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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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Foothills at Red Oak Recovery

Situated in Ellenboro, NC, Foothills at Red Oak Recovery specializes in delivering extensive substance use treatment for adult males dealing with serious concurrent mental health disorders. The center offers a variety of services, such as intensive outpatient programs, long-term residential care, and additional outpatient options. Employing methods like 12-step facilitation, anger management techniques, and cognitive behavioral therapy, the facility customizes treatment strategies to suit each individual's requirements. Additionally, specific programs are available for adolescents and those who have experienced domestic violence, intimate partner violence, and sexual abuse. With a commitment to high-quality care, Foothills at Red Oak Recovery is dedicated to guiding clients through their recovery journey.

Footprints Beachside Recovery
Saint Petersburg, FL

Footprints Beachside Recovery, located in Saint Petersburg, FL, delivers an extensive array of services for addiction treatment. This center offers intensive outpatient programs, outpatient day services, and partial hospitalization options. Emphasizing 12-step principles, anger management, and brief intervention techniques, it serves adults and young adults facing substance abuse and related mental health challenges. The center also features specialized programs tailored for active duty military members, as well as adult men and women. Committed to providing personalized support, Footprints Beachside Recovery emphasizes transitional housing and sober living, aiming to foster a nurturing and successful recovery experience for each client.

Footprints Recovery IL

Footprints Recovery IL, situated in Elgin, IL, offers extensive support for substance abuse and provides transitional living. The center is dedicated to addressing dual diagnoses of addiction and significant mental health issues in adults, alongside emotional challenges in young individuals. Their treatment options include intensive outpatient services and flexible outpatient plans, incorporating methodologies such as 12-step support, anger resolution, and brief intervention strategies. Highlighting distinct programs for active military, adult males, and females, Footprints Recovery IL welcomes individuals from diverse demographics. Discover excellent care and encouragement during your path to healing at this respected institution.

Footprints to Recovery

Footprints to Recovery, located in Trenton, NJ, delivers a wide range of treatment options for substance use disorders aimed at adults and young adults. The center specializes in various treatment modalities, including intensive outpatient, outpatient, and day treatment programs, all customized to meet the unique needs of each client. Emphasizing 12-step programs, anger management, and brief intervention techniques, Footprints to Recovery supports a comprehensive and holistic approach to healing. They also offer specialized services for active military members, adult men, and women. Catering to both genders, this center is committed to providing exceptional care within a nurturing setting. If you are looking for personalized addiction treatment that fosters lasting recovery, Footprints to Recovery is here to support your journey.

Fora Health
Portland, OR

Fora Health, located in Portland, OR, offers an extensive array of rehabilitation services targeting adults and young adults struggling with substance use issues and accompanying mental health disorders. The center provides various treatment options, including intensive outpatient programs, long-term residential care, and standard outpatient services, emphasizing 12-step facilitation, anger management techniques, and brief interventions. Specialized programs are available for active duty military personnel, as well as separate tracks for adult men and women. By delivering personalized treatment strategies for different genders and age groups, Fora Health is committed to providing effective, high-quality care to assist individuals in their recovery journey.

Fort Wayne Recovery
Fort Wayne, IN

Fort Wayne Recovery, located in Fort Wayne, IN, provides an extensive selection of treatment methods for those aiming to address substance use disorders alongside mental health issues. The facility offers various programs, including intensive outpatient treatment, outpatient day therapy, and partial hospitalization. These programs incorporate strategies such as 12-step facilitation, anger management, and brief interventions. Additionally, there are specialized programs designed for adult men and women, including support for those who have faced intimate partner or domestic violence. With an emphasis on both adults and young adults, the center prioritizes personalized care catering to the unique needs of each client. Fort Wayne Recovery is dedicated to delivering high-quality, evidence-based care, establishing itself as a reliable option for individuals in need of recovery and rehabilitation support.

Fortune Society Inc
Long Island City, NY

Situated in Long Island City, NY, Fortune Society Inc. provides extensive addiction treatment services for adults and young adults. This facility is particularly adept at addressing co-occurring substance use disorders alongside significant mental health conditions or emotional challenges. Their offerings encompass outpatient medication-assisted treatment (methadone, buprenorphine, naltrexone), anger management, cognitive behavioral therapy, and specialized trauma care. They also feature distinct programs designed for adult women, individuals with a history of trauma, and those navigating the justice system. Fortune Society Inc. emphasizes high-quality, personalized care, fostering a nurturing setting for all clients pursuing sobriety.

