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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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Good Life Treatment Center
North Palm Beach, FL

Good Life Treatment Center in North Palm Beach, FL, delivers a complete suite of addiction recovery solutions designed for adults and young adults. They offer intensive outpatient programs, standard outpatient services, and day treatment, incorporating approaches like 12-step facilitation, anger management, and cognitive behavioral therapy. The center is adept at addressing substance use disorders, dual diagnoses involving mental health, and severe emotional issues in younger individuals. Catering to distinct needs, they provide specialized tracks for active military personnel, adult men, and adult women, ensuring each person receives personalized attention. Good Life Treatment Center is dedicated to providing high-quality care and support for those striving for freedom from addiction and sustained well-being.

Good Neighbor Community Health Center

Situated in Columbus, NE, the Good Neighbor Community Health Center provides extensive outpatient treatment for adults facing substance use challenges alongside serious mental health conditions or emotional issues in children. The services encompass cognitive behavioral therapy, motivational interviewing, and strategies aimed at preventing relapse. This center features specialized programs designed for active military members, adolescents, and adult males, ensuring it meets the needs of a wide variety of clients. Offering outpatient treatments like methadone/buprenorphine and naltrexone, the facility accommodates adults and seniors of any gender. The Good Neighbor Community Health Center is committed to delivering exceptional, individualized care to assist individuals in their recovery journey.

Good Samaritan Hospital of Suffern

Good Samaritan Hospital, situated in Suffern, NY, offers extensive programs for individuals of all ages struggling with substance use. Their expertise lies in addressing co-occurring conditions, including mental health challenges in adults and emotional difficulties in children. Providing around-the-clock hospital inpatient services, the facility employs proven methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy. Good Samaritan Hospital prioritizes personalized treatment, crafting unique plans for every patient. Clients of all genders benefit from specialized, high-quality care designed to foster lasting recovery.

Gooden Center
Pasadena, CA

Situated in Pasadena, California, the Gooden Center specializes in long-term residential care and dedicated detox programs for adult males facing challenges with substance abuse. Emphasizing techniques such as 12-step support, anger management, and brief intervention strategies, this center delivers thorough assistance within a nurturing atmosphere. Specifically designed for adult men, including both seniors and younger adults, its approach guarantees personalized treatment plans tailored to the distinct requirements of each client. The Gooden Center’s dedication to maintaining high standards of care, alongside its round-the-clock residential support, makes it a leading option for individuals in search of comprehensive and holistic solutions to addiction recovery.

Goodwill Easter Seals Miami Valley

Goodwill Easter Seals Miami Valley, located in Dayton, OH, is a reputable establishment providing outpatient treatment for substance use disorders. They also offer specialized programs for individuals managing co-occurring mental health challenges. Services include outpatient medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside conventional outpatient therapy. Their therapeutic approach incorporates anger management techniques, cognitive behavioral therapy, and the evidence-based Matrix Model. This center serves adults and seniors, welcoming individuals of all gender identities. A key strength of Goodwill Easter Seals Miami Valley is their proficiency in addressing the complexities of dual diagnosis, meaning individuals experiencing both mental health and substance use conditions. This facility is a dependable resource for those desiring effective and personalized rehabilitation services.

Goshen Clinic
Goshen, NY

Situated in Goshen, NY, the Goshen Clinic specializes in delivering tailored substance use treatment for both adults and seniors. This center offers a range of outpatient services, including methadone/buprenorphine or naltrexone treatment, regular outpatient care, and specialized programs designed for adolescents as well as adult men and women. The clinic uses diverse methodologies such as 12-step facilitation, anger management strategies, and brief interventions to meet the unique needs of each individual. Committed to providing high-quality care, the Goshen Clinic is open to male and female clients in search of supportive and effective rehabilitation solutions.

Gosnold Counseling Center
North Dartmouth, MA

Gosnold Counseling Center, situated in North Dartmouth, MA, provides thorough substance abuse treatment alongside expert support for those facing co-occurring mental health challenges. Their offerings include intensive outpatient programs, general outpatient services, and medication-assisted treatment using methadone, buprenorphine, or naltrexone. The center emphasizes a recovery-focused approach incorporating 12-step principles, anger management techniques, and brief intervention strategies, serving adults and seniors across all gender identities. Dedicated programs are also offered for individuals with dual diagnoses, those involved in the legal system, and military family members. Clients can expect attentive, personalized care aimed at fostering recovery and overall well-being at this facility.

