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Medically Reviewed Content
Updated: April 2026
Sources: SAMHSA, NIDA

Naltrexone Treatment Centers in Wyoming

Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026

Our directory lists 25 naltrexone providers across Wyoming, with the largest concentrations in Cheyenne (5), Rock Springs (4) and Gillette (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 Wyoming:

  • Wyoming Medicaid covers addiction services
  • Mountain wilderness therapeutic settings
  • Small, personalized treatment communities
  • Outdoor and adventure therapy focus

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Naltrexone providers in Wyoming

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Cheyenne · 5 centers

Cheyenne VA Healthcare System - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Volunteers of America Northern Rockies - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
HealthWorks - Facility Image

HealthWorks

Cheyenne, WY

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Rock Springs · 4 centers

Southwest Counseling Service - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more

Gillette · 3 centers

Campbell County Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Youth Emergency Services Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Personal Frontiers Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Casper · 2 centers

Central Wyoming Counseling Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Cody · 2 centers

Cedar Mountain Center at - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Afton · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Douglas · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Kemmerer · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Laramie · 1 center

Volunteers of America Northern Rockies - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Lusk · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Lyman · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Pinedale · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Rawlins · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Thermopolis · 1 center

High Country Behavioral Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Torrington · 1 center

Volunteers of America Northern Rockies - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Wheatland · 1 center

Volunteers of America Northern Rockies - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Coverage & Regulations in Wyoming

Wyoming Medicaid

Wyoming Medicaid covers buprenorphine and naltrexone; methadone access is extremely limited, with only a small number of licensed OTPs.

State regulations

Wyoming Department of Health Behavioral Health Division licenses OTPs; MAT in Wyoming relies primarily on buprenorphine prescribing in primary care and telehealth.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance
  • Cash or self-payment27
  • Federal military insurance (e.g., TRICARE)27
  • Private health insurance27
  • Medicaid26
  • Federal, or any government funding for substance use treatment programs25
  • Medicare25
Available Settings
  • Outpatient22
  • Outpatient methadone/buprenorphine or naltrexone treatment21
  • Regular outpatient treatment21
  • Intensive outpatient treatment19
  • Long-term residential10

Frequently Asked Questions About Naltrexone in Wyoming

Can I still start naltrexone if I have relapsed multiple times?

Yes — a history of relapse does not disqualify you from naltrexone. In fact, repeated relapses are a strong clinical reason to start MAT, because continued use without medication carries a much higher overdose risk. Wyoming programs routinely admit patients with complex relapse histories.

Are lab tests and drug screens an extra cost at naltrexone providers in Wyoming?

Most Wyoming 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.

Does Wyoming Medicaid cover long-acting buprenorphine (Sublocade) or naltrexone (Vivitrol)?

Yes. Wyoming Medicaid covers Sublocade and Vivitrol as part of the MAT benefit; most plans require prior authorization documenting prior MAT adherence. Billing is handled by the Wyoming provider as a medical (not pharmacy) benefit.

Do employer-provided high-deductible plans cover naltrexone?

Yes — federal parity rules require employer plans to cover MAT. High-deductible plans charge patient-paid rates until the deductible is met; HSA funds can be used for MAT and medication costs. Many employers also offer EAP programs that pay for an initial assessment.

Does Wyoming allow emergency-department MAT induction?

Yes. Wyoming hospitals routinely start buprenorphine in the ED and bridge patients to outpatient MAT. The state’s opioid-response plan funds ED warm-handoff coordinators who connect patients to naltrexone providers in their home zip code before discharge.

Does length of treatment with naltrexone affect outcomes?

Yes. Meta-analyses consistently find that patients who remain on MAT longer than 12 months have lower rates of relapse, infectious disease, and overdose death. Wyoming Medicaid-funded programs report improved retention with long-acting injectables compared to sublingual treatment.

Can I start naltrexone while I’m still using opioids?

For methadone and buprenorphine, continued opioid use at entry is expected — the medication is designed to stop use safely. For naltrexone, 7–14 opioid-free days are required first. Your Wyoming clinician will confirm the correct induction strategy at intake.

How long does the first naltrexone appointment last?

Expect 2–3 hours for intake, medical exam, counseling assessment, and first dose or prescription. Some Wyoming clinics break intake over two visits if labs or records need to be obtained first. Plan accordingly and arrange transportation home.

What are the common side effects of naltrexone?

Common side effects are usually mild and transient: nausea, constipation, headache, drowsiness, sweating, and insomnia. Most resolve within 1–2 weeks of dose stabilization. Persistent side effects are addressed by dose adjustment or switching medications at your Wyoming clinic.

Can postpartum women continue naltrexone in Wyoming?

Yes. Postpartum continuation of MAT is strongly recommended — overdose risk is elevated in the postpartum period. Wyoming programs increasingly embed MAT within postpartum home-visiting programs to support the mother-infant dyad during the first year.

Is counseling required when I start naltrexone in Wyoming?

Federal rules require all SAMHSA-certified OTPs to offer counseling alongside methadone. Buprenorphine and naltrexone prescribing does not mandate counseling, but Wyoming providers strongly recommend it. Most insurance plans and Wyoming Medicaid cover integrated counseling as part of the MAT benefit.

Are group-counseling sessions confidential?

Yes. Group members sign confidentiality agreements, and the clinician protects group content under 42 CFR Part 2. Enforcement between group members depends on honor among peers, but legal protections limit disclosure by the clinic or clinician.

Other Treatment Options in Wyoming

Naltrexone Treatment in Other States

Medically Reviewed Updated April 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)