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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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Bridges of Hope
Anderson, IN

Situated in Anderson, IN, Bridges of Hope is a holistic rehabilitation facility that provides detox services, treatment for substance abuse, and targeted care for adults dealing with both substance use disorders and severe mental health issues, along with support for children experiencing emotional challenges. The center offers various modes of treatment, including outpatient services, day programs, and partial hospitalization, all designed to cater to individual needs. By employing methods such as 12-step facilitation, anger management, and brief therapeutic interventions, Bridges of Hope is dedicated to delivering custom programs for individuals of all ages and genders. Its emphasis on personalized care and high-quality support makes it a vital resource for those on the path to recovery from addiction.

Bridgeway Recovery Center

Situated in Valdosta, GA, Bridgeway Recovery Center is focused on assisting adults and young adults battling substance use disorders. The center offers a range of treatment options including intensive outpatient programs, outpatient services, and methadone/buprenorphine or naltrexone treatments. A holistic method to recovery is employed, utilizing techniques such as 12-step facilitation, cognitive behavioral therapy, and motivational interviewing to deliver customized care based on each client’s unique circumstances. A key highlight of Bridgeway Recovery Center is its commitment to personalized treatment, ensuring that every individual receives the dedicated support essential for effective rehabilitation. The center welcomes both men and women, aiming to provide exceptional care throughout the recovery process.

Bridging the Gaps Inc
Winchester, VA

Bridging the Gaps Inc, located in Winchester, VA, delivers a complete spectrum of addiction recovery assistance, customized for each person's unique situation. The center offers detox services, addiction care, temporary housing, and sober living arrangements within a nurturing atmosphere. Employing various treatment structures like intensive outpatient, extended residential stays, and outpatient plans, the facility incorporates methods such as 12-step encouragement, emotional regulation training, and concise therapeutic interventions. Targeted programs are available for adult men and women, as well as those with past trauma. Catering to adults and young adults regardless of gender, Bridging the Gaps Inc is dedicated to providing effective care to foster lasting recovery.

Bridgeway Center Inc
Fort Walton Beach, FL

Situated in Fort Walton Beach, Florida, Bridgeway Center Inc delivers a variety of outpatient programs designed for individuals facing substance use issues and concurrent mental health challenges, catering to both adults and children. The center includes targeted services such as anger management, cognitive behavioral therapy, and short-term interventions. Emphasizing personalized care, Bridgeway Center Inc offers treatment options for adolescents as well as adult men and women. Their outpatient services include methadone/buprenorphine and naltrexone treatments, aimed at those seeking thorough support. This facility is dedicated to providing high-quality care with customized treatment plans for clients of all genders and ages.

Bridgeway Inc
Galesburg, IL

Situated in Galesburg, Illinois, Bridgeway Inc delivers a wide range of rehabilitation services aimed at both adults and minors dealing with substance use issues and simultaneous mental health challenges. The center offers intensive outpatient programming, general outpatient services, and unique methadone/buprenorphine or naltrexone treatment options. By employing research-backed methods such as the Matrix Model and Motivational Interviewing, Bridgeway Inc customizes its treatment approaches to meet the specific needs of each client. Notably, the center also features specialized programs designed for clients within the criminal justice system. Catering to both men and women, this facility emphasizes high-quality support for all individuals on their path to recovery.

Bridgeway Medical Center

Bridgeway Medical Center, situated in Salem, Oregon, specializes in treating substance use disorders alongside related mental health issues for both adults and children. The facility offers various programs, including intensive outpatient and standard outpatient options, and provides treatments such as methadone/buprenorphine and naltrexone. Employing different methodologies like 12-step facilitation, anger management techniques, and brief intervention strategies, Bridgeway Medical Center customizes its services to fit each person's unique requirements. Additionally, there are dedicated programs for adult women, individuals who have experienced trauma, and those facing dual diagnoses. Catering to both genders, the center focuses on offering gender-specific care. Bridgeway Medical Center is committed to providing exceptional, all-encompassing support to facilitate successful recovery paths.

Bridgeway Recovery Services MMW

Bridgeway Recovery Services MMW, located in Salem, OR, provides a full spectrum of detox services, available both in hospital inpatient and residential settings. Their expertise lies in utilizing 12-step facilitation, brief intervention, and motivational interviewing. The center serves adults and young adults across all genders. They offer tailored programs for individuals dealing with trauma, co-occurring mental health and addiction issues, and simultaneous pain and substance use disorders. Committed to personalized treatment and scientifically-backed methods, Bridgeway Recovery Services MMW is devoted to delivering excellent care to support clients on their path to sustained sobriety.

