NWVCIL Logo
Medically Reviewed Content
Updated: September 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.

Need Help Finding the Right Treatment Center?

Speak with a compassionate specialist now - 100% free & confidential

Call +1 (833) 244-3031
Available 24/7
All 50 States
Filters:

Showing 21 of 6655 results

SpiritLife Inc
Penn Run, PA

Situated in Penn Run, PA, SpiritLife Inc delivers extensive addiction recovery services for both adult males and females. The center features long-term residential treatment, residential detox services, and round-the-clock support. Focusing on 12-step methods, anger management, and short intervention strategies, SpiritLife Inc addresses the needs of clients affected by intimate partner and domestic violence. With programs designed for adults and young adults of all genders, the facility prioritizes personalized care and support for each individual's path to healing. Rely on SpiritLife Inc for exceptional, tailored rehabilitation services in a nurturing and encouraging atmosphere.

Spokane Falls Recovery Center

Spokane Falls Recovery Center, situated in Spokane, WA, specializes in extended residential care for addiction and chemical dependency. Their treatment strategies encompass a variety of methods, such as 12-step integration and techniques for managing anger. They cater to adults and young adults across all gender identities, offering personalized support. The center's dedication to a unique treatment path for each individual is a key feature, guaranteeing that care plans are specifically designed for every client's particular circumstances. For those requiring inpatient detox or round-the-clock supervision, Spokane Falls Recovery Center delivers effective, research-supported therapy.

Spring Gardens Recovery

Spring Gardens Recovery, situated in Spring Hill, FL, delivers a full spectrum of recovery support for adults and young adults facing addiction and co-occurring mental health issues. They provide inpatient detox, continuous residential support, and brief residential stays, all customized for each person's unique situation. Utilizing proven techniques like cognitive behavioral therapy and anger management, the center also features specific offerings for military members, adult men, and adult women. Committed to excellent care within a nurturing setting, Spring Gardens Recovery aims to guide individuals toward sustained healing and enhanced mental wellness.

Spring Hill Recovery Center

Nestled in Ashby, MA, Spring Hill Recovery Center delivers thorough addiction treatment for adults and young adults within a nurturing setting. This establishment features long-term and short-term residential care, specifically designed for those managing both addiction and significant mental health challenges. Offering distinct tracks for active-duty military personnel, adult men, and adult women, the center emphasizes 12-step principles, emotional regulation techniques, and concise intervention strategies. Catering to both male and female individuals, Spring Hill Recovery Center is committed to providing exceptional, personalized care aimed at fostering enduring recovery.

Spring Hill Wellness New York LLC

Spring Hill Wellness New York LLC, situated in Brooklyn, NY, specializes in providing extensive services for substance use recovery. The facility offers detox and intensive outpatient programs designed to cater to the unique needs of adults and young adults. By employing methods like 12-step facilitation and anger management, Spring Hill prioritizes a personalized recovery experience. The center also incorporates brief interventions for clients of all genders. With day outpatient treatment options available, Spring Hill Wellness New York LLC is committed to offering exceptional, gender-sensitive support to assist individuals on their journey to healing.

Springboard Center

Situated in Midland, TX, the Springboard Center offers an extensive array of services for those struggling with addiction. It focuses on detox services, treatment for substance use, transitional living arrangements, and sober housing solutions. This center provides inpatient care in a nurturing setting. Emphasizing 12-step programs, anger management techniques, and brief intervention strategies, the Springboard Center serves active military members, youth, and adult men. Catering to both adult and youth clients of any gender, the facility is committed to delivering personalized care that addresses each individual's needs. If you or someone you care about is in search of supportive and effective addiction treatment, this center is dedicated to assisting you on your recovery journey.

Spinal Interventions

Spinal Interventions in Provo, UT, provides specialized outpatient services for adults and young individuals struggling with substance use disorders. Their approach emphasizes customized treatment plans, incorporating methods such as brief interventions, cognitive behavioral therapy, and motivational interviewing. The center is committed to delivering high-quality, effective care, including outpatient medication-assisted treatment with methadone, buprenorphine, or naltrexone. Spinal Interventions serves all genders and aims to offer a holistic path to recovery. For those looking for a tailored, evidence-driven recovery program, Spinal Interventions is prepared to assist you in achieving a life free from addiction.

