NWVCIL Logo
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.

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 6711 results

Adapt Integrated Healthcare

Integrated Healthcare in North Bend, OR, delivers personalized outpatient care for substance use disorders. They offer distinct programs for adult men, adult women, and individuals with trauma histories, fostering a nurturing setting for healing. Employing evidence-based methods such as cognitive behavioral therapy, motivational interviewing, and contingency management, the center prioritizes holistic recovery. Their services extend to both adults and young adults, accommodating both genders. This commitment to high-quality, individualized treatment establishes Integrated Healthcare as a crucial support for individuals pursuing successful addiction recovery in the North Bend region.

AdCare Hospital
Worcester, MA

Nestled in Worcester, MA, AdCare Hospital delivers a full spectrum of addiction recovery programs for adults and adolescents. They excel in medical detox, comprehensive substance abuse treatment, and care for dual diagnoses. This inpatient facility emphasizes 12-step integration, anger management techniques, and short-term intervention strategies. AdCare Hospital features distinct tracks for adult males, adult females, and those experiencing co-occurring conditions, addressing a variety of individual requirements. Their commitment to high-standard care and personalized recovery pathways positions them as a premier destination for those pursuing successful rehabilitation within a nurturing setting.

AdCare Rhode Island Inc
North Kingstown, RI

AdCare Rhode Island Inc., located in North Kingstown, RI, is dedicated to providing thorough addiction recovery solutions for adults and young adults. This facility offers extended stay residential care, inpatient detox, and round-the-clock residential treatment. Their programs are designed to address detoxification, the complexities of substance use, and the challenges of co-occurring mental health conditions. AdCare Rhode Island Inc. has tailored offerings for active military personnel, adult men, and adult women, demonstrating a commitment to personalized support. Employing strategies such as 12-step integration, emotional regulation techniques, and brief intervention methods, the center prioritizes customized care plans. Serving all genders, AdCare Rhode Island Inc. delivers effective, research-supported treatment for individuals striving to overcome addiction and concurrent mental health issues.

Addiction Alternatives for Opioid

Nestled in Tyler, TX, Addiction Alternatives for Opioid provides targeted outpatient care for those aiming for opioid detox and recovery. Their services include outpatient detox, medication-assisted treatment with methadone, buprenorphine, or naltrexone, and utilizes proven methods like brief intervention, CBT, and motivational interviewing. Tailored programs are available for adult men, adult women, and individuals affected by domestic violence. Catering to adults and young adults of all genders, the center is dedicated to personalized support and comprehensive healing.

Addiction Recovery Care (ARC)

Situated in Louisa, KY, Addiction Recovery Care (ARC) specializes in extensive treatment for substance use issues, catering to both adults and young adults. The center offers a range of services including intensive outpatient treatment, regular outpatient services, and outpatient day treatment or partial hospitalization. ARC's customized programs integrate 12-step guidance, anger management, and short intervention techniques. What differentiates this center is its commitment to personalized care, guaranteeing that every client gets focused support. With distinct programs designed for men and women, ARC aims to provide quality and effective treatment that assists individuals in their recovery process.

Adapt Integrated Healthcare

Adapt Integrated Healthcare, situated in Roseburg, OR, provides a comprehensive suite of empirically supported therapeutic interventions. This institution focuses on addressing addiction and co-occurring mental health conditions in both pediatric and adult populations. They offer various levels of care, including intensive outpatient and standard outpatient programs, and administer medication-assisted treatment such as methadone and buprenorphine. Their specialized therapeutic approaches encompass anger management, cognitive behavioral therapy, and brief intervention strategies. Adapt Integrated Healthcare welcomes adult men and women, including survivors of domestic abuse, and extends its services to young adults of any gender, fostering a nurturing setting for holistic recovery.

Adapt Integrated Healthcare

Adapt Integrated Healthcare, situated in Roseburg, Oregon, delivers a full spectrum of detox and addiction recovery services. They offer hospital-based inpatient detox, treatment, and round-the-clock support for adults and young adults. The center features tailored programs for active military members, as well as separate tracks for adult men and women, addressing a variety of circumstances. Employing methods like 12-step encouragement, emotional regulation techniques, and brief counseling, this establishment ensures individualized support. Adapt Integrated Healthcare is dedicated to providing effective, research-backed care for all clients, aiding their path to sustained wellness.