Grace Counseling Center

Grace Counseling Center located in Lewisville, TX, provides a wide array of services designed to assist those dealing with substance abuse and concurrent mental health issues. The center features intensive outpatient services, daytime outpatient options, and partial hospitalization, serving a diverse population that includes adults, youth, and seniors. It hosts specialized programs for teenagers, adult men, and adult women, employing methodologies such as 12-step facilitation, anger management, and brief intervention strategies. This facility is distinguished by its dedication to creating customized treatment plans and embracing a holistic approach to recovery for all clients.

Grace Counseling Center

Grace Counseling Center, located in Fort Worth, TX, specializes in treating adults dealing with substance use issues as well as children facing emotional challenges, particularly when there are concurrent serious mental health disorders. The facility offers a range of services, including intensive outpatient programs, standard outpatient care, and medication-assisted treatments such as methadone, buprenorphine, or naltrexone. With customized programs catering to adolescents and both adult males and females, the center addresses the needs of various demographics. Employing methods like 12-step programming, anger management techniques, and brief intervention strategies, Grace Counseling Center is committed to providing thorough and personalized care. Their dedication to high-quality treatment and tailored support positions them as a leading option for individuals in need of effective rehabilitation in the Fort Worth region.

Good News Home Inc
Flemington, NJ

Good News Home Inc, located in Flemington, NJ, provides a range of rehabilitation services designed specifically for adult women dealing with substance use disorders and concurrent mental health conditions. The center features dedicated programs aimed at aiding survivors of intimate partner violence, domestic abuse, and sexual trauma, ensuring a secure and nurturing space for recovery. With strategies that include 12-step support, anger management, and brief intervention techniques, the center offers various treatment formats, including hospital inpatient care, long-term residential stays, and around-the-clock inpatient services. Catering to adults, seniors, and young adults, this facility is committed to offering exceptional care to assist individuals in achieving sustainable wellness and recovery.

Gosnold Counseling Center

Situated in Falmouth, MA, the Gosnold Counseling Center specializes in extensive treatment for substance use disorders affecting both adults and children who are also facing serious mental health challenges. The facility is particularly known for its intensive outpatient and outpatient programs, which employ customized strategies such as 12-step support, anger management techniques, and brief therapy sessions. Catering to individuals with dual diagnoses as well as military family members, the center welcomes adults and seniors of all genders. Its commitment to high-quality care and proficiency in managing intricate situations establishes it as a dependable option for individuals looking for meaningful rehabilitation support within a nurturing setting.

Gosnold Treatment Center

Located in Falmouth, Massachusetts, Gosnold Treatment Center serves as a vital resource for those pursuing thorough addiction recovery. The center provides hospital-based inpatient detoxification and treatment, with expertise in dual diagnosis for adults and young adults. Gosnold Treatment Center emphasizes personalized care, offering distinct programs for adult women, individuals with HIV/AIDS, and those experiencing co-occurring conditions. Through proven methods like 12-step facilitation and anger management, the center fosters a nurturing atmosphere conducive to healing. All clients, irrespective of their background, receive superior care and custom-designed treatment paths at Gosnold Treatment Center.

Gosnold Counseling Center

Situated in Stoughton, MA, the Gosnold Counseling Center delivers a wide array of treatments for substance use issues and concurrent mental health conditions aimed at both adults and children. This center offers various levels of care including intensive outpatient programs, outpatient services, and day treatment options. Employing methods such as 12-step guidance, anger management strategies, and short-term interventions, Gosnold particularly focuses on those dealing with dual diagnoses, which includes individuals involved with the legal system and military families. The center provides specialized care for adults and seniors of all genders, prioritizing high-quality support and customized treatment strategies. Its reputation is built on effectively managing intricate substance use and mental health challenges across different age groups and demographics.

Good Neighbor Community Health Center

Situated in Fremont, NE, Good Neighbor Community Health Center specializes in extensive treatment for substance use disorders in adults, particularly those dealing with concurrent serious mental health conditions or emotional issues in children. The center delivers outpatient care, featuring methadone and buprenorphine therapies, along with programs aimed at preventing relapse. Emphasizing cognitive behavioral therapy and motivational interviewing, the facility offers customized support for active-duty military members, teenagers, and adult males. Catering to adults and seniors of any gender, the center employs evidence-based techniques and specialized initiatives to guarantee personalized, top-quality care for individuals seeking to overcome addiction and mental health difficulties.

