Naltrexone Treatment Centers in Iowa
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 80 naltrexone providers across Iowa, with the largest concentrations in Des Moines (6), Waterloo (4) and Iowa City (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 Iowa:
- Iowa Medicaid covers comprehensive addiction services
- Strong rural treatment network
- Family-centered recovery programs
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Naltrexone providers in Iowa
Des Moines · 6 centers

Powell Chemical Dependency Program
Des Moines, IA
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MercyOne House Mercy
Des Moines, IA
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Central Iowa Psychological Services
Des Moines, IA
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Community and Family Resources
Des Moines, IA
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Community and Family Resources
Des Moines, IA
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Iowa City · 4 centers

University of Iowa Healthcare
Iowa City, IA
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Community and Family Resources
Iowa City, IA
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Community and Family Resources
Iowa City, IA
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Waterloo · 4 centers

Access Wellness and Recovery Center
Waterloo, IA
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Elevate CCBHC
Waterloo, IA
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Central Iowa Psychological Services
Waterloo, IA
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Council Bluffs · 3 centers

Council Bluffs Comprehensive Trt Ctr
Council Bluffs, IA
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CHI Health Mercy Psychiatric Associate
Council Bluffs, IA
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Heartland Family Service
Council Bluffs, IA
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Knoxville · 3 centers

Infinity Health
Knoxville, IA
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Central Iowa Psychological Services
Knoxville, IA
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Sioux City · 3 centers

Rosecrance Jackson Centers
Sioux City, IA
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Rosecrance Jackson Centers
Sioux City, IA
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Rosecrance Jackson Centers
Sioux City, IA
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West Des Moines · 3 centers

Central Iowa Psychological Services
West Des Moines, IA
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Central Iowa Psychological Services
West Des Moines, IA
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Ames · 2 centers

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Youth and Shelter Services (YSS)
Ames, IA
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Ankeny · 2 centers

Central Iowa Psychological Services
Ankeny, IA
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Davenport · 2 centers

Center for Alcohol and Drug Services
Davenport, IA
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Decorah · 2 centers

Central Iowa Psychological Services
Decorah, IA
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Northeast Iowa Behavioral Health Inc
Decorah, IA
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Fort Dodge · 2 centers

Community and Family Resources
Fort Dodge, IA
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YWCA of Fort Dodge
Fort Dodge, IA
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Keokuk · 2 centers

Alcohol and Drug Dep Services of SE IA
Keokuk, IA
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Community Health Centers of SE IA
Keokuk, IA
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Marshalltown · 2 centers

SA Treatment Unit of Central Iowa
Marshalltown, IA
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Youth and Shelter Services (YSS)
Marshalltown, IA
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Ottumwa · 2 centers

River Hills Community Health Center
Ottumwa, IA
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Southern Iowa Mental Health Center
Ottumwa, IA
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West Burlington · 2 centers

Community Health Centers of SE IA
West Burlington, IA
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Community Health Centers of SE IA
West Burlington, IA
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Albia · 1 center

Infinity Health
Albia, IA
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Atlantic · 1 center

ZION Integrated Behav Health Services
Atlantic, IA
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Bayard · 1 center
Belmond · 1 center

Iowa Specialty Hospital and Clinic
Belmond, IA
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Bettendorf · 1 center

Abbey LLC
Bettendorf, IA
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Boone · 1 center

Youth and Shelter Services (YSS)
Boone, IA
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Burlington · 1 center

Alcohol and Drug Dep Services of SE IA
Burlington, IA
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Carroll · 1 center

Plains Area Mental Health Center Inc
Carroll, IA
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Centerville · 1 center

Infinity Health
Centerville, IA
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Chariton · 1 center

Infinity Health
Chariton, IA
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Cherokee · 1 center

Plains Area Mental Health Center
Cherokee, IA
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Clinton · 1 center
Clive · 1 center

Community and Family Resources
Clive, IA
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Corydon · 1 center

Infinity Health
Corydon, IA
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Denison · 1 center

Plains Area Mental Health Center
Denison, IA
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Dubuque · 1 center
Garner · 1 center

Iowa Specialty Hospital and Clinic
Garner, IA
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Ida Grove · 1 center

Plains Area Mental Health Center
Ida Grove, IA
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Lake City · 1 center

Plains Area Mental Health Center Inc
Lake City, IA
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Le Mars · 1 center

Plains Area Mental Health Center Inc
Le Mars, IA
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Leon · 1 center

Infinity Health
Leon, IA
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Manning · 1 center

Manning Regional Healthcare Center
Manning, IA
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Mason City · 1 center

Youth and Shelter Services (YSS)
Mason City, IA
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Mount Pleasant · 1 center

Alcohol and Drug Dep Services of SE IA
Mount Pleasant, IA
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Muscatine · 1 center
Newton · 1 center

Clearview Recovery Inc
Newton, IA
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Orange City · 1 center

Plains Area Mental Health Center
Orange City, IA
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Osceola · 1 center

