Naltrexone Treatment Centers in Kentucky
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 262 naltrexone providers across Kentucky, with the largest concentrations in Louisville (22), Lexington (19) and Elizabethtown (12).
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 Kentucky:
- Kentucky Medicaid covers addiction treatment services
- Specialized programs addressing opioid epidemic
- Rural and urban treatment accessibility
- Strong peer support networks
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Naltrexone providers in Kentucky
Louisville · 22 centers

JourneyPure
Louisville, KY
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Landmark Recovery of Louisville
Louisville, KY
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Medmark Treatment Centers
Louisville, KY
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ReMind Health Group
Louisville, KY
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UofL Health
Louisville, KY
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Veterans Affairs Medical Center
Louisville, KY
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VOA Recovery
Louisville, KY
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VOA Recovery
Louisville, KY
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Volunteers of America Mid States
Louisville, KY
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Volunteers of America Mid States
Louisville, KY
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VOA Addiction Recovery Services
Louisville, KY
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Seven Counties Services
Louisville, KY
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Seven Counties Services
Louisville, KY
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Brook Hospital
Louisville, KY
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Brook Hospital
Louisville, KY
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Recovery Now LLC
Louisville, KY
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Recovery Now LLC
Louisville, KY
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Seven Counties Services
Louisville, KY
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Lexington · 19 centers

Altruism Counseling Services
Lexington, KY
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Changed Lives Mental Health and
Lexington, KY
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Changed Lives Substance
Lexington, KY
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DeNova
Lexington, KY
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JourneyPure
Lexington, KY
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New Vista
Lexington, KY
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PATHways Program UK Healthcare
Lexington, KY
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Roaring Brook Recovery
Lexington, KY
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Cleanse Clinic
Lexington, KY
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Alteri LLC
Lexington, KY
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Hope Center
Lexington, KY
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Hope Center
Lexington, KY
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New Vista
Lexington, KY
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Chrysalis House Inc
Lexington, KY
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Chrysalis House Inc
Lexington, KY
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Windows of Discovery
Lexington, KY
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Elizabethtown · 12 centers

JourneyPure Bowling Green
Elizabethtown, KY
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Recovery Works
Elizabethtown, KY
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Recovery Works
Elizabethtown, KY
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Stepworks of Elizabethtown
Elizabethtown, KY
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Stepworks Crowne Pointe
Elizabethtown, KY
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Stepworks Crowne Pointe
Elizabethtown, KY
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Astra Behavioral Health
Elizabethtown, KY
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Behavioral Health Group (BHG)
Elizabethtown, KY
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Commitment House LLC
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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Louisa · 10 centers

Addiction Recovery Care (ARC)
Louisa, KY
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Pathways Inc
Louisa, KY
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Morehead · 10 centers

Edgewater Recovery Center
Morehead, KY
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New Journey
Morehead, KY
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Edgewater Mens Campus
Morehead, KY
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Pathways Inc
Morehead, KY
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Revived Essence Recovery
Morehead, KY
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Revived Essence Recovery
Morehead, KY
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Revived Recovery
Morehead, KY
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Revived Recovery Transitional Care
Morehead, KY
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Ashland · 9 centers

Ultimate Treatment Center
Ashland, KY
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Infinity Center LLC
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Bowling Green · 9 centers

CleanSlate Medical Group of Kentucky
Bowling Green, KY
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Fuller Life Counseling Partners
Bowling Green, KY
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JourneyPure
Bowling Green, KY
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Stepworks of Bowling Green
Bowling Green, KY
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Center for Behavioral Health LLC
Bowling Green, KY
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LifeSkills Inc
Bowling Green, KY
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Rivendell Behavioral Health Services
Bowling Green, KY
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Owensboro · 7 centers

TrueNorth Treatment Center
Owensboro, KY
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RiverValley Behavioral Health
Owensboro, KY
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RiverValley Behavioral Health
Owensboro, KY
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Hopkinsville · 6 centers

Redeemed and Restored
Hopkinsville, KY
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Cumberland Hall Hospital
Hopkinsville, KY
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Pennyroyal Center
Hopkinsville, KY
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Trilogy Center for Women
Hopkinsville, KY
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Pennyroyal Center
Hopkinsville, KY
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London · 5 centers