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Situated in Powhatan, VA, Goochland Powhatan Community Services provides extensive outpatient treatment for substance use targeting adults and seniors. The center focuses on addressing co-occurring substance use issues alongside significant mental health disorders in adults and emotional challenges in children. Utilizing various evidence-based methods such as cognitive behavioral therapy and contingency management, the facility offers personalized care that includes brief interventions and motivation-driven incentives. Furthermore, they focus on the needs of pregnant/postpartum women, ensuring dedicated support for this group. Goochland Powhatan Community Services offers high-quality care in a gender-sensitive setting, welcoming both male and female clients on their recovery journey.

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Goochland Powhatan Community Services, situated in Goochland, VA, provides expert care for individuals of all ages struggling with substance use and co-occurring mental health conditions. Their outpatient services encompass medication-assisted treatment options, alongside proven therapeutic methods such as cognitive behavioral therapy. The center employs personalized strategies like contingency management and motivational rewards. Catering to pregnant and postpartum women, as well as adults and seniors regardless of gender, Goochland Powhatan Community Services is dedicated to offering thorough support and fostering sustained healing.

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Morrisville, PA

Good Friends Inc, situated in Morrisville, PA, provides exceptional addiction recovery services in a nurturing residential environment. The center is dedicated to addressing substance use challenges, offering transitional housing and sober living options specifically for adult men. Its diverse program incorporates various methodologies, such as 12-step principles, anger management techniques, and focused short interventions. Good Friends Inc prioritizes individuals who have faced trauma, as well as those with simultaneous mental health and substance use issues. With a tailored program for adult males, this facility acknowledges and meets the specific requirements of this group. Additionally, it also accommodates seniors and young adults. The long-term residential care and continuous support guarantee that clients receive comprehensive assistance as they pursue their recovery journey.

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Chicopee, MA

Situated in Chicopee, MA, Goodwin House delivers extensive long-term residential support for adult males facing challenges related to substance use and concurrent severe mental health issues. This center also addresses the needs of children and teenagers grappling with significant emotional challenges. Emphasizing a blend of 12-step principles, anger management techniques, and cognitive behavioral strategies, Goodwin House serves clients with a history of trauma as well as those contending with both mental health and substance use issues. The facility offers customized programs for adolescents, older adults, and young individuals, guaranteeing that everyone receives individualized assistance on their path to recovery.

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Situated in Centerville, MA, the Gosnold Counseling Center specializes in detailed substance abuse treatment for both adults and children dealing with simultaneous mental health issues. The center provides various services including intensive outpatient programs, outpatient care, and day treatment sessions, employing methodologies like 12-step support and anger management. It features specialized programs designed for individuals with dual diagnoses, legal issues, and members of military families. Catering to adults and seniors of all genders, Gosnold Counseling Center is committed to delivering high-quality care through personalized treatment strategies and research-supported techniques. If you are in search of effective and customized rehabilitation options, this center is dedicated to supporting your journey towards sustainable recovery.

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West Falmouth, MA

Gosnolds Emerson House, situated in West Falmouth, MA, delivers extensive treatment services for both adults and young adults grappling with substance use issues. This center is particularly adept at addressing co-occurring substance use conditions alongside significant mental health challenges or emotional issues in children. By offering both residential and short-term residential treatment options, it employs methods such as 12-step facilitation, anger management, and brief intervention strategies. Noteworthy for its tailored programs, Gosnolds Emerson House also accommodates individuals living with HIV or AIDS, those with co-occurring disorders, and forensic clients. It provides a secure and well-organized environment, delivering exceptional care for all clients, regardless of gender, who are on their path to recovery.

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Grace Hope Treatment, situated in Fontana, CA, provides thorough programs for detox and substance use recovery. This center offers hospital-level inpatient detox, treatment, and round-the-clock support for adults and young adults, irrespective of gender. Employing methods such as 12-step facilitation, anger management, and brief intervention, the facility prioritizes customized care. A key distinguishing factor of Grace Hope Treatment is its individualized programs designed to meet the specific requirements of every individual. Dedicated to high-standard care, Grace Hope Treatment serves as a significant resource for individuals pursuing successful and personalized addiction treatment.

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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