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

Naltrexone and Vivitrol Treatment Centers

Naltrexone is an FDA-approved opioid antagonist medication used to treat both alcohol dependence and opioid use disorder. Available as a daily oral tablet (Revia) or a monthly Vivitrol injection, naltrexone works by blocking opioid receptors in the brain to reduce cravings and prevent relapse. Use our directory to find treatment centers that offer naltrexone-based medication-assisted treatment near you.

Found 6,655 treatment centers offering naltrexone (vivitrol) across the United States.

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Fellowship Hall Inc
Greensboro, NC

Fellowship Hall Inc., located in Greensboro, NC, delivers thorough addiction recovery solutions for adults and adolescents. Their services include hospital-based inpatient detox and treatment with round-the-clock medical supervision. Emphasizing 12-step integration, cognitive behavioral techniques, and motivational rewards, their program is inclusive of all genders. Distinct treatment pathways are offered for adult men, adult women, and individuals with a history of trauma. Fellowship Hall Inc. distinguishes itself through its offerings of temporary housing, a halfway house, and sober living environments, fostering a nurturing setting for healing. The institution is dedicated to providing excellent care and tailored interventions to aid individuals in attaining sustained sobriety.

Fellowship House Inc
Birmingham, AL

Situated in Birmingham, AL, Fellowship House Inc delivers extensive treatment for substance use disorders, catering to both adults and young adults who are also facing mental health challenges. This center offers various options such as long-term residential care, outpatient services, and outpatient treatments with methadone, buprenorphine, or naltrexone. Emphasizing approaches like 12-step facilitation, anger management, and motivational interviewing, Fellowship House Inc is dedicated to providing specialized support for adult clients. Each individual receives tailored care designed to meet their specific needs, promoting high-quality treatment and ongoing guidance throughout their recovery process. The center is particularly noted for its focus on the distinctive obstacles encountered by those with dual diagnoses, solidifying its reputation as an exceptional choice for compassionate and effective rehabilitation.

Fenway Health
Boston, MA

Fenway Health, situated in Boston, MA, provides an extensive suite of outpatient services aimed at helping those recovering from substance abuse and concurrent mental health issues. The center features tailored programs for both adults and young adults, including support for those who have faced intimate partner violence. Treatment methods employed at Fenway Health include anger management, brief interventions, and cognitive behavioral therapy. With an emphasis on outpatient detoxification and medication-assisted therapies, this facility addresses the specific requirements of both men and women. By fostering a secure and encouraging atmosphere, Fenway Health is committed to offering exceptional care to individuals ready to start their recovery journey.

Field of Hope Community Campus Inc

Field of Hope Community Campus Inc, situated in Vinton, OH, provides comprehensive support for individuals facing substance use challenges. Their services encompass transitional housing and sober living accommodations alongside various treatment levels, including intensive outpatient, outpatient, and day treatment. The center employs evidence-based therapeutic methods such as 12-step facilitation, anger management, and brief intervention. Catering to distinct age groups and genders, Field of Hope Community Campus Inc offers specialized programs for adolescents, adult men, and adult women, demonstrating a commitment to personalized care for adults and young people alike. Their focus on high-quality, tailored treatment underscores their dedication to guiding individuals toward sustained recovery.

Fifth Street Counseling Center IV Inc

Fifth Street Counseling Center IV Inc, located in Fort Lauderdale, FL, offers extensive treatment for substance use disorders in both adults and children who also have mental health issues. The center provides a range of outpatient services, including intensive outpatient care, as well as methadone and buprenorphine programs. They emphasize therapies such as anger management, cognitive behavioral therapy, and brief interventions. Specialized programs are available for military personnel, teenagers, and adult males. This facility serves clients of all genders, ensuring that each person receives personalized treatment. Committed to evidence-based practices, Fifth Street Counseling Center IV Inc is recognized as a reliable option for those in need of rehabilitation support.