Recovery Works
London, KY
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Stepworks Recovery Centers
London, KY
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Cumberland River Behavioral Health
London, KY
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Windows of Discovery
London, KY
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Paducah · 5 centers

Emerald Therapy Center LLC
Paducah, KY
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Four Rivers Behavioral Health
Paducah, KY
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Kentucky Addiction Centers LLC
Paducah, KY
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Mountain of Hope
Paducah, KY
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Prestonsburg · 5 centers

Commonwealth Counseling Centers
Prestonsburg, KY
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East Kentucky Rehabilitation Center
Prestonsburg, KY
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Mountain Center for Recovery and Hope
Prestonsburg, KY
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Mountain Comprehensive Care Center
Prestonsburg, KY
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Mountain Center for Recovery and Hope
Prestonsburg, KY
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Covington · 4 centers

Childrens Home of Northern Kentucky
Covington, KY
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NorthKey Community Care
Covington, KY
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NorthKey Community Care
Covington, KY
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Saint Elizabeth Physicians
Covington, KY
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Danville · 4 centers

Central Kentucky Addiction Treatment
Danville, KY
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Nicholasville · 4 centers

Revive Ministries Inc
Nicholasville, KY
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Stepworks of Nicholasville
Nicholasville, KY
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Stepworks of Nicholasville
Nicholasville, KY
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Saint Catharine · 4 centers

Addiction Recovery Care Crown Recovery
Saint Catharine, KY
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Somerset · 4 centers

Adanta Group
Somerset, KY
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Windows of Discovery Inc
Somerset, KY
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Fort Mitchell · 3 centers

Transitions Inc
Fort Mitchell, KY
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Frankfort · 3 centers

CommonHealth Recovery
Frankfort, KY
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Grayson · 3 centers

Grayson Integrated Clinic
Grayson, KY
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Pathways Inc
Grayson, KY
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Pathways Inc
Grayson, KY
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Hazard · 3 centers

Kentucky River Community Care
Hazard, KY
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Beacons of Hope
Hazard, KY
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Monticello · 3 centers

Adanta Group
Monticello, KY
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Foothills Academy Inc
Monticello, KY
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Mount Sterling · 3 centers

Shepherds Shelter/Ross Rehab
Mount Sterling, KY
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Pathways Inc
Mount Sterling, KY
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Pathways Inc
Mount Sterling, KY
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Shelbyville · 3 centers

Shelbyville Comprehensive Trt Center
Shelbyville, KY
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Seven Counties Services
Shelbyville, KY
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Seven Counties Services
Shelbyville, KY
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Winchester · 3 centers

New Leaf Recovery and Wellness
Winchester, KY
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New Vista
Winchester, KY
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Mountain Comprehensive Care Center
Winchester, KY
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Barbourville · 2 centers

Cumberland River Behavioral Health
Barbourville, KY
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Bardstown · 2 centers

Astra Recovery Centers LLC
Bardstown, KY
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Communicare Inc
Bardstown, KY
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Chaplin · 2 centers

Isaiah House
Chaplin, KY
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Isaiah House
Chaplin, KY
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Columbia · 2 centers

Adanta Group
Columbia, KY
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Corbin · 2 centers

Cumberland River Behavioral Health
Corbin, KY
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Jaynes Family Practice
Corbin, KY
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Erlanger · 2 centers
Greenup · 2 centers

Pathways Inc
Greenup, KY
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Pathways Inc
Greenup, KY
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Henderson · 2 centers

RiverValley Behavioral Health
Henderson, KY
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Inez · 2 centers

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Lancaster · 2 centers

Mountain Comprehensive Care
Lancaster, KY
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Madisonville · 2 centers

Pennyroyal Center
Madisonville, KY
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Manchester · 2 centers

Cumberland River Behavioral Health
Manchester, KY
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Volunteers of America Mid States
Manchester, KY
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Middlesboro · 2 centers

Cumberland River Behavioral Health
Middlesboro, KY
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Murray · 2 centers

Emerald Therapy Center LLC
Murray, KY
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Owenton · 2 centers

NorthKey Community Care
Owenton, KY
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Owingsville · 2 centers

Pathways Inc
Owingsville, KY
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Pikeville · 2 centers
Richmond · 2 centers

Ethan Health
Richmond, KY
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Behavioral Health Group (BHG)
Richmond, KY
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Willisburg · 2 centers