Springfield Treatment Services

Springfield Treatment Services, situated in Springfield, OH, provides outpatient treatment programs designed for both adults and young adults dealing with substance use issues. The center employs a range of targeted methods, including anger management, cognitive behavioral therapy, and brief interventions, to deliver thorough care for individuals in recovery. Tailored programs for adult men and women, as well as those who have endured intimate partner or domestic violence, emphasize personalized support. The facility also offers outpatient options such as methadone/buprenorphine or naltrexone treatment, catering to varied needs. With an emphasis on high-quality care and programs specific to gender, Springfield Treatment Services serves as an essential resource for those seeking to regain control over their lives.

Spring River MH and Wellness

Situated in Columbus, KS, Spring River MH and Wellness functions as an all-encompassing rehabilitation center that provides outpatient services for adults dealing with substance abuse and complex mental health issues, as well as serious emotional challenges in children. The center emphasizes techniques such as anger management, brief interventions, and cognitive behavioral therapy. Catering to a broad spectrum of clients, it offers customized programs for adolescents, men, and women adults. By serving both adults and youth of every gender, Spring River MH and Wellness is committed to delivering effective treatment centered around personalized care and proven methods.

Spokane Addiction Recovery Centers

Situated in Spokane, WA, Spokane Addiction Recovery Centers specializes in providing targeted substance use treatment specifically for adult women. This facility offers a holistic approach to care, particularly for those struggling with both substance use and significant mental health challenges. With options for residential and short-term residential treatment, the center employs proven methodologies such as 12-step facilitation, cognitive behavioral therapy, and motivational interviewing. Their distinct programs are designed to meet the needs of adult women as well as clients dealing with co-occurring disorders. Catering to adults of all ages, including seniors and young adults, this center is dedicated to offering personalized, high-quality care that addresses the unique requirements of each individual. For women in pursuit of effective and empathetic addiction recovery solutions, Spokane Addiction Recovery Centers is a reliable option.

Spokane Addiction Recovery Centers

Spokane Addiction Recovery Centers, situated in Spokane, WA, focuses on delivering tailored substance use treatment for adult males. This center is equipped to handle the complexities of individuals who are also facing mental health challenges. It offers both residential and short-term residential treatment options, employing proven methods including 12-step programs, cognitive behavioral therapy, and motivational interviewing. Catering specifically to adult, senior, and young adult men, the facility prioritizes personalized care that addresses the specific requirements of each individual. Spokane Addiction Recovery Centers is committed to high-quality addiction recovery support in a nurturing therapeutic setting.

Spokane Addiction Recovery Centers

Situated in Spokane, WA, Spokane Addiction Recovery Centers delivers extensive substance abuse treatment specifically designed for adult women in a nurturing and secure atmosphere. This center focuses on providing tailored support for individuals facing co-occurring mental health issues using proven methods such as cognitive behavioral therapy and motivational interviewing. Offering both residential and short-term residential options, the facility serves adults, seniors, and young adults who are in pursuit of effective treatment. With distinctive programs aimed at women and those dealing with integrated disorders, Spokane Addiction Recovery Centers stands out as an excellent option for individuals aiming to conquer addiction and enhance their mental well-being.

Spokane Addiction Recovery Centers

Spokane Addiction Recovery Centers, situated in Spokane, WA, offers dedicated therapeutic services for individuals grappling with addiction and concurrent mental health conditions. This establishment features both long-term and brief residential care options, specifically designed to meet the needs of adult men facing co-occurring disorders. Their approach incorporates proven methodologies such as 12-step support, cognitive behavioral therapy, and motivational interviewing to provide complete assistance for those pursuing sobriety. Serving adults, older individuals, and younger adults, this program is structured to address the distinct requirements of its male clientele. Spokane Addiction Recovery Centers is committed to delivering exceptional care through scientifically validated methods, positioning it as a premier resource for individuals confronting addiction and psychological health concerns.

Spokane Treatment and Recovery Service

Spokane Treatment and Recovery Service, situated in Spokane, WA, provides extensive long-term residential care for adult women battling substance use disorders. The center focuses on dual diagnoses of substance use and significant emotional challenges in children. Employing proven therapeutic methods like 12-step facilitation, anger management, and cognitive behavioral therapy, they deliver personalized support to individuals impacted by intimate partner violence, domestic abuse, and sexual trauma. Serving adults, older adults, and young adults, this center is committed to offering excellent care and encouragement to women on their journey toward recovery and well-being.