Findlay Recovery Center

Situated in Findlay, OH, Findlay Recovery Center delivers a wide range of addiction treatment options for both adults and young adults. The facility specializes in detoxification, treatment for substance use disorders, and addressing co-occurring conditions, offering continuous inpatient care around the clock. The center employs various methodologies, including 12-step programs, anger management techniques, and brief intervention strategies, customizing treatment plans to meet the unique needs of each patient. With an emphasis on personalized care, Findlay Recovery Center provides tailored programs specifically designed for men and women. Their commitment lies in delivering exceptional, individualized support to aid individuals in their recovery process.

Firelands Counseling/Recovery Services

Firelands Counseling/Recovery Services in Sandusky, OH delivers extensive support for substance misuse and targeted assistance for those with concurrent mental health challenges. They offer intensive outpatient, day treatment, and partial hospitalization services, employing proven methods such as cognitive behavioral therapy and motivational interviewing. Emphasizing the prevention of relapse, the center serves adults and older adults, irrespective of gender. Distinctive offerings include specific interventions for intimate partner and domestic violence, alongside co-occurring disorder treatment. Firelands Counseling/Recovery Services is recognized for its personalized approach and dedication to aiding individuals in their recovery path.

Finger Lakes Area Counseling and

Situated in Newark, NY, Finger Lakes Area Counseling and provides a complete spectrum of care for individuals of all ages grappling with substance use disorders and co-occurring mental health challenges. Their offerings include structured intensive outpatient therapy, flexible outpatient services, and medication-assisted treatment with methadone, buprenorphine, or naltrexone. Employing strategies like anger management, brief interventions, and cognitive behavioral therapy, the center customizes its approach to each person's unique journey. Dedicated programs are available for active military personnel, teenagers, and adult men. Finger Lakes Area Counseling and extends its compassionate and effective services to adults and seniors across all gender identities, fostering an environment conducive to lasting recovery and overall well-being.

First Choice Community Healthcare

First Choice Community Healthcare, located in Albuquerque, NM, offers a wide spectrum of outpatient services aimed at detoxification, treatment for substance use, and addressing co-occurring disorders in both adults and minors. The center provides outpatient detox, alongside treatment options using methadone, buprenorphine, or naltrexone, while utilizing evidence-based methods such as anger management, brief interventions, and cognitive behavioral therapy. With a strong emphasis on personalized care, the facility serves adults and seniors of all gender identities. First Choice Community Healthcare is recognized for its dedication to delivering high-quality care and crafting individualized treatment strategies that meet the specific needs of each client, making it an excellent option for anyone looking for effective and empathetic addiction recovery support.

Finger Lakes Addictions Counseling and

Situated in Geneva, NY, Finger Lakes Addictions Counseling and offers extensive treatment options for substance use disorders, addressing both adults and children with concurrent mental health challenges. The center provides outpatient services, featuring methadone and buprenorphine therapies, and employs evidence-based methods such as cognitive behavioral therapy and anger management strategies. With tailored programs aimed at adult men and women, the facility serves a wide range of age groups, including seniors. This center prioritizes personalized care for clients of all genders, fostering a nurturing environment conducive to recovery. For those seeking effective addiction treatment with individualized attention, Finger Lakes Addictions Counseling and is dedicated to assisting you.

Firelands Counseling/Recovery Services

Firelands Counseling/Recovery Services, located in Fremont, OH, offers extensive support for substance abuse and tailored assistance for those facing concurrent mental health challenges. Their programs include intensive outpatient, outpatient, and day treatment, all grounded in proven methods like cognitive behavioral therapy, motivational interviewing, and strategies to prevent relapse. They also feature distinct services for individuals impacted by intimate partner violence and those with combined mental health and substance use conditions. This center is dedicated to providing high-quality, personalized care for adults and seniors of any gender, aiming to foster sustained recovery and overall emotional health.

