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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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Blue Heron Recovery
San Antonio, TX

Situated in San Antonio, TX, Blue Heron Recovery delivers a wide range of addiction treatment options for both adults and young adults. This center specializes in detox services, treatment for substance use disorders, and focused support for those dealing with co-occurring mental health issues. Offering various treatment modalities such as intensive outpatient programs, outpatient care, and day treatment, Blue Heron Recovery customizes its approach to address the specific requirements of each individual. Their methodology combines elements like 12-step facilitation, anger management strategies, and brief intervention practices. The personalized programs are designed to support both male and female clients, fostering an inclusive and encouraging atmosphere for everyone on the path to recovery.

Blueprints for Addiction Recovery Inc

Blueprints for Addiction Recovery Inc, located in Mount Joy, PA, provides an extensive array of outpatient services targeting adult men who are in need of detox and treatment for substance use disorders, including those with co-existing severe mental health conditions. The center is well-versed in 12-step programs, anger management, and short-term therapeutic interventions. It offers specialized programs for active duty service members, adult males, and individuals who have experienced intimate partner violence, ensuring personalized support for adults, seniors, and young adults alike. Emphasizing outpatient detox and daily treatment options, Blueprints for Addiction Recovery Inc is dedicated to delivering high-quality care in a nurturing setting specifically designed for male patients.

Blueprints For Addiction Recovery Inc

Blueprints For Addiction Recovery Inc., situated in Lancaster, PA, delivers complete addiction care plans designed for adults and adolescents. This facility offers detox, substance abuse therapy, and excels in managing dual diagnoses of substance use disorder and significant mental health conditions in adults, or severe emotional challenges in children. Treatment options encompass intensive outpatient, outpatient, and day treatment programs, utilizing methodologies like 12-step encouragement, emotional regulation training, and brief counseling techniques. Specialized services are available for active military personnel, adult females, and survivors of domestic or intimate partner abuse. Serving both men and women, this center provides excellent support through personalized recovery strategies.

BNI Treatment Centers
Agoura Hills, CA

BNI Treatment Centers located in Agoura Hills, CA, specializes in detoxification and substance abuse treatment for adults facing serious mental health disorders, as well as children with significant emotional challenges. The center features a variety of treatment options, including residential detox, round-the-clock residential care, and short-term residential programs. By employing strategies such as 12-step facilitation, anger management, and brief intervention techniques, this facility supports adolescents and those affected by intimate partner violence, domestic violence, and sexual trauma. BNI Treatment Centers offers extensive services for both males and females, along with support for children and teens, all within a nurturing environment.

Boca Detox Center
Boynton Beach, FL

Boca Detox Center, located in Boynton Beach, FL, specializes in detoxification and substance abuse treatment within a residential environment. Their program features round-the-clock care and various methodologies, including 12-step programs, anger management, and brief interventions. The facility caters to both adult men and women, including those who have been victims of domestic violence or intimate partner violence. By serving both adults and young adults, Boca Detox Center prioritizes customized care for all clients. Committed to delivering high-quality and personalized treatment, the center plays a vital role in assisting individuals on their path to recovery.

Boca Recovery Center

Situated in Absecon, NJ, Boca Recovery Center delivers a wide range of addiction treatment solutions. This facility includes detoxification and substance use rehabilitation through its residential programs, which offer around-the-clock care and short-term options. Emphasizing techniques such as 12-step guidance, anger management, and brief intervention, the center customizes its methods to meet the specific requirements of each individual. Specialized programs are designed for active military personnel, as well as adult men and women. Catering to adults and young adults of all genders, Boca Recovery Center is dedicated to providing effective care and assistance for individuals striving to conquer addiction.

Boca Recovery Center
Bloomington, IN

Boca Recovery Center, situated in Bloomington, IN, offers a wide array of services for addiction treatment. The center provides residential detox services, around-the-clock care, and short-term residential options for both adults and young adults. It emphasizes a 12-step approach, anger management, and brief intervention strategies, customizing its programs to suit individual needs. The facility also features special initiatives designed for active duty military members, as well as programs for adult men and women, including gender-segregated treatment. Renowned for its high-quality care and tailored programs, Boca Recovery Center stands out as a reliable option for individuals seeking effective detox and substance use treatment.