Spindletop Center

Situated in Orange, TX, Spindletop Center presents a wide array of treatment options for adults and young adults dealing with substance use issues. This center is particularly adept at addressing co-occurring substance use disorders alongside significant mental health challenges in adults, as well as addressing serious emotional disturbances in youth. Offering various treatment modalities, including intensive outpatient, outpatient, and standard outpatient programs, the facility tailors its care to individual needs through evidence-based methods such as cognitive behavioral therapy, the Matrix Model, and motivational interviewing. Unique programs are available for active duty military members, as well as separate services for adult men and women. With a strong emphasis on high-quality care, Spindletop Center is dedicated to providing effective rehabilitation for both male and female clients.

Spindletop Center

In Orange, TX, Spindletop Center provides a full spectrum of recovery support for individuals, both young and old, facing challenges with substance abuse and coexisting mental health conditions. Their program offerings include intensive outpatient, standard outpatient, and less intensive outpatient treatment tracks. Therapeutic methods employed encompass 12-step facilitation, anger management techniques, and brief intervention strategies. Targeted services are available for teenagers, adult women, and individuals managing both mental health and addiction concerns. Committed to high-quality, personalized care, Spindletop Center strives to empower clients on their journey to sustained well-being. The center welcomes both male and female participants, fostering a welcoming and understanding atmosphere for anyone aiming to conquer addiction.

Spring River MH and Wellness

Spring River MH and Wellness, situated in Riverton, KS, is a facility specializing in outpatient care for substance use disorders. It also provides targeted services for those facing simultaneous challenges of addiction and significant mental health conditions. Their approach incorporates anger management techniques, brief intervention strategies, and cognitive behavioral therapy, all within personalized treatment plans designed for young people, adult males, and adult females. The center extends its support to individuals of all ages and genders, aiming for comprehensive recovery and well-being.

Spurwink Services

Spurwink Services, located in Oxford, ME, provides extensive outpatient treatment for individuals facing substance use issues alongside mental health challenges in both adults and children. Emphasizing approaches such as cognitive behavioral therapy, motivational interviewing, and strategies for preventing relapse, this center delivers focused assistance to clients dealing with dual diagnoses. Customized programs are available for adults and seniors of any gender. The facility offers outpatient treatments including methadone, buprenorphine, and naltrexone, ensuring personalized care tailored to each individual. Spurwink Services is committed to offering top-notch, evidence-supported therapies to aid clients in their recovery journey.

Placeholder image

Situated in Wellpinit, WA, the Spokane Tribe Behavioral Health Prog specializes in outpatient care for adults facing substance use challenges, as well as serious mental health disorders and emotional issues in children. The center employs a range of treatment modalities, including 12-step programs, cognitive behavioral therapy, and brief intervention strategies. Committed to providing individualized attention, the facility serves adults and senior individuals of all genders. It offers outpatient treatments such as methadone/buprenorphine or naltrexone, ensuring a thorough and customized recovery process. For those in need of effective addiction support with a personal approach, this center is devoted to helping you on your path to health and recovery.

Placeholder image
Lewiston, ME

Spurwink Services located in Lewiston, ME, provides extensive treatment for substance use disorders alongside specialized care for those dealing with concurrent mental health issues. This center offers outpatient options, featuring methadone and buprenorphine therapies, designed specifically for the diverse needs of both adults and children experiencing significant emotional challenges. By employing evidence-based methods such as cognitive behavioral therapy and motivational interviewing, the facility emphasizes methods for relapse prevention and holistic wellness. Additionally, dedicated programs are available for individuals with dual diagnoses, ensuring a cohesive treatment strategy. Focusing on adults and seniors of all genders, Spurwink Services is committed to delivering personalized treatment aimed at promoting enduring recovery.

Placeholder image

Spurwink Services, situated in Rumford, ME, provides tailored outpatient treatment options for individuals dealing with substance use and concurrent mental health issues, applicable to both adults and children. The center offers an array of services such as outpatient treatments using methadone, buprenorphine, or naltrexone, alongside cognitive behavioral therapy, motivational interviewing, and strategies for relapse prevention. Aimed at individuals with dual diagnoses, the facility supports adults and seniors of any gender. The program is designed to be personalized, prioritizing evidence-based methods to deliver effective care for those addressing substance use and mental health challenges.

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.

Naltrexone resources:

Find Naltrexone (Vivitrol) by State

Browse naltrexone (vivitrol) programs in states with the most treatment options.

Explore Related Options

Related conditions, treatment approaches, and levels of care.

Medically Reviewed Updated September 2026

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

Sources:SAMHSA·NIDA·CDC

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