Firelands Counseling/Recovery Services

Firelands Counseling/Recovery Services located in Tiffin, OH, delivers a wide variety of substance abuse treatment programs tailored for both adults and children facing related mental health issues. Emphasizing techniques such as cognitive behavioral therapy, motivational interviewing, and strategies for preventing relapse, the center offers different levels of care including intensive outpatient, outpatient, and day treatment services. It is especially focused on helping individuals who have suffered from intimate partner violence, as well as those dealing with dual diagnoses. Committed to high standards of care and research-backed methods, Firelands Counseling/Recovery Services is devoted to aiding clients in their journey towards recovery.

Firelands Counseling/Recovery Services

Firelands Counseling/Recovery Services, located in Norwalk, OH, specializes in treating substance use disorders in both adults and children who also face serious mental health issues. This center offers a variety of treatment options, including intensive outpatient programs, outpatient services, and day treatment, all founded on evidence-based methodologies such as cognitive behavioral therapy, motivational interviewing, and strategies for preventing relapse. Programs are specifically designed for individuals grappling with both mental health and substance use challenges. With an emphasis on adults and seniors across all genders, this facility provides thorough care tailored to meet each client's distinct requirements. Experience effective treatment and guidance at Firelands Counseling/Recovery Services.

Firelands Counseling/Recovery Services

Firelands Counseling/Recovery Services located in Port Clinton, OH, provides extensive outpatient treatment for substance use, catering to both adults and children facing co-existing mental health issues. This center delivers specialized support utilizing techniques such as cognitive behavioral therapy, motivational interviewing, and strategies for preventing relapse. With programs specifically designed for individuals with dual diagnoses, the facility serves adults and seniors of all genders. Those looking for standard outpatient services or options involving methadone, buprenorphine, or naltrexone can expect high-quality, evidence-driven care. Firelands Counseling/Recovery Services stands as a symbol of hope for individuals dealing with the challenges of addiction and mental health in a nurturing setting.

First Choice Community Healthcare

First Choice Community Healthcare located in Edgewood, NM, provides a variety of outpatient services aimed at detoxification, substance use disorder treatment, and managing co-occurring mental health issues for both adults and children. The center employs methods such as anger management, cognitive behavioral therapy, and brief intervention to deliver personalized care that meets the unique needs of each client. Offering outpatient detox services, as well as treatment options involving methadone, buprenorphine, and naltrexone, the facility serves adults and seniors of all genders. With a commitment to tailored care and high-quality treatment, First Choice Community Healthcare stands out as an excellent option for individuals seeking effective and customized addiction recovery solutions in the Edgewood region.

First Choice Community Healthcare

First Choice Community Healthcare located in Albuquerque, NM, provides an extensive array of outpatient services aimed at detoxification, treatment for substance use, and management of co-occurring disorders in both adults and children. The center specializes in outpatient detox, along with treatments utilizing methadone, buprenorphine, or naltrexone. Additionally, it offers focused programs that address anger management, brief interventions, and cognitive behavioral therapy. Featuring a personalized approach, this facility serves adults and seniors across all genders. First Choice Community Healthcare is recognized for its high-quality care and customized treatment options, making it a top-tier option for individuals in need of effective addiction rehabilitation solutions.

Finger Lakes Area Counseling and

Situated in Watkins Glen, NY, Finger Lakes Area Counseling provides outpatient substance abuse treatment services designed for adults and older adults. This center stands out by offering specialized support through methods including anger management, cognitive behavioral therapy, and brief intervention strategies. Specifically geared toward adult men, women, and those dealing with trauma, the facility presents customized outpatient options such as methadone/buprenorphine or naltrexone treatment. The center's commitment to quality care and its diverse array of specialized programs position it as an excellent option for anyone in need of effective, personalized support in their journey towards recovery from addiction.

