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Medically Reviewed Content
Updated: May 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 6,711 treatment centers offering naltrexone (vivitrol) across the United States.

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Balm of Gilead Health and Wellness Ctr

Balm of Gilead Health and Wellness Center, located in Middle River, MD, offers a wide range of outpatient rehabilitation services. The center focuses on detoxification, treatment for substance use, and managing co-occurring disorders. It provides outpatient detox programs along with methadone and buprenorphine treatment. With an emphasis on 12-step programs, anger management, and brief intervention techniques, this facility serves active duty military personnel, adolescents, and adult men. Catering to both adults and young individuals, the center features programs tailored for each gender. Known for its exceptional care and customized treatment plans, Balm of Gilead Health and Wellness Center stands as a source of hope for individuals on their journey to recovery from addiction.

Bangor Comprehensive Treatment Center

Bangor Comprehensive Treatment Center, located in Bangor, ME, provides outpatient treatment for adults dealing with substance use issues, including those who also face severe mental health challenges. This facility specializes in addressing substance use disorders with options such as methadone, buprenorphine, or naltrexone therapy. Emphasizing the principles of 12-step recovery, anger management, and short intervention strategies, Bangor Comprehensive Treatment Center customizes its treatment approaches to fit the unique requirements of each individual. Beyond standard outpatient offerings, the center features distinct programs tailored for adult men and women, and for clients with histories of intimate partner or domestic violence. Committed to delivering exceptional and comprehensive care, this center supports adults and young adults of all genders on their journey to recovery.

Banner Thunderbird Medical Center

Situated in Glendale, AZ, Banner Thunderbird Medical Center delivers extensive services for addiction recovery aimed at both adults and children. The center specializes in inpatient detoxification within a hospital environment, addressing substance abuse along with concurrent mental health issues. Emphasizing personalized care, this facility utilizes various methods, including 12-step programs, brief interventions, and cognitive behavioral therapy. Catering to the needs of both men and women, Banner Thunderbird Medical Center creates customized treatment plans for every client. For those in need of effective addiction treatment in a hospital context, this center is committed to aiding your path to recovery.

Banyan Alaska LLC

Banyan Alaska LLC, situated in Wasilla, AK, delivers a full spectrum of substance use disorder care, encompassing intensive outpatient, outpatient, and day treatment services. This establishment serves adult men, women, and active military members within a nurturing setting. Concentrating on adolescent and adult demographics, Banyan Alaska LLC offers tailored support for both male and female individuals. Their methodology integrates scientifically validated approaches with personalized recovery strategies for superior outcomes. For those in search of impactful addiction treatment in Alaska, Banyan Alaska LLC's distinctive offerings and treatment pathways are worth exploring.

Banyan Boca
Boca Raton, FL

Nestled in Boca Raton, Florida, Banyan Boca delivers an extensive array of addiction treatment options for both adults and young adults. The center offers various programs including long-term residential treatment, outpatient services, and detoxification. Emphasizing a 12-step approach alongside anger management and brief intervention strategies, Banyan Boca serves those facing both substance use and concurrent mental health challenges. The facility also offers tailored programs for military personnel as well as separate options for men and women. Dedication to high-quality care ensures a nurturing atmosphere for those pursuing recovery.

Banyan Delaware
Milford, DE

At Banyan Delaware in Milford, DE, we provide extensive care for individuals struggling with addiction, serving both adults and young adults. Our offerings include inpatient hospital-based detoxification and treatment, with dedicated programs for active military members, adult men, and adult women. We employ proven methods like 12-step facilitation, anger management techniques, and brief intervention strategies. Prioritizing high-quality, personalized recovery plans, Banyan Delaware is dedicated to assisting all clients, regardless of gender, in overcoming substance use challenges.

Banyan Health Systems

Banyan Health Systems, situated in Miami, FL, delivers outpatient detox services, treatment for substance use disorders, and specialized support for individuals facing both substance use and severe mental health issues. This center employs a variety of evidence-supported methods like cognitive behavioral therapy, anger management techniques, and brief intervention strategies. With specialized programs designed for active military personnel, young people, and adult men, Banyan Health Systems serves a wide range of patients. Catering to adults, children, and teenagers of all genders, the facility is committed to providing top-notch care within a nurturing environment, making it an exceptional option for those in need of extensive rehabilitation services.