Bridge Behavioral Health

Bridge Behavioral Health, situated in Lincoln, NE, provides an extensive array of services aimed at aiding individuals in their journey toward recovery from substance use issues. The facility offers inpatient detoxification, long-term residential treatment, and targeted support for both substance use and mental health challenges in adults and youth. Emphasizing techniques like 12-step facilitation, anger management, and brief interventions, Bridge Behavioral Health customizes its programs to address the specific needs of men, women, and young adults. By offering gender-specific programs, the center is dedicated to delivering high-quality care and serves as an essential resource for effective rehabilitation support.

Bridge House Inc
New Orleans, LA

Situated in New Orleans, LA, Bridge House Inc delivers exceptional treatment for substance use and specialized support for adults dealing with concurrent mental health challenges. The center features various programs, including long-term, short-term, and round-the-clock residential care, all grounded in evidence-based methods such as 12-step facilitation, anger management, and cognitive behavioral therapy. Noteworthy are their offerings specifically designed for adult men and individuals who have faced trauma. Focusing on adult males, including seniors and young adults, Bridge House Inc fosters a nurturing atmosphere for those on their recovery journey. Their dedication to high-quality care and extensive services positions them as an excellent option for individuals seeking rehabilitation.

Bridge Counseling Associates

Bridge Counseling Associates in Las Vegas, NV provides targeted care for substance use issues and mental health disorders in both adults and children. The center features a range of programs, including intensive outpatient therapy, outpatient services, and treatments involving methadone, buprenorphine, or naltrexone. They employ evidence-driven techniques like anger management, brief interventions, and cognitive behavioral therapy. Bridge Counseling Associates offers customized programs for teenagers, individuals who have experienced trauma, and those facing dual diagnoses. Catering to adults and seniors of all genders, the center emphasizes high-quality treatment, prioritizing recovery and sustained wellness for individuals pursuing specialized addiction services.

Bridgeway Inc
Kewanee, IL

Bridgeway Inc in Kewanee, IL, provides extensive treatment for substance use disorders, catering to both adults and youth facing concurrent mental health challenges. The center features outpatient and day treatment programs, employing methods like anger management, brief interventions, and the Matrix Model. Notably, Bridgeway Inc offers tailored programs for clients involved in the criminal justice system, accommodating both men and women. Prioritizing high-quality care and personalized treatment strategies, this facility is a reputable option for individuals seeking reliable rehabilitation services in the Kewanee community.

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Bridge Back to Life Center Inc, situated in Brooklyn, NY, delivers a full spectrum of substance abuse recovery options for adults and older adults. This facility offers robust outpatient treatment, standard outpatient care, and outpatient detoxification, assisting those battling addiction and co-occurring mental health challenges. Unique offerings include specialized support for active military, teenagers, and adult men, incorporating techniques like 12-step facilitation, anger management, and brief interventions. Serving both genders, the center is dedicated to providing superior support to guide individuals toward a renewed and healthier existence.

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Bridge Back to Life Center Inc, located in Staten Island, NY, delivers a full spectrum of addiction recovery support tailored for diverse populations. Their dedicated programs cater to adults, older adults, active military personnel, teenagers, and men, along with specialized care for those facing combined substance use and mental health challenges. The center employs evidence-based methods such as 12-step program integration, anger management techniques, and short-term counseling. Offering intensive outpatient care, outpatient detoxification services, and general outpatient programs, they ensure adaptable and individualized treatment plans. Bridge Back to Life Center Inc is committed to delivering excellent care within a nurturing setting for individuals striving to conquer addiction.

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Bridge Counseling Associates in Las Vegas, NV, delivers a complete spectrum of addiction recovery support for individuals of all ages facing combined mental health challenges. Their offerings include intensive outpatient care, standard outpatient services, and specific medication-assisted treatment with methadone, buprenorphine, or naltrexone. The facility emphasizes techniques such as anger management, cognitive behavioral therapy, and brief intervention to provide individualized support. They also have dedicated programs for teenagers, those who have experienced trauma, and individuals with dual diagnoses. Bridge Counseling Associates welcomes adults and older adults, regardless of gender, to receive attentive and customized treatment.

