Naltrexone Treatment Centers in West Virginia
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 40 naltrexone providers across West Virginia, with the largest concentrations in Huntington (5), Charleston (4) and Clarksburg (3).
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 West Virginia:
- West Virginia Medicaid covers addiction treatment
- Focused response to opioid epidemic
- Rural treatment accessibility
- Strong community recovery networks
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Naltrexone providers in West Virginia
Huntington · 5 centers

Huntington Comprehensive Trt Ctr
Huntington, WV
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Recovery Point of Huntington
Huntington, WV
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Prestera Center for MH Services Inc
Huntington, WV
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Prestera Center for MH Services Inc
Huntington, WV
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Prestera Center for MH Services Inc
Huntington, WV
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Charleston · 4 centers

Charleston Area Medical Center
Charleston, WV
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Charleston Comprehensive Trt Ctr
Charleston, WV
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Thomas Memorial Hospital
Charleston, WV
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AppleGate Recovery
Charleston, WV
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Beckley · 3 centers

FMRS Health Systems Inc
Beckley, WV
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Department of Veterans Affairs Medical
Beckley, WV
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Clarksburg · 3 centers

Clarksburg Comprehensive Treatment Ctr
Clarksburg, WV
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Veterans Affairs Medical Center
Clarksburg, WV
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United Summit Center
Clarksburg, WV
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Princeton · 3 centers

Southern Highlands CMHC Inc
Princeton, WV
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Southern Highlands CMHC Inc
Princeton, WV
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Wheeling · 3 centers

Northwood Health Systems
Wheeling, WV
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Serenity Hills Life Center
Wheeling, WV
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Fairmont · 2 centers

Valley Healthcare System
Fairmont, WV
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Valley Healthcare System
Fairmont, WV
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Martinsburg · 2 centers

Shenandoah Community Health
Martinsburg, WV
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Eastridge Health Systems
Martinsburg, WV
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Maxwelton · 2 centers

Seneca Health Services Inc
Maxwelton, WV
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Seneca Health Services Inc
Maxwelton, WV
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Morgantown · 2 centers

Chestnut Ridge Center
Morgantown, WV
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Valley Healthcare System
Morgantown, WV
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Parkersburg · 2 centers

Westbrook Health Services
Parkersburg, WV
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Beaver · 1 center

Beckley Comprehensive Treatment Center
Beaver, WV
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Berkeley Springs · 1 center

Eastridge Health Systems
Berkeley Springs, WV
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Comfort · 1 center
Danville · 1 center

Prestera Health Services
Danville, WV
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Fayetteville · 1 center

FMRS Health Systems Inc
Fayetteville, WV
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Franklin · 1 center

Potomac Highlands MH Guild Inc
Franklin, WV
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Grafton · 1 center

Valley Healthcare System
Grafton, WV
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Hurricane · 1 center

Prestera Health Services
Hurricane, WV
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Kearneysville · 1 center

Eastridge Health Systems
Kearneysville, WV
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Kingwood · 1 center

Valley Healthcare System
Kingwood, WV
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Madison · 1 center
Marlinton · 1 center

Seneca Health Services Inc
Marlinton, WV
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Moorefield · 1 center

Potomac Highlands MH Guild Inc
Moorefield, WV
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Moundsville · 1 center

Northwood Health Systems
Moundsville, WV
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New Creek · 1 center

Potomac Highlands MH Guild Inc
New Creek, WV
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New Martinsville · 1 center

Northwood Health Systems
New Martinsville, WV
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Point Pleasant · 1 center

Prestera Center for MH Services Inc
Point Pleasant, WV
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Ripley · 1 center

Westbrook Health Services
Ripley, WV
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Romney · 1 center

Potomac Highlands MH Guild Inc
Romney, WV
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Spencer · 1 center

Westbrook Health Services
Spencer, WV
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Summersville · 1 center

Seneca Health Services Inc
Summersville, WV
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Triadelphia · 1 center

Wheeling Comprehensive Treatment Ctr
Triadelphia, WV
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Vienna · 1 center

Westbrook Health Services
Vienna, WV
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Wayne · 1 center

Prestera Center for MH Services Inc
Wayne, WV
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Webster Springs · 1 center

Seneca Health Services Inc
Webster Springs, WV
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Welch · 1 center

Southern Highlands CMHC Inc
Welch, WV
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Williamson · 1 center

Williamson Health and Wellness Center
Williamson, WV
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West Virginia Medicaid (Mountain Health Trust)
West Virginia Medicaid covers all MAT medications; the state funds Quick Response Teams that connect overdose survivors to MAT induction.
State regulations
West Virginia Bureau for Behavioral Health licenses OTPs; the state has invested heavily in MAT expansion under the state’s opioid-response plan.
- Cash or self-payment55
- Medicaid55
- Private health insurance52
- Federal, or any government funding for substance use treatment programs47
- Medicare47
- Federal military insurance (e.g., TRICARE)46
- Outpatient51
- Regular outpatient treatment49
- Outpatient methadone/buprenorphine or naltrexone treatment43
- Outpatient detoxification16
- Intensive outpatient treatment14
Frequently Asked Questions About Naltrexone in West Virginia
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 West Virginia provider will explain the induction protocol that applies to your medication.
Does the cost of naltrexone in West Virginia change over time?
Yes. West Virginia MAT costs typically decrease as you stabilize — fewer in-person dosing visits, less frequent drug testing, and the option for take-home doses for methadone patients. Naltrexone patients often shift from monthly visits to quarterly visits once stable.
Do I need prior authorization for naltrexone under West Virginia Medicaid (Mountain Health Trust)?
Most West Virginia Medicaid (Mountain Health Trust) plans have eliminated prior authorization for MAT medications, but long-acting injectables like Sublocade and Vivitrol may still require PA. Your West Virginia provider’s billing staff will handle any authorizations needed before your first dose.
Does COBRA cover naltrexone in West Virginia?
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 I transfer my methadone or buprenorphine prescription to another West Virginia provider?
Yes. Your current West Virginia 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.
Can I move from methadone to buprenorphine or vice versa?
Yes. Cross-titration between methadone and buprenorphine is a routine clinical maneuver in West Virginia. Transfer from methadone to buprenorphine is technically more challenging (risk of precipitated withdrawal) and usually requires a structured micro-induction protocol supervised by an experienced clinician.
Can I start naltrexone the same day I call?
Same-day induction is increasingly common in West Virginia — especially for buprenorphine at low-barrier clinics and in emergency departments. Methadone same-day starts depend on OTP capacity; call early in the day to maximize your chance of same-day intake.
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.
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.
Will pediatricians in West Virginia know how to care for my MAT-exposed baby?
Yes. West Virginia pediatricians and neonatologists receive training on caring for infants with prenatal opioid exposure. Eat, Sleep, Console protocols, parental involvement, and compassionate postpartum care are standard. Share your MAT history openly so the team can tailor monitoring.
How often do I meet with a counselor during naltrexone treatment?
Typical frequency is weekly individual counseling plus a weekly group during the first 3 months, then biweekly or monthly as stability increases. West Virginia programs adjust frequency based on clinical need, insurance coverage, and patient preference.
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 West Virginia
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)