Banyan Health Systems

Banyan Health Systems, located in Miami, FL, delivers a wide range of addiction recovery services for both adults and young adults. The facility offers hospital-based detoxification as well as therapeutic treatment for those dealing with substance use disorders, in addition to specialized assistance for persons facing severe mental health challenges alongside their addiction. Emphasizing approaches such as cognitive behavioral therapy, anger management, and brief therapeutic interventions, the center customizes its programs to meet the unique requirements of each individual. Notable initiatives for active military members, adult men, and women provide focused support. With a strong emphasis on quality care, Banyan Health Systems is committed to guiding individuals toward sustainable recovery.

Baldpate
Georgetown, MA

Situated in Georgetown, MA, Baldpate is a well-respected rehabilitation center that specializes in detoxification programs. This facility offers around-the-clock residential services for both adults and young adults of any gender. Emphasizing personalized care, Baldpate employs various methods such as 12-step facilitation, brief intervention, and cognitive behavioral therapy to effectively tackle addiction. The center is known for customizing treatment plans to meet each individual's unique requirements, ensuring thorough and tailored care. For those looking for a nurturing and professional setting to start their recovery journey, Baldpate in Georgetown is committed to delivering high-quality addiction treatment services.

Baldpate
Georgetown, MA

Situated in Georgetown, MA, Baldpate stands out as a premier rehabilitation facility dedicated to providing targeted substance abuse treatment for adult and senior male clients. The center offers a range of extensive residential programs, featuring both 24-hour and short-term residential care. Baldpate utilizes a variety of therapeutic methods, including 12-step facilitation, brief intervention, and cognitive behavioral therapy, to effectively tackle addiction. With an emphasis on personalized care, the center customizes treatment strategies to align with each client's specific requirements. Renowned for its high standards of care, Baldpate is an excellent option for those in search of tailored, evidence-based addiction recovery in a nurturing atmosphere.

Bakersfield Behavioral Healthcare

Bakersfield Behavioral Healthcare, located in Bakersfield, CA, provides extensive programs for addiction recovery for adults and adolescents. Their expertise includes detox services, treatment for substance abuse, and care for dual diagnoses. This center offers inpatient hospital treatment incorporating 12-step facilitation, anger management techniques, and brief intervention strategies. They feature specialized tracks for adult men, adult women, and individuals with trauma histories, ensuring personalized treatment plans. Their distinct approach to treating severe mental health conditions and emotional challenges serves both male and female patients. Bakersfield Behavioral Healthcare is devoted to delivering high-quality, empathetic support throughout the recovery journey.

Banner Behavioral Health Hospital

Situated in Scottsdale, AZ, Banner Behavioral Health Hospital specializes in a wide range of addiction treatment options for both adults and children. This establishment offers inpatient detox services and addresses co-occurring substance use disorders alongside significant mental health challenges. Featuring programs designed for adolescents, adult males, and young adults, the center employs proven methods like 12-step support and cognitive behavioral therapy. Customized to fit the specific requirements of each individual, the offerings at Banner Behavioral Health Hospital provide effective care and assistance for clients of all genders pursuing recovery from addiction.

Banner University Medical Center

Banner University Medical Center, located in Phoenix, Arizona, provides an extensive array of outpatient detox and substance abuse recovery programs. This center is equipped to deliver targeted care for active military members, teenagers, adult males, as well as adults and seniors. Utilizing methods like cognitive behavioral therapy and brief interventions, the facility emphasizes personalized treatment tailored to meet individual needs. Additionally, it incorporates contingency management and motivational incentives to enhance the recovery process. The center is committed to fostering a welcoming and supportive atmosphere for all individuals, regardless of gender, who are pursuing addiction recovery services.

Banyan Health Systems
Fort Lauderdale, FL

Banyan Health Systems in Fort Lauderdale, FL, provides comprehensive outpatient care for individuals of all ages struggling with addiction and dual diagnoses. Services include supervised detox, medication-assisted treatment with methadone, buprenorphine, or naltrexone, and tailored support for military personnel, young people, and adult men. Employing proven methods such as CBT and anger management, Banyan Health Systems delivers personalized treatment plans for all clients. Their dedication to high-standard care positions them as a premier destination for recovery in the region.

