Naltrexone Treatment Centers in New Hampshire
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 48 naltrexone providers across New Hampshire, with the largest concentrations in Manchester (10), Nashua (9) and Concord (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 New Hampshire:
- New Hampshire recorded 440 drug overdose deaths in 2023 at 32.7 per 100,000 (CDC NCHS).
- 74 buprenorphine providers and 6 methadone Opioid Treatment Programs serve the state; Manchester and Nashua anchor access.
- New Hampshire Medicaid (Granite Advantage) covers MAT without prior authorization.
- The state operates 9 regional Doorway hubs under DHHS that coordinate MAT placement and same-day intake.
Naltrexone in New Hampshire — By the Numbers
32.7
per 100,000 drug overdose mortality (CDC 2023)
440
total overdose deaths in New Hampshire (2023)
62
naltrexone providers in our directory
78 / 88
facilities offering telehealth
80
accept Medicaid for treatment
6
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Manchester (14) · Nashua (11) · Concord (4)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
New Hampshire Medicaid (Granite Advantage)
Granite Advantage covers MAT without prior authorization and funds the Doorway hubs that coordinate regional MAT entry.
State regulations
New Hampshire operates 9 regional Doorway hubs under the Department of Health and Human Services to coordinate MAT placement.
How to access MAT in New Hampshire
The 9 Doorway hubs (one per region) provide single-point intake, clinical assessment, and warm-handoff to MAT, MAT counseling, or residential placement.
- Cash or self-payment62
- Private health insurance62
- Medicaid54
- Federal military insurance (e.g., TRICARE)48
- State-financed health insurance plan other than Medicaid41
- Medicare35
- Outpatient58
- Outpatient methadone/buprenorphine or naltrexone treatment54
- Regular outpatient treatment53
- Intensive outpatient treatment21
- Outpatient day treatment or partial hospitalization10
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Naltrexone Treatment Providers in New Hampshire
Naltrexone providers in New Hampshire
Manchester · 10 centers

WestBridge
Manchester, NH
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WestBridge
Manchester, NH
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WestBridge
Manchester, NH
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Mental Health Center of
Manchester, NH
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Mental Health Center of
Manchester, NH
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Mental Health Center of
Manchester, NH
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Nashua · 9 centers

Greater Nashua Council on Alcoholism
Nashua, NH
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MAT Care Clinics
Nashua, NH
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Harbor Care
Nashua, NH
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Lamprey Healthcare
Nashua, NH
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Process Recovery Center
Nashua, NH
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Greater Nashua Mental Health
Nashua, NH
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Harbor Care
Nashua, NH
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Integrate
Nashua, NH
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Concord · 5 centers

Avenues Recovery Center at New England
Concord, NH
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Concord Hospital
Concord, NH
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PursueCare LLC
Concord, NH
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Choices
Concord, NH
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Plymouth · 3 centers

Mid State Health Center
Plymouth, NH
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Mid State Health Center
Plymouth, NH
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Plymouth House
Plymouth, NH
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Portsmouth · 3 centers

Greater Seacoast Community Health
Portsmouth, NH
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Seacoast Mental Health Center
Portsmouth, NH
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Aspire365
Portsmouth, NH
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Rochester · 3 centers

Bonfire Behavioral Health LLC
Rochester, NH
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Hope on Haven Hill
Rochester, NH
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Laconia · 2 centers

Kathy Ireland Recovery Centers
Laconia, NH
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Sobriety Centers of NH
Laconia, NH
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Lebanon · 2 centers

HALO Educational Systems
Lebanon, NH
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Littleton · 2 centers

Blue Heron Neurofeedback and
Littleton, NH
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North Country Recovery Center
Littleton, NH
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Somersworth · 2 centers

Greater Seacoast Community Health
Somersworth, NH
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Amherst · 1 center

Confidant Health
Amherst, NH
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Antrim · 1 center

Sobriety Centers of NH
Antrim, NH
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Bedford · 1 center

Aware Recovery Care of New Hampshire
Bedford, NH
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Berlin · 1 center

Coos County Family Health Services
Berlin, NH
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Bristol · 1 center

MidState Health Center
Bristol, NH
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Canaan · 1 center

HALO Educational Systems
Canaan, NH
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Canterbury · 1 center

New Freedom Academy
Canterbury, NH
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Colebrook · 1 center

NCH Patient Care Center Colebrook
Colebrook, NH
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Derry · 1 center