ADAPT MOTS only Madrone

Madrone, located in Roseburg, OR, delivers extensive treatment for substance abuse and is proficient in addressing co-occurring disorders among both adults and children. This center features adaptable outpatient options, which include intensive outpatient programs and medication-assisted treatment. Emphasizing tools such as 12-step facilitation, anger management, and short interventions, the facility customizes its approach to meet each person's specific needs. It also offers distinct programs for active military members, adult men and women, and services tailored for children and teenagers, ensuring focused care for every individual. With a strong commitment to high-quality treatment and a variety of specialized methods, Madrone is resolute in assisting individuals throughout their recovery process.

Addiction Recovery Care (ARC)

Addiction Recovery Care (ARC) is situated in Lexington, KY, and caters to the substance use recovery needs of both adults and young adults. The center offers a range of services, including intensive outpatient treatment, standard outpatient care, and partial hospitalization or day treatment. Emphasizing 12-step principles, anger management techniques, and short intervention strategies, ARC customizes its programs to fit each individual’s needs. With specialized programs for men and women, the facility fosters a nurturing environment for everyone. ARC is recognized for its dedication to high-quality care and personalized treatment plans, making it an exceptional option for individuals pursuing effective solutions for addiction recovery.

Addiction Recovery Care (ARC)

Addiction Recovery Care (ARC) in Louisville, KY, delivers targeted substance abuse recovery programs for adults and adolescents. Their extensive offerings encompass intensive outpatient care, standard outpatient services, and partial hospitalization. ARC employs scientifically proven methods, including 12-step integration, emotional regulation techniques, and short-term counseling. This facility is dedicated to providing personalized support for both men and women, ensuring a treatment plan designed for each person's unique journey toward sobriety. ARC distinguishes itself through its dedication to high-standard care and customized treatment paths, establishing it as a dependable option for individuals pursuing successful addiction rehabilitation.

Addiction Care Interventions

Addiction Care Interventions, situated in New York, NY, delivers extensive support for individuals struggling with substance abuse and co-occurring psychological conditions, encompassing adults and youth. The center offers specialized programs including intensive outpatient, standard outpatient, and outpatient detoxification services, all customized for each person's unique requirements. Emphasizing techniques like anger management, brief intervention strategies, and cognitive behavioral therapy, the center guarantees a highly individualized treatment experience. Distinct programs are available for teenagers, adult men, and adult women. Catering to adults and older adults across all genders, this establishment provides excellent care through a variety of proven therapeutic methods. Addiction Care Interventions is committed to guiding individuals toward sustained recovery and enhanced emotional health.

Addiction Care Interventions

Addiction Care Interventions in Brooklyn, NY, provides thorough addiction treatment options for adults and younger individuals. Their services include inpatient hospital detox, residential detox, and continuous 24-hour hospital inpatient care. Employing methods such as 12-step facilitation, anger management, and brief interventions, the center supports both male and female patients. They also offer specialized programs for adult men, adult women, and survivors of intimate partner violence. Renowned for its high standards of care and personalized treatment strategies, Addiction Care Interventions is a reliable destination for individuals pursuing successful and empathetic recovery from addiction.

Addiction Care Interventions

Addiction Care Interventions in Brooklyn, NY, provides tailored substance abuse rehabilitation for adults dealing with co-occurring mental health conditions or emotional challenges. Through its residential and short-term residential options, the center ensures continuous care within a nurturing setting. Employing strategies such as 12-step facilitation, anger management, and brief intervention, Addiction Care Interventions customizes therapeutic plans for each client. Distinctive programs are available for adult men and women, including those affected by intimate partner or domestic violence. Catering to adults and young adults across all genders, the facility is dedicated to delivering superior treatment and complete assistance for individuals striving to recover from addiction.

Addiction Institute at Mt Sinai West

The Addiction Institute at Mt Sinai West in New York, NY, provides hospital inpatient services for substance use detoxification and comprehensive treatment. This center offers round-the-clock care and is proficient in 12-step facilitation, brief intervention, and cognitive behavioral therapy. Catering to adults and young adults across all genders, the program emphasizes a customized, individual-focused approach to recovery. Their commitment to personalized attention helps ensure each person's unique needs are met throughout their healing process. For those looking for thorough addiction treatment within a nurturing setting, this institution delivers high-quality support to aid in achieving sobriety.