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Las Vegas, NV

Situated in Las Vegas, NV, Fearless Kind is a residential rehabilitation facility dedicated to long-term support for adult women dealing with substance use issues, particularly those who have gone through intimate partner or domestic violence. The center features an all-encompassing program that incorporates 12-step methods, cognitive behavioral therapy, and motivational interviewing. Fearless Kind creates a nurturing atmosphere designed to meet the specific needs of its clients. Emphasizing care for active military members, adult women, and seniors, this center delivers high-quality assistance and tailored programs aimed at facilitating recovery.

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Fed/Org NYS Mentally Disabled Inc, located in Copiague, NY, provides extensive outpatient services aimed at treating substance abuse and related mental health issues for both adults and children. The center features targeted interventions, including anger management, short-term therapies, and cognitive behavioral techniques. It offers customized programs for adult men, women, and those who have faced trauma, addressing a wide range of individual needs. Catering to all genders among adults and young adults, this facility emphasizes high-quality care and personalized treatment strategies. Fed/Org NYS Mentally Disabled Inc is committed to assisting individuals throughout their recovery journey by utilizing evidence-based methods and heartfelt support.

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Situated in Malibu, California, Federal Recovery Systems LLC provides extensive detox and treatment programs for substance use issues. This facility features residential detox services and round-the-clock care, designed for both adults and young adults in need of short-term housing. The center employs approaches such as cognitive behavioral therapy, relapse prevention strategies, and counseling tailored for substance use disorders. Federal Recovery Systems LLC offers targeted programs for adult men, adult women, and individuals coping with trauma. Focusing on personalized treatment, the center guarantees quality support for all clients on their journey to recovery from addiction.

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Federal Recovery Systems LLC, situated in Malibu, CA, delivers extensive substance abuse rehabilitation for adults and adolescents. The facility features tailored treatment plans for adult men, adult women, and individuals with a history of trauma. Emphasizing cognitive behavioral therapy, strategies for avoiding relapse, and guidance for substance use disorders, Federal Recovery Systems LLC provides inpatient detoxification, round-the-clock residential support, and shorter-term residential stays. Committed to high-standard treatment, the center assists both male and female individuals pursuing successful recovery from addiction. Federal Recovery Systems LLC stands as a reliable choice for those beginning their journey toward sobriety.

Frequently Asked Questions

What is naltrexone and how does it work?
Naltrexone is an opioid antagonist medication approved by the FDA to treat both alcohol use disorder and opioid dependence. It works by binding to opioid receptors in the brain, blocking the euphoric and sedative effects of opioids and reducing alcohol cravings. Naltrexone is available as an oral tablet (brand name Revia) and as a monthly injection (brand name Vivitrol).
What are the most common naltrexone side effects?
The most common naltrexone side effects include nausea, headache, dizziness, fatigue, insomnia, and anxiety. Some patients also experience joint or muscle pain, decreased appetite, and stomach cramps. Most side effects are mild and tend to diminish within the first few weeks of treatment. Serious but rare side effects include liver damage, so physicians typically monitor liver function during treatment.
What is Vivitrol and how is the injection administered?
Vivitrol is the brand name for extended-release naltrexone, delivered as a once-monthly intramuscular injection. The Vivitrol injection is administered by a healthcare provider into the gluteal muscle and slowly releases naltrexone over approximately 30 days. This eliminates the need for daily pill compliance, making it a preferred option for many patients in recovery from alcohol or opioid dependence.
What is the difference between naltrexone and naloxone?
Although their names sound similar, naltrexone and naloxone serve different purposes. Naloxone (brand name Narcan) is a short-acting opioid antagonist used as an emergency rescue medication to reverse opioid overdoses, while naltrexone is a long-acting antagonist taken on a scheduled basis to prevent relapse. Naloxone works within minutes but wears off quickly, whereas naltrexone provides sustained receptor blockade over hours or weeks depending on the formulation.
How does naltrexone compare to Suboxone?
Naltrexone and Suboxone take fundamentally different approaches to treating opioid dependence. Suboxone contains buprenorphine (a partial opioid agonist) and reduces withdrawal symptoms by mildly activating opioid receptors, while naltrexone fully blocks those receptors without any opioid effect. Patients must be fully detoxed from opioids before starting naltrexone, whereas Suboxone can be initiated during early withdrawal. The best choice depends on individual treatment history and clinical needs.
What is the standard naltrexone dosage?
The standard oral naltrexone dosage for both alcohol and opioid dependence is 50 mg taken once daily. Some providers use an initial dose of 25 mg for the first day to minimize side effects. For Vivitrol, the dosage is 380 mg delivered as a single intramuscular injection once every four weeks. Dosage should not be adjusted without medical supervision.
How much does naltrexone cost and does insurance cover it?
Generic oral naltrexone tablets typically range from $30 to $80 per month without insurance. Vivitrol injections are considerably more expensive, often costing $1,000 to $1,800 per injection without coverage. Most private insurance plans, Medicaid, and Medicare cover naltrexone in both forms, and manufacturer assistance programs are available for eligible patients.
What is low dose naltrexone (LDN)?
Low dose naltrexone (LDN) refers to naltrexone taken at very small doses, typically between 1 mg and 5 mg, far below the standard 50 mg addiction treatment dose. LDN is used off-label for conditions such as chronic pain, fibromyalgia, and certain autoimmune disorders, and it is not an approved treatment for addiction. Patients should not confuse LDN with standard naltrexone therapy for substance use disorders.