Foundations Wellness Center
Port Saint Lucie, FL

Foundations Wellness Center located in Port Saint Lucie, FL, provides extensive treatment options for individuals struggling with substance use issues, targeting both adults and young adults. The center offers multiple programs such as intensive outpatient care, daytime outpatient treatment, and various outpatient services to meet diverse needs. It emphasizes specialized approaches including 12-step facilitation, anger management, and brief intervention strategies for personalized support. The facility features unique programs designed specifically for active duty military personnel, as well as tailored services for adult men and women. With a commitment to fostering a nurturing atmosphere, Foundations Wellness Center caters to both male and female clients, ensuring access to high-quality care and effective treatment solutions.

Forge Health of Paramus

Forge Health of Paramus in Paramus, NJ, delivers targeted addiction recovery programs for individuals, both adults and minors, managing simultaneous severe mental health challenges. The facility offers various levels of care, including intensive outpatient programs, general outpatient services, and medication-assisted treatment using methadone, buprenorphine, or naltrexone. Employing therapeutic techniques such as anger management, brief intervention, and cognitive behavioral therapy, Forge Health of Paramus crafts personalized treatment plans. Committed to a welcoming environment, the center also features dedicated support for LGBTQ+ individuals. Catering to adults and young adults across the gender spectrum, Forge Health of Paramus provides comprehensive rehabilitation and ongoing assistance.

Forward Wellness Family Therapy Inc

Forward Wellness Family Therapy Inc, located in Placentia, CA, delivers a wide array of rehabilitation services designed for those facing challenges related to substance abuse and concurrent mental health issues. The center features various treatment options, including intensive outpatient services, outpatient day programs, and partial hospitalization. By implementing techniques such as 12-step support, anger management, and focused interventions, the facility serves both adults and youth. With dedicated programs for active military personnel, teenagers, and men, Forward Wellness Family Therapy Inc offers personalized care to meet individual needs. The center invites clients of all genders, fostering a secure and encouraging space for the healing process.

Forge Health of Langhorne

Forge Health of Langhorne, located in Langhorne, PA, provides thorough addiction care with flexible options like intensive outpatient, outpatient, and day treatment programs. They employ proven methods, including cognitive behavioral therapy, motivational interviewing, and relapse prevention strategies, to assist individuals in their recovery. The facility is equipped to address the specific requirements of adult men, adult women, and those facing both mental health and substance use challenges. Forge Health of Langhorne offers effective treatment for adults and young adults, fostering a supportive atmosphere conducive to sustained recovery.

Forge Health of West Deptford

Forge Health of West Deptford, located in Deptford, NJ, provides comprehensive outpatient services and intensive treatment programs for adults and children struggling with substance abuse and associated mental health issues. The center features specialized programs designed for active service members as well as adult men and women. Their therapeutic methods incorporate anger management, brief intervention techniques, and cognitive behavioral therapy. With an emphasis on meeting the distinct requirements of both adults and young adults, the facility ensures personalized care for male and female individuals alike. Forge Health of West Deptford is committed to delivering effective support and high-quality treatment for those in need of thorough addiction recovery solutions.

Foundations San Francisco
San Francisco, CA

Foundations San Francisco, located in San Francisco, CA, provides targeted substance use treatment for adults and young adults who are also dealing with significant mental health challenges or emotional issues. The center offers both intensive outpatient and outpatient services, utilizing treatments such as methadone, buprenorphine, and naltrexone. With an emphasis on anger management, cognitive behavioral therapy, and the use of motivational incentives, the facility serves both male and female clients. They specialize in treating individuals with co-occurring mental health and substance use disorders, delivering thorough care for those seeking help. Foundations San Francisco is distinguished by its individualized approach and dedication to high-quality treatment for those on their path to recovery.

Foundations Behavioral Health Services

Found in Celina, OH, Foundations Behavioral Health Services specializes in treating substance use disorders and co-occurring mental health issues in both adults and children. The center offers various programs, including intensive outpatient, outpatient, and regular outpatient options. Their therapeutic methods incorporate 12-step facilitation, anger management, and brief intervention strategies. Dedicated to serving individuals involved in the criminal justice system, the facility accommodates adults and seniors of all genders. Committed to providing personalized high-quality care, this center is a prime option for anyone looking for thorough rehabilitation services within a nurturing and professional setting.