Addiction Medical Facility LLC

Addiction Medical Facility LLC, situated in Seaford, DE, delivers targeted care for individuals struggling with substance dependency and associated mental health challenges, serving both younger and adult populations. The facility features various levels of care, including intensive outpatient, standard outpatient, and medication-assisted treatment with methadone, buprenorphine, or naltrexone. Employing therapeutic strategies like anger management, brief intervention, and cognitive behavioral therapy, this center assists adult men and women, including those affected by intimate partner or domestic abuse. Addiction Medical Facility LLC is committed to providing comprehensive support and individualized recovery plans for adults and young adults of all gender identities.

Placeholder image
Jamestown, KY

The Adanta Group in Jamestown, KY, provides expert outpatient care for individuals of all ages struggling with substance use and related mental health conditions. This center prioritizes personalized treatment, offering options such as medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside routine outpatient counseling and dedicated support for pregnant and postpartum women. Employing proven therapeutic methods including anger management, cognitive behavioral therapy, and the Matrix Model, the Adanta Group serves a diverse clientele, from adults to seniors, across all genders. Its dedication to gender-sensitive services and customized recovery strategies makes it a leading destination for effective rehabilitation.

Placeholder image
Albany, KY

Adanta Group in Albany, KY, provides outpatient addiction services for adults and youth facing concurrent severe mental health conditions. Their specialized care includes programs for expectant and new mothers, incorporating techniques like anger management, cognitive behavioral therapy, and the Matrix Model. Patients can receive personalized outpatient care with methadone, buprenorphine, or naltrexone, alongside standard outpatient services. Adanta Group, catering to individuals of all ages and genders, emphasizes personalized approaches and proven therapeutic strategies to deliver complete assistance for recovery.

Placeholder image
Columbia, KY

Adanta Group, located in Columbia, KY, provides dedicated outpatient services for individuals facing substance abuse issues and concurrent significant mental health disorders in adults, as well as severe emotional challenges in children. The center offers treatment options that include outpatient methadone, buprenorphine, or naltrexone, alongside standard outpatient services. Emphasizing techniques like anger management, cognitive behavioral therapy, and the Matrix Model, this facility customizes its approach to meet the unique needs of each client. Additionally, there are specialized programs available for pregnant and postpartum women to ensure thorough support. Adanta Group caters to adults and seniors regardless of gender, creating a nurturing setting for those in need of high-quality rehabilitation care.

Placeholder image

Adapt Integrated Healthcare in Roseburg, OR, provides extensive substance abuse recovery options via personalized outpatient care. Their services include medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside standard outpatient therapy. They employ proven techniques like cognitive behavioral therapy, contingency management, and motivational interviewing. Specialized support is available for adult men, adult women, and individuals with trauma histories. Adapt Integrated Healthcare welcomes adults and young adults of all genders, offering dedicated and supportive addiction treatment in an affirming setting.

Placeholder image
Charlottesville, VA

Situated in Charlottesville, VA, Addiction Allies LLC delivers extensive treatment options for substance use disorders affecting both adults and children. This center specializes in detox services, as well as treatment for co-occurring mental health issues alongside substance use. Emphasizing intensive outpatient care and cognitive behavioral therapy, the facility also includes programs for anger management and brief intervention techniques. The customized programs are designed to meet the specific needs of clients of all genders, providing a personalized recovery experience. Clients can look forward to receiving exceptional care, whether they choose outpatient or day treatment options at Addiction Allies LLC.

Placeholder image

Addiction Allies LLC, situated in Lynchburg, VA, presents a wide array of services aimed at treating addiction. The facility includes detox programs, treatment for substance use disorders, and dedicated support for those facing both substance use challenges and significant mental health concerns. Available treatment modalities consist of intensive outpatient programs, general outpatient services, and detoxification in an outpatient setting. Emphasizing methods such as anger management, brief interventions, and cognitive behavioral therapy, the center customizes its treatment to meet the needs of each person. With a commitment to individualized care, Addiction Allies LLC supports adults, youth, and adolescents of all genders, striving to provide top-notch and effective recovery solutions for individuals battling addiction.

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 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)