About Naltrexone (Vivitrol)

Naltrexone is an opioid antagonist, meaning it binds to the mu-opioid receptors in the brain without activating them. By occupying these receptors, naltrexone effectively blocks the rewarding effects of opioids and reduces the neurochemical reinforcement that drives alcohol cravings. Unlike medications such as methadone or buprenorphine, naltrexone has no potential for abuse or physical dependence because it produces no opioid effect whatsoever.

How Naltrexone Works

When a person taking naltrexone consumes alcohol, the pleasurable dopamine surge that normally reinforces drinking behavior is significantly blunted. For individuals with opioid dependence, naltrexone prevents any ingested opioid from reaching the receptors, rendering opioid use ineffective. This pharmacological mechanism makes naltrexone a cornerstone of medication-assisted treatment (MAT) programs across the country. Naltrexone was first approved by the FDA in 1984 for opioid dependence and received additional approval for alcohol dependence in 1994.

Naltrexone Side Effects

Common side effects include:

  • Nausea, especially during the first few days
  • Headache and dizziness
  • Fatigue and insomnia
  • Joint and muscle pain
  • Decreased appetite and anxiety

Serious side effects are less common but include signs of liver injury such as yellowing of the skin or eyes, dark urine, and persistent abdominal pain. Severe injection site reactions from Vivitrol, including tissue necrosis, have been reported in rare cases. Importantly, naltrexone lowers opioid tolerance over time — if a person discontinues naltrexone and attempts to use opioids at previously tolerated doses, the risk of fatal overdose increases significantly.

Naltrexone for Alcohol Dependence

Naltrexone is one of only three FDA-approved medications for alcohol use disorder, alongside disulfiram (Antabuse) and acamprosate (Campral). For individuals struggling with alcohol dependence, naltrexone reduces heavy drinking days and increases the percentage of days abstinent. The oral formulation, sold under the brand name Revia, is typically prescribed at 50 mg daily and is most effective when combined with behavioral therapy and support groups.

Naltrexone for Opioid Dependence

For opioid dependence, naltrexone serves as a relapse-prevention tool rather than a detox medication. Patients must complete a full opioid detoxification and remain opioid-free for a minimum of 7 to 14 days before beginning naltrexone therapy. Starting naltrexone while opioids are still present can trigger sudden and severe precipitated withdrawal. Once initiated, naltrexone provides a pharmacological safety net — if a patient relapses, naltrexone blocks the drug from producing its usual effects.