Isaiah House
Willisburg, KY
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Isaiah House
Willisburg, KY
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Albany · 1 center

Adanta Group
Albany, KY
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Ashcamp · 1 center
Beaver Dam · 1 center

RiverValley Behavioral Health
Beaver Dam, KY
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Benham · 1 center
Booneville · 1 center
Burlington · 1 center

Ethan Health
Burlington, KY
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Campbellsville · 1 center

Adanta Group
Campbellsville, KY
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Carrollton · 1 center

NorthKey Community Care
Carrollton, KY
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Catlettsburg · 1 center
Central City · 1 center

A New Start II LLC
Central City, KY
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Falmouth · 1 center

NorthKey Community Care
Falmouth, KY
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Flemingsburg · 1 center

Comprehend Inc
Flemingsburg, KY
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Florence · 1 center

NorthKey Community Care
Florence, KY
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Frenchburg · 1 center

Pathways Inc
Frenchburg, KY
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Georgetown · 1 center
Glasgow · 1 center

Adanta Group
Glasgow, KY
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Greensburg · 1 center

Adanta Group
Greensburg, KY
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Greenville · 1 center

Pennyroyal Center
Greenville, KY
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Harlan · 1 center

Cumberland River Behavioral Health
Harlan, KY
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Harrodsburg · 1 center

Isaiah House
Harrodsburg, KY
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Hyden · 1 center

Kentucky River Community Care
Hyden, KY
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Jamestown · 1 center

Adanta Group
Jamestown, KY
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Kirksey · 1 center

Neartown Inc
Kirksey, KY
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La Grange · 1 center

Seven Counties Services
La Grange, KY
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Lebanon · 1 center

Communicare Inc
Lebanon, KY
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Leitchfield · 1 center

Twin Lakes Counseling Services
Leitchfield, KY
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Lewisport · 1 center

RiverValley Behavioral Health
Lewisport, KY
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Liberty · 1 center

Adanta Group
Liberty, KY
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Mayfield · 1 center

Four Rivers Behavioral Health
Mayfield, KY
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Maysville · 1 center

Comprehend Inc
Maysville, KY
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McKee · 1 center

Cumberland River Behavioral Health
McKee, KY
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Morganfield · 1 center

RiverValley Behavioral Health
Morganfield, KY
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Morgantown · 1 center
Mount Vernon · 1 center

Cumberland River Behavioral Health
Mount Vernon, KY
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Neon · 1 center
Newport · 1 center

NorthKey Community Care
Newport, KY
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Paris · 1 center
Pineville · 1 center

Cumberland River Behavioral Health
Pineville, KY
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Pippa Passes · 1 center
Pittsburg · 1 center

Cumberland River Behavioral Health
Pittsburg, KY
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Princeton · 1 center

Pennyroyal Center
Princeton, KY
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Providence · 1 center

RiverValley Behavioral Health
Providence, KY
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Rush · 1 center

Ramey Estep Homes
Rush, KY
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Sandy Hook · 1 center

Pathways Inc
Sandy Hook, KY
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Scottsville · 1 center
Shepherdsville · 1 center

Seven Counties Services
Shepherdsville, KY
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South Shore · 1 center

Recovery Works
South Shore, KY
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South Williamson · 1 center
Springfield · 1 center

Communicare Inc
Springfield, KY
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Stanton · 1 center

New Vista
Stanton, KY
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Taylorsville · 1 center

Seven Counties Services
Taylorsville, KY
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Tompkinsville · 1 center

Mind Over Matter Therapeutic Servs LLC
Tompkinsville, KY
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Tyner · 1 center
Vanceburg · 1 center

Comprehend Inc
Vanceburg, KY
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Versailles · 1 center

Isaiah House
Versailles, KY
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Warsaw · 1 center

NorthKey Community Care
Warsaw, KY
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West Liberty · 1 center

Pathways Inc
West Liberty, KY
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Whitesburg · 1 center

Mountain Comprehensive Care Center
Whitesburg, KY
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Whitley City · 1 center

Adanta Group
Whitley City, KY
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Williamsburg · 1 center

Cumberland River Behavioral Health
Williamsburg, KY
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Williamstown · 1 center