Boca Recovery Center
Pompano Beach, FL

The Boca Recovery Center, situated in Pompano Beach, FL, delivers complete programs for chemical dependency and addiction recovery. This establishment offers overnight detoxification, round-the-clock residential stays, and shorter residential stays designed for adults and young adults. Its specialized offerings for active duty military personnel, adult males, and adult females ensure it serves a broad spectrum of people. Employing methods like 12-step guidance, emotional regulation training, and brief counseling, the center emphasizes individualized support and scientifically proven methods to aid in healing. For those in need of help for themselves or someone they care about, the Boca Recovery Center offers high-quality assistance within a nurturing setting.

Bonfire Behavioral Health LLC

Bonfire Behavioral Health LLC, located in Rochester, NH, delivers thorough treatment for substance use as well as tailored support for those facing concurrent mental health challenges. The center features intensive outpatient services, daytime outpatient programs, and utilizes various evidence-backed methods such as 12-step support and anger management strategies. Committed to trauma-informed practices, Bonfire Behavioral Health LLC serves adults and young adults across all genders. Their offerings are designed to meet the specific requirements of individuals struggling with both mental health and substance use issues, guaranteeing exceptional and personalized care for every client.

Bonneville Family Practice

Bonneville Family Practice in Tooele, UT, delivers outpatient detoxification and treatment for substance use disorders, specifically designed for adults and older adults. Their expertise lies in addressing dual diagnoses of substance use and significant mental health conditions in adults, alongside emotional challenges in young individuals. Each client receives a personalized treatment plan. Therapeutic interventions offered encompass anger management, brief intervention strategies, and cognitive behavioral therapy. The center provides distinct programs for men and women, prioritizing high-quality care through outpatient methadone, buprenorphine, or naltrexone therapies. Bonneville Family Practice is recognized for its thorough and customized rehabilitation services, aimed at aiding individuals in their path to recovery.

Boone Memorial Hosp Brighter Futures

Boone Memorial Hosp Brighter Futures, located in Madison, WV, provides a wide range of substance use treatment options for both adults and young adults. The center offers outpatient services that include methadone or buprenorphine and naltrexone treatments, along with regular outpatient care. Their evidence-based methodologies encompass cognitive behavioral therapy, motivational interviewing, and contingency management with motivational incentives. Boone Memorial Hosp Brighter Futures also features specialized programs aimed at active military members and distinct groups such as adult men and women, ensuring personalized treatment for varying needs. By acknowledging the significance of gender-sensitive care, this center is dedicated to serving both male and female clients effectively as they pursue recovery from substance use disorders.

Bon Secours Community Hospital

Situated in Port Jervis, NY, Bon Secours Community Hospital delivers an extensive range of substance use rehabilitation services for adults and young adults facing concurrent severe mental health conditions. The center features inpatient hospitalization and round-the-clock support, emphasizing methods such as 12-step facilitation, brief intervention, and cognitive behavioral therapy. With a strong commitment to personalized care, this facility accommodates clients of all genders. Bon Secours Community Hospital is dedicated to providing high-quality treatment through specialized programs that meet the distinct needs of each person on their journey to overcome addiction and mental health issues.

Bon Secours Community Hospital

Bon Secours Community Hospital in Port Jervis, NY, delivers a full spectrum of care for addiction issues, serving both adults and adolescents. This institution offers hospital-based inpatient detoxification and treatment for substance abuse, along with specialized support for those with co-occurring serious mental health conditions in adults or significant emotional challenges in younger individuals. Prioritizing personalized recovery, the program incorporates methods like 12-step facilitation, brief intervention strategies, and cognitive behavioral therapy. Bon Secours Community Hospital is distinguished by its custom-designed treatment pathways, crafted to address the specific requirements of every individual. Both male and female patients receive the same high standard of care at this location.

Boardwalk Recovery Center

Boardwalk Recovery Center located in San Diego, California, specializes in treating adult males struggling with substance use disorders, particularly those facing significant mental health challenges alongside. The center features a range of programs including intensive outpatient, outpatient, and partial hospitalization options, employing proven methods like 12-step support, anger management techniques, and cognitive behavioral therapy. Additionally, Boardwalk Recovery Center is inclusive of LGBTQ clients, trauma survivors, and caters to adult men. With an emphasis on providing personalized care for adult, senior, and young adult male clients, this facility is dedicated to addressing the distinct requirements of each person.