Vivitrol: Injectable Naltrexone

Vivitrol is the brand name for naltrexone extended-release injectable suspension, delivering 380 mg in a single intramuscular dose once per month. A healthcare provider injects Vivitrol into the gluteal muscle using a special needle included in the product kit, alternating sides each month. The Vivitrol shot has become increasingly popular because it solves one of the biggest challenges in addiction treatment: medication adherence. Studies show that patients receiving monthly Vivitrol injections are significantly more likely to remain in treatment compared to those prescribed daily oral naltrexone.

Vivitrol Side Effects

Vivitrol shares many side effects with oral naltrexone but carries additional risks related to the injection site. These range from mild tenderness, redness, and swelling to severe complications including induration and in rare cases tissue necrosis requiring surgical intervention. As with oral naltrexone, Vivitrol can affect liver function, and depressed mood and suicidal thoughts have also been reported.

Revia: Oral Naltrexone Brand

Revia is the primary brand name for oral naltrexone hydrochloride tablets in a 50 mg strength. Today, most prescriptions are filled with generic naltrexone, which is bioequivalent and significantly less expensive. The main advantage of oral naltrexone over injectable Vivitrol is lower cost and greater dosing flexibility, but it requires daily compliance, which patients in early recovery frequently struggle with.

Low Dose Naltrexone (LDN)

Low dose naltrexone (LDN) refers to naltrexone prescribed at doses ranging from 0.5 mg to 5 mg — a fraction of the standard 50 mg addiction treatment dose. LDN is used off-label and is not FDA-approved for any condition at these low doses. It is not a treatment for addiction and operates through a fundamentally different mechanism. The theory proposes that a brief, transient blockade of opioid receptors causes a rebound effect that increases the body's natural endorphin production. LDN has been investigated for conditions including fibromyalgia, multiple sclerosis, and Crohn's disease, but large-scale clinical trials are still needed.

Naltrexone Cost and Insurance

Generic oral naltrexone typically costs $30 to $80 per month without insurance. With insurance or discount programs, out-of-pocket cost can fall below $15. Vivitrol injections cost $1,000 to $1,800 without insurance, but most private plans, Medicaid, and Medicare cover it. Alkermes offers the Vivitrol Co-Pay Savings Program for insured patients and a Patient Assistance Program for those without insurance.

Naltrexone Dosage

The standard oral dose is 50 mg once daily, with some providers starting at 25 mg for the first day to minimize side effects. For Vivitrol, the dose is 380 mg as a single intramuscular injection every four weeks. Patients must be opioid-free for a minimum of 7 to 14 days before initiating either formulation.

Naltrexone vs Naloxone: What's the Difference?

Both are opioid antagonists, but they differ in duration and use. Naloxone (Narcan) is a short-acting emergency overdose reversal agent that takes effect within minutes and wears off in 30 to 90 minutes. Naltrexone is a long-acting antagonist for ongoing relapse prevention, providing blockade for 24 hours (oral) or 30 days (Vivitrol). Naloxone is also a component of Suboxone, where it deters injection misuse.

Naltrexone vs Suboxone

Suboxone contains buprenorphine (a partial opioid agonist) that mildly stimulates opioid receptors, reducing cravings and withdrawal. Naltrexone fully blocks receptors with zero agonist activity. Patients must be fully detoxed before starting naltrexone, whereas Suboxone can be initiated during early withdrawal. A landmark 2017 clinical trial (X:BOT) found that among patients who successfully started treatment, relapse rates were similar between Vivitrol and Suboxone.

Naltrexone and Weight Loss

Naltrexone is one of two active ingredients in Contrave (naltrexone/bupropion), an FDA-approved weight management medication. However, naltrexone alone is not approved for weight loss. Some patients undergoing addiction treatment report modest weight changes related to reduced alcohol calories or appetite-suppressing side effects, but naltrexone should not be selected as an addiction medication primarily for weight effects.

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Medically Reviewed Updated October 2026

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

Sources:SAMHSA·NIDA·CDC

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