NorthKey Community Care
Williamstown, KY
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Kentucky Medicaid
Kentucky Medicaid covers MAT without prior authorization and reimburses for peer-support services delivered alongside medication.
State regulations
Kentucky was an early adopter of statewide MAT expansion and operates a network of Office-Based Opioid Treatment (OBOT) providers in addition to OTPs.
- Medicaid251
- Cash or self-payment249
- Private health insurance234
- Medicare190
- State-financed health insurance plan other than Medicaid157
- Federal military insurance (e.g., TRICARE)152
- Outpatient216
- Regular outpatient treatment200
- Outpatient methadone/buprenorphine or naltrexone treatment167
- Intensive outpatient treatment130
- Residential/24-hour residential90
Frequently Asked Questions About Naltrexone in Kentucky
Do I have to be in active withdrawal to begin naltrexone?
For buprenorphine, patients typically need to be in mild withdrawal before the first dose to avoid precipitated withdrawal. Methadone can be started without withdrawal, and naltrexone requires 7–14 opioid-free days. Your Kentucky provider will explain the induction protocol that applies to your medication.
Do naltrexone providers in Kentucky offer sliding-scale fees?
Many Kentucky community behavioral-health agencies and federally qualified health centers offer sliding-scale fees based on household income. Sliding-scale fees commonly bring a weekly methadone visit down to $5–$25. Ask naltrexone providers in your area about discounted rates when you call.
Does Kentucky Medicaid cover SAMHSA-required counseling along with naltrexone?
Yes. Kentucky Medicaid covers the mandated counseling component for MAT — individual therapy, group sessions, and care coordination — at participating Kentucky clinics. Reimbursement for peer-support specialists is also available under the state plan.
Can I use an HSA or FSA to pay for naltrexone in Kentucky?
Yes. HSA and FSA funds are eligible for all MAT out-of-pocket expenses — copays, medication, counseling, lab tests — because MAT is IRS-qualified medical care. Keep itemized receipts from naltrexone providers for tax records.
Can I transfer my methadone or buprenorphine prescription to another Kentucky provider?
Yes. Your current Kentucky clinic will send clinical records and dose history to the new provider with your written consent. For methadone, the receiving OTP verifies dose and last attendance before admission; for buprenorphine, transfers can happen within 24–48 hours.
Is it harder to quit methadone than buprenorphine?
Methadone tapering generally takes longer than buprenorphine because of its long half-life and higher cumulative-dose equilibrium. Most Kentucky clinicians taper methadone over 6–12 months or longer. Buprenorphine tapers often complete in 3–6 months for stable patients.
How do I start naltrexone treatment in Kentucky?
Call a naltrexone clinic directly, SAMHSA’s national helpline (1-800-662-4357), or 988 for urgent help. Most Kentucky naltrexone providers offer same-day or next-business-day intake; the intake visit includes an assessment and your first dose or prescription.
Is the first naltrexone dose stronger or weaker than later doses?
First doses are intentionally cautious — 5–10 mg of buprenorphine or 20–30 mg of methadone — to assess tolerance and avoid over-sedation. Your dose is titrated up over the first 1–2 weeks until cravings and withdrawal are controlled.
Is naltrexone addictive?
Physical dependence on naltrexone (methadone or buprenorphine) develops over time — but addiction is different from dependence. Addiction involves compulsive use despite harm; MAT at a stable prescribed dose does not produce that pattern. Naltrexone is not addictive and causes no physical dependence.
Can I breastfeed while taking naltrexone?
Yes. Methadone and buprenorphine are compatible with breastfeeding per CDC and AAP guidance; the small amounts in breast milk are protective against NOWS. Naltrexone in breastfeeding is less studied — discuss with your Kentucky OB and MAT provider together.
Can I skip counseling and just take naltrexone?
Patients prescribed buprenorphine or naltrexone in Kentucky can technically receive medication without counseling, but outcomes are significantly better with integrated counseling. Methadone patients at OTPs have counseling requirements per federal rule 42 CFR Part 8.
What about life insurance applications — do they ask about naltrexone?
Life-insurance applications typically ask about current medications and substance-use history. Failing to disclose can void a policy. Some insurers rate MAT neutrally for stable long-term patients; shop among carriers and consider no-medical-exam policies if rates are unfavorable.
Other Treatment Options in Kentucky
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)