Fountaineblue Treatment Center

Fountaineblue Treatment Center, situated in Mandeville, LA, is dedicated to delivering expert support for individuals grappling with addiction and accompanying mental health challenges, serving both younger and adult populations. They offer comprehensive care through hospital inpatient, residential, and round-the-clock programs, emphasizing strategies like 12-step participation, emotional regulation skills, and short-term therapeutic interventions. The facility features distinct therapeutic paths designed for adult men, adult women, and those facing dual diagnoses, ensuring personalized attention for a wide range of clients. Fountaineblue is committed to employing effective, research-backed methods to guide clients toward lasting recovery.

Forge Health of Greensburg

Forge Health of Greensburg, located in Greensburg, PA, delivers targeted substance use treatment services designed for both adults and young adults. The center features a variety of options, including intensive outpatient care, traditional outpatient programs, and daytime outpatient treatment or partial hospitalization. By employing evidence-based methods like cognitive behavioral therapy, motivational interviewing, and relapse prevention strategies, this facility guarantees a personalized approach to treatment. With specific programs available for active military members, as well as separate services for adult men and women, Forge Health addresses the unique needs of its clientele. Clients of all genders receive high-quality support aimed at fostering long-term recovery and overall wellness.

Foothills Consulting and Associates

Foothills Consulting and Associates in Shelby, NC, provides extensive outpatient services for adults and seniors struggling with addiction and related mental health challenges. The center excels in assisting trauma survivors and those dealing with concurrent pain and substance use disorders. Utilizing proven methods like cognitive behavioral therapy and 12-step facilitation, they offer personalized treatment plans. Foothills Consulting and Associates supports both men and women seeking standard outpatient care or medication-assisted treatment, including methadone, buprenorphine, and naltrexone. Discover dedicated and successful recovery support at this premier treatment facility.

Fora Health
Hillsboro, OR

Fora Health, located in Hillsboro, OR, specializes in outpatient treatment for substance abuse, catering to both adults and young adults. The center implements consistent outpatient programs that include various approaches, such as 12-step facilitation, anger management techniques, and brief intervention strategies. It serves active-duty military members, as well as adult men and women, offering customized support for everyone. With a focus on personalized care and evidence-based practices, Fora Health ensures clients receive exceptional services in a nurturing atmosphere conducive to healing and recovery.

Fort Healthcare
Fort Atkinson, WI

Fort Healthcare, located in Fort Atkinson, WI, delivers tailored substance abuse recovery services via its outpatient programs. Employing techniques like cognitive behavioral therapy, motivational interviewing, and remote/virtual counseling, this facility delivers personalized support for adults and older adults. Emphasizing a personalized strategy, the center accommodates both male and female individuals. The availability of outpatient treatment with methadone, buprenorphine, or naltrexone further elevates the standard of care offered. For those pursuing successful addiction treatment in a nurturing setting, Fort Healthcare is committed to aiding your journey toward lasting sobriety.

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Situated in Fort Thompson, SD, Fort Thompson Service Unit delivers outpatient services aimed at addressing substance abuse and co-occurring mental health challenges in both adults and children. The center implements regular outpatient initiatives that incorporate methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy. Customized programs are designed for youth, adult men, and women. This facility accommodates clients of all genders and has a particular emphasis on managing significant mental health issues and emotional conflicts. With a commitment to providing high-quality, personalized care, Fort Thompson Service Unit focuses on fostering recovery and overall well-being for individuals of all ages.

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Four Corners Community Behavioral Hlth, located in Castle Dale, UT, provides an extensive selection of treatment programs addressing substance use and simultaneous mental health issues for both adults and children. The center features targeted services that include anger management, cognitive behavioral therapy, and the Matrix Model approach. Treatment options encompass intensive outpatient programs, regular outpatient services, and medication-assisted treatment. With distinct programs created for adolescents, men, and women, the facility emphasizes personalized care for all individuals. Catering to adults and seniors of all genders, Four Corners Community Behavioral Hlth is committed to offering top-notch, evidence-based support to foster recovery and well-being.

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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