Infinity Health
Osceola, IA
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Oskaloosa · 1 center

River Hills Community Health Center
Oskaloosa, IA
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Prairie City · 1 center

Clearview Recovery Inc
Prairie City, IA
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Spirit Lake · 1 center

Plains Area Mental Health Center
Spirit Lake, IA
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Storm Lake · 1 center

Plains Area Mental Health Center
Storm Lake, IA
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Tipton · 1 center
Urbandale · 1 center
Washington · 1 center
Webster City · 1 center

Youth and Shelter Services (YSS)
Webster City, IA
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Iowa Health Link
Iowa Medicaid covers buprenorphine, naltrexone, and methadone through licensed OTPs; the state requires managed-care plans to waive prior authorization for MAT.
State regulations
Iowa Department of Public Health licenses OTPs and operates a hub-and-spoke model that links rural providers to urban methadone programs.
- Cash or self-payment80
- Medicaid78
- Private health insurance76
- Federal, or any government funding for substance use treatment programs55
- State-financed health insurance plan other than Medicaid54
- Federal military insurance (e.g., TRICARE)52
- Outpatient76
- Regular outpatient treatment74
- Outpatient methadone/buprenorphine or naltrexone treatment54
- Intensive outpatient treatment44
- Residential/24-hour residential16
Frequently Asked Questions About Naltrexone in Iowa
Can I do MAT if I also use alcohol or stimulants?
Yes. Using other substances does not disqualify you from naltrexone. Most Iowa programs encourage honest disclosure at intake so the team can monitor for drug interactions, adjust the care plan, and refer you to parallel treatment for alcohol or stimulant use where indicated.
What is the cheapest way to get naltrexone in Iowa?
For most Iowa residents, Iowa Health Link is the lowest-cost option — co-pays are usually $0–$3. Without Medicaid, federally qualified health centers with sliding-scale fees are next cheapest, followed by State Opioid Response–funded clinics.
Does Iowa Health Link cover a full month’s supply of naltrexone?
Yes. For methadone, Iowa Health Link reimburses Opioid Treatment Programs (OTPs) for in-clinic and take-home dosing as a bundled rate — SAMHSA clinical rules, not insurance, govern take-home eligibility. For buprenorphine, Iowa Health Link pays for the 30-day pharmacy fill. For long-acting naltrexone, the monthly injection is covered under the medical benefit.
What is the best way to verify insurance before my first naltrexone visit?
Call the number on the back of your insurance card and ask: (1) Is {provider name} in-network? (2) What is my mental-health/MAT deductible? (3) What is my copay for MAT visits? Write the reference number from the call for any dispute later.
Are there advocacy organizations for naltrexone patients in Iowa?
Yes. Faces & Voices of Recovery chapters, the American Society of Addiction Medicine (ASAM) regional sections, and Iowa-based recovery community organizations advocate for patient rights. SAMHSA’s Recovery Community Services Program funds peer-led groups in most Iowa counties.
How often will I need to visit naltrexone providers in Iowa?
Early in treatment, visits are weekly — sometimes daily for methadone induction. After stabilization, buprenorphine patients typically visit monthly, and methadone patients may qualify for take-home doses reducing visits to bi-weekly or monthly. Naltrexone injections are monthly.
Can I bring someone to my first naltrexone visit in Iowa?
Yes. Most Iowa naltrexone providers allow a support person at intake and can include family in counseling with your permission. Having a trusted person to drive you, help with paperwork, and understand the plan is highly encouraged.
What happens if my drug screen is positive at the first visit?
A positive urine drug screen is expected for most patients entering MAT — it confirms the diagnosis. Positive screens are not used to deny admission at any Iowa SAMHSA-certified OTP. Your clinician interprets results and builds an individualized plan from there.
Can naltrexone cause an overdose?
Methadone carries overdose risk during induction when the dose is being titrated, particularly in combination with benzodiazepines, alcohol, or other sedatives. Buprenorphine has a ceiling effect that lowers overdose risk. Naltrexone does not cause opioid overdose. Your Iowa clinic monitors risk closely.
Can postpartum women continue naltrexone in Iowa?
Yes. Postpartum continuation of MAT is strongly recommended — overdose risk is elevated in the postpartum period. Iowa programs increasingly embed MAT within postpartum home-visiting programs to support the mother-infant dyad during the first year.
What is peer-recovery support and is it available in Iowa?
Peer-recovery support workers are trained individuals with lived recovery experience who provide mentoring, accompaniment to appointments, and navigation of resources. Iowa Medicaid reimburses peer-support services; most mid-sized naltrexone providers employ certified peer specialists.
What rights do I have if my records are disclosed improperly?
Improper disclosure of your records under 42 CFR Part 2 can be grounds for federal complaint and civil damages. File complaints with SAMHSA, the HHS Office of Civil Rights, and Iowa’s behavioral-health licensing agency. An attorney can advise on civil remedies.
Other Treatment Options in Iowa
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)