Banyan Health Systems

Banyan Health Systems in Miami, FL, provides extensive outpatient care for recovery. Their services target detoxification, addiction, and the complex interplay of substance use with severe mental health conditions in adults and emotional challenges in youth. Focusing on outpatient support, Banyan Health Systems offers detox, medication-assisted treatment (methadone/buprenorphine/naltrexone), and therapies like anger management, brief intervention, and CBT. Specialized programs are available for military members, teens, and adult men. This center serves a diverse population, including adults, children/adolescents, and seniors of all genders, delivering personalized, high-quality, and empathetic treatment.

Banner University Medical Center

Situated in Phoenix, AZ, Banner University Medical Center delivers extensive rehabilitation services aimed at both adults and children dealing with substance use issues and related mental health challenges. The facility features specialized programs designed for active duty military personnel, teenagers, and adult males. It offers inpatient detoxification and treatment that incorporates evidence-based practices such as cognitive behavioral therapy and strategies for managing anger. Programs are customized to meet the unique needs of adults and seniors, regardless of gender, ensuring personalized support. With an emphasis on high-quality care and diverse treatment options, including round-the-clock inpatient services, the center stands out as an exceptional choice for individuals seeking dedicated and effective rehabilitation.

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Badlands Human Service Center in Dickinson, ND, provides tailored recovery programs for adults with addiction and co-occurring mental health issues, as well as children facing emotional challenges. They offer intensive and standard outpatient services, including medication-assisted treatment with methadone/buprenorphine or naltrexone. Employing proven methods like brief intervention, cognitive behavioral therapy, and the Matrix Model, their personalized plans serve adults and seniors across all demographics, ensuring a thorough and individualized path to healing. This commitment to high-quality, personalized care positions the center as a key provider of impactful and empathetic addiction treatment.

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New York, NY

Bailey House Inc, located in New York, NY, provides outpatient treatment services for adults dealing with substance use issues alongside significant mental health disorders. The center also supports children grappling with emotional challenges. With a focus on methods such as cognitive behavioral therapy, motivational interviewing, and counseling for substance use disorders, Bailey House Inc offers consistent outpatient services, including treatment options involving methadone/buprenorphine or naltrexone. The facility features specialized programs designed for both adult men and women, as well as individuals who have faced domestic or intimate partner violence. Catering to adults and young adults across various genders, Bailey House Inc is dedicated to delivering personalized, high-quality addiction treatment in a nurturing and supportive atmosphere.

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Situated in Baltimore, MD, Baltimore Crisis Response Inc delivers extensive addiction rehabilitation services for both adults and young adults. This center features long-term residential options, detoxification services, and around-the-clock residential support. It employs various methodologies, including 12-step principles, cognitive behavioral therapy, and brief intervention techniques, to effectively address substance use disorders alongside co-occurring mental health issues. Specialized programs are available for adult men and women, as well as for clients who have faced intimate partner or domestic violence. Committed to offering high-quality care and personalized treatment plans, Baltimore Crisis Response Inc aims to guide clients toward successful recovery.

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Situated in Baltimore, MD, Baltimore Crisis Response Inc delivers an extensive array of services for individuals facing challenges related to substance use and concurrent mental health issues. This center features long-term residential care, detoxification services, and around-the-clock residential treatment programs, employing proven methodologies such as 12-step facilitation and cognitive behavioral therapy. Emphasizing personalized care, the facility includes specialized programs for adult men and women, alongside those who have gone through intimate partner violence. Catering to adults and young adults of all genders, Baltimore Crisis Response Inc is committed to offering high-quality support and care for individuals striving for recovery.

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Pompano Beach, FL

Banyan Health Systems, situated in Pompano Beach, FL, provides a wide array of addiction treatment options tailored for both adults and young adults. The center specializes in detoxification, treatment for substance abuse, and addresses co-occurring mental health challenges, offering long-term, short-term, and 24-hour residential programs. The treatment methods employed, such as 12-step facilitation, anger management, and brief intervention, are designed to ensure individualized care. Furthermore, Banyan Health Systems distinguishes itself by offering unique programs for active duty military members, as well as separate services for men and women. Committed to delivering high-quality care, Banyan Health Systems stands out as a reliable option for effective rehabilitation solutions.

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 May 2026

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

Sources:SAMHSA·NIDA·CDC

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