) can lower testosterone in some men and affect menstruation in some women. Annual hormone panels are reasonable. Switching medications or adjusting dose resolves most cases; endocrinology referral is available in Hawaii for persistent issues.
Is naltrexone safe during pregnancy in Hawaii?
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. Hawaii providers coordinate care with obstetrics.
Is counseling required when I start naltrexone in Hawaii?
Federal rules require all SAMHSA-certified OTPs to offer counseling alongside methadone. Buprenorphine and naltrexone prescribing does not mandate counseling, but Hawaii providers strongly recommend it. Most insurance plans and Med-QUEST cover integrated counseling as part of the MAT benefit.
Can I use a pseudonym for my naltrexone treatment in Hawaii?
No — medical records must use your legal name for billing, insurance, and DEA compliance. However, 42 CFR Part 2 confidentiality means that legal name is protected from disclosure. Pseudonymous treatment is not available in MAT.
Other Treatment Options in Hawaii
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)