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Bridges Healthcare Inc, located in Milford, CT, provides a wide array of services for individuals, both adults and children, facing substance use challenges alongside mental health concerns. The center specializes in various treatment formats, including intensive outpatient programs, standard outpatient services, and outpatient treatment using methadone/buprenorphine or naltrexone. With an emphasis on 12-step support, anger management, and short intervention strategies, this facility addresses the needs of adolescents and adult clients alike, including both men and women. Dedicated to offering personalized, high-quality care for adults and seniors, Bridges Healthcare Inc stands out as a leading option for those in search of effective addiction rehabilitation in the region.

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Monmouth, IL

Bridgeway Inc, located in Monmouth, IL, provides targeted outpatient services for individuals grappling with substance abuse and concurrent mental health issues, catering to both adults and children. Emphasizing evidence-driven techniques such as Motivational Interviewing and the Matrix Model, this center delivers thorough care customized for each person's requirements. The facility offers distinct programs for clients involved with the criminal justice system, ensuring they receive appropriate assistance. Serving a diverse clientele, Bridgeway Inc focuses on delivering high-quality care through short-term interventions and outpatient day programs. For anyone looking to find effective and tailored addiction treatment options in Monmouth, this center is committed to supporting a journey toward sustainable recovery.

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Situated in Lynn, MA, Bridgewell Counseling Service Lynn provides outpatient treatment for substance use, along with specialized support for those facing both substance-related challenges and significant mental health disorders. The center employs established methods including anger management, cognitive behavioral therapy, and counseling for substance use disorders as part of their regular outpatient care. Dedicated to personalized treatment, the facility serves adults and young adults of all genders. Bridgewell Counseling Service Lynn is distinguished by its custom-designed programs and dedication to offering comprehensive, effective rehabilitation services for individuals on their recovery path.

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North Adams, MA

Situated in North Adams, MA, the Brien Center delivers extensive treatment for substance use issues affecting both adults and children, including those dealing with concurrent mental health challenges. Their outpatient services feature tailored support for individuals who need methadone, buprenorphine, or naltrexone therapy. Employing proven strategies such as anger management, cognitive behavioral therapy, and the Matrix Model, the center serves adult males, females, and seniors. With an emphasis on high-quality care and individualized treatment approaches, the Brien Center creates a nurturing atmosphere for clients facing co-occurring disorders. Committed to fostering long-term recovery, the center offers specific programs catering to different age ranges and gender needs.

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Pittsfield, MA

The Brien Center, situated in Pittsfield, MA, delivers targeted support for substance misuse and co-occurring mental health conditions, catering to individuals of all ages. Their core offerings include intensive and standard outpatient services, alongside medication-assisted treatment options like methadone and buprenorphine. Employing proven therapeutic methods such as cognitive behavioral therapy and anger management, the center also features specialized tracks for adult men, adult women, and survivors of domestic abuse, ensuring personalized recovery plans. Open to all genders within the adult and young adult populations, the Brien Center stands as a reliable provider of complete recovery solutions in Pittsfield.

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Situated in Bayville, NJ, Bright Harbor Healthcare delivers a wide range of services for addiction recovery. This center focuses on detox and substance use treatment geared towards both adults and young adults. The offerings include intensive outpatient programs, outpatient services, and outpatient detox options. Employing evidence-based methods such as 12-step programs, cognitive behavioral therapy, and motivational interviewing, Bright Harbor Healthcare customizes care for clients dealing with both mental health and substance use issues, as well as those with a history of trauma. The center is open to all genders and fosters a welcoming and supportive atmosphere for those on their path to recovery.

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Walnut Creek, CA

Bright Heart Health, located in Walnut Creek, CA, specializes in outpatient detox services, treatment for substance use disorders, and personalized care for those facing both addiction and mental health issues. Their methodology includes techniques such as anger management, cognitive behavioral therapy, and brief therapeutic interventions. The center offers customized programs for men and women, as well as for individuals with dual diagnoses. Catering to adults and young adults of any gender, Bright Heart Health is dedicated to providing comprehensive care and assistance for those dealing with addiction and mental health difficulties. With options like outpatient methadone, buprenorphine, and naltrexone treatments, this center emphasizes a holistic approach and tailored treatment strategies.

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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