Blue Ridge Behavioral Healthcare

Blue Ridge Behavioral Healthcare, located in Roanoke, VA, delivers extensive treatment for substance use disorders alongside specialized support for individuals facing serious mental health challenges or emotional issues. This center offers various outpatient and intensive outpatient services, which include day treatment and partial hospitalization programs. By employing customized therapies such as 12-step support, anger management, and brief intervention strategies, the facility serves adult men, women, and young adults. It features distinct programs designed for adult women, clients living with HIV or AIDS, and individuals within the criminal justice system, ensuring tailored care. Blue Ridge Behavioral Healthcare is committed to providing high-quality, gender-sensitive rehabilitation services that promote recovery and overall wellness.

Bluebird Recovery
Tullahoma, TN

Bluebird Recovery, situated in Tullahoma, TN, delivers complete addiction recovery programs for adults and adolescents. Their services include standard outpatient care, as well as specialized medication-assisted treatment using methadone, buprenorphine, or naltrexone. The center's therapeutic specialties encompass cognitive behavioral therapy, motivational interviewing, and strategies for preventing relapse. Bluebird Recovery serves adult men and women, and provides support for individuals affected by intimate partner or domestic violence. Prioritizing personalized treatment plans, the facility is dedicated to offering excellent care to all clients, regardless of gender, who are pursuing recovery from substance dependence.

Bluestone Health Association Inc

Bluestone Health Association Inc, located in Princeton, WV, delivers outpatient care for substance use disorders to individuals of all ages. The center is equipped to assist expectant and new mothers, and offers tailored recovery plans for men and women. Utilizing therapeutic methods including 12-step encouragement, emotional regulation techniques, and short-term counseling, Bluestone Health Association Inc focuses on personalized recovery journeys. Services encompass outpatient medication-assisted treatment (MAT) with methadone, buprenorphine, or naltrexone, alongside standard outpatient support, providing a complete spectrum of care for those pursuing a drug-free life. The organization is dedicated to providing effective treatment and a nurturing atmosphere for everyone aiming for lasting recovery.

Bond County Health Department

Bond County Health Department, situated in Greenville, IL, delivers thorough substance use disorder care for adults and young individuals facing dual diagnoses. The center offers outpatient options, featuring medication-assisted treatment with methadone or buprenorphine, alongside standard outpatient services. Their programs are personalized, incorporating 12-step facilitation, anger management, and brief intervention strategies. The facility also provides specialized gender-specific services for men and women. Bond County Health Department distinguishes itself through its commitment to a tailored treatment experience, guaranteeing excellent support for those navigating addiction and mental health recovery.

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At Blue Ridge Behavioral Healthcare, situated in Roanoke, VA, we provide a complete spectrum of therapeutic offerings for those pursuing freedom from addiction and dual mental health diagnoses. Our services include inpatient detox, round-the-clock residential support, and shorter-term residential stays designed for adults and emerging adults. Utilizing specialized methods like 12-step integration, emotional regulation training, and concise intervention techniques, our facility guarantees customized support and care for every person we serve. Blue Ridge Behavioral Healthcare distinguishes itself through its dedication to crafting unique treatment strategies, presenting a distinct and successful method for tackling the intricate requirements of each individual. Both male and female patients benefit from excellent, gender-sensitive treatment in a secure and nurturing atmosphere.

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Bluebonnet Trails Community Services, located in Georgetown, TX, provides an extensive range of addiction treatment services for both adults and children. The facility is particularly adept at managing detoxification, addressing substance use issues, and treating co-occurring disorders. It offers both intensive outpatient and outpatient programs designed to meet various needs. The center emphasizes 12-step facilitation, anger management, and concise intervention strategies, serving adult men, women, and adolescents alike. With specialized programs tailored to different demographics, Bluebonnet Trails Community Services is dedicated to offering personalized, evidence-based care to assist clients throughout their recovery process.

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Bootheel Counseling Services, located in Sikeston, MO, provides outpatient care for substance use disorders and is equipped to handle individuals dealing with concurrent substance use and significant mental health conditions in adults or serious emotional issues in children. The center employs various treatment strategies, including anger management, brief interventions, and cognitive behavioral therapy, in its outpatient services. Catering to diverse groups, including active military personnel, adolescents, and adult men, Bootheel Counseling Services is dedicated to addressing the needs of adults and seniors, regardless of gender. The facility focuses on delivering high-quality, personalized support for those confronting addiction and mental health difficulties.

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

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