Liberty Health Services
Derry, NH
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Dublin · 1 center

Avenues Recovery Center at Dublin
Dublin, NH
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Exeter · 1 center

Seacoast Mental Health Center
Exeter, NH
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Gorham · 1 center

Blue Heron Neurofeedback and
Gorham, NH
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Greenland · 1 center

Greenleaf Woods Med Assisted Recovery
Greenland, NH
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Hampstead · 1 center

Hampstead Hospital and
Hampstead, NH
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Keene · 1 center
Lancaster · 1 center

Weeks Medical Center
Lancaster, NH
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Merrimack · 1 center
Newmarket · 1 center

Lamprey Healthcare
Newmarket, NH
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North Conway · 1 center

Blue Heron Neurofeedback and
North Conway, NH
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Raymond · 1 center

Lamprey Healthcare
Raymond, NH
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Whitefield · 1 center

North Country Recovery Center
Whitefield, NH
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Frequently Asked Questions About Naltrexone in New Hampshire
Do I need to provide a criminal-history check to enroll in naltrexone providers in New Hampshire?
No. New Hampshire MAT providers do not require criminal-history disclosure to enroll. Federal law (42 CFR Part 2) protects substance-use treatment records; a criminal record will not block admission to a naltrexone program.
How much does long-acting buprenorphine injection cost without insurance in New Hampshire?
Cash-pay monthly cost for Sublocade in New Hampshire typically runs $1,400–$1,900 per injection, plus administration fees. Manufacturer savings programs, 340B pricing at FQHCs, and State Opioid Response grants can significantly reduce this out-of-pocket cost.
If I’m pregnant, does New Hampshire Medicaid (Granite Advantage) expand naltrexone coverage?
Yes. Pregnancy-related New Hampshire Medicaid (Granite Advantage) coverage includes MAT with no copays and priority access to New Hampshire perinatal-MAT programs. Many New Hampshire Medicaid (Granite Advantage) plans also extend coverage for 12 months postpartum to protect the mother–infant dyad.
Does TRICARE cover naltrexone for active-duty or retired military?
Yes. TRICARE Prime and Select cover the full MAT benefit including naltrexone. Active-duty service members may need command notification; retirees and dependents do not. Humana Military or Health Net Federal handles TRICARE claims depending on the New Hampshire region.
Is naltrexone treatment legal and regulated in New Hampshire?
Yes. naltrexone is a federally approved medication used legally across New Hampshire. Methadone is dispensed only at SAMHSA-certified Opioid Treatment Programs (OTPs); buprenorphine is prescribed by licensed clinicians; naltrexone has no prescriber waiver requirement. State licensing agencies oversee all naltrexone providers.
Is there a maximum length of time I can stay on naltrexone in New Hampshire?
No. There is no legal or clinical cap on how long you can remain on naltrexone in New Hampshire. Insurance must continue to cover MAT as long as the prescribing clinician documents medical necessity.
Does my employer need to know I started naltrexone?
No. New Hampshire employers have no right to require MAT disclosure. ADA protections and 42 CFR Part 2 confidentiality prevent providers from disclosing MAT status to employers. If you need FMLA for appointments, your HR can verify medical leave without knowing the diagnosis.
Will I need lab tests before starting naltrexone?
Yes. Basic labs include a urine drug screen, pregnancy test (if applicable), hepatitis and HIV testing (offered, not mandatory), liver-function tests, and for methadone an ECG to screen QTc interval. Labs are usually drawn at intake; results guide medication selection.
Will naltrexone make me tired or affect my ability to work in New Hampshire?
During induction (first 1–2 weeks), mild drowsiness is common. Once stabilized, most patients fully resume work, including safety-sensitive jobs such as CDL driving, subject to any employer drug-testing policies. New Hampshire clinicians can issue letters documenting stability.
Will my baby go through withdrawal if I take naltrexone?
Neonatal Opioid Withdrawal Syndrome (NOWS) can occur in infants exposed to methadone or buprenorphine prenatally and is routinely monitored at New Hampshire delivery hospitals. NOWS is manageable with skilled nursing care; most infants go home within days to weeks with normal outcomes.
Can I skip counseling and just take naltrexone?
Patients prescribed buprenorphine or naltrexone in New Hampshire 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.
Can I be fired for taking naltrexone in New Hampshire?
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 New Hampshire
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)


