MAT Clinics in Wyoming: Methadone, Suboxone & Vivitrol Treatment

Wyoming has no methadone OTP in the CMS Medicare provider list dated September 8, 2026, and Wyoming Prevention Depot also reports zero OTPs. This guide helps you explore local buprenorphine and naltrexone, telehealth, payment options and neighboring-state methadone care.

On this page — jump to a section
  1. Wyoming MAT at a Glance
  2. Get Help Finding a Clinic in Wyoming
  3. Find MAT Clinics by City in Wyoming
  4. MAT Treatment Options in Wyoming by Medication
  5. Methadone and OTP Rules for Wyoming Residents
  6. Paying for MAT in Wyoming
  7. Telehealth Suboxone in Wyoming
  8. Opioid Overdose in Wyoming: Why Access Matters
  9. Areas of Wyoming with Limited MAT Access
  10. Wyoming Resources and Helplines
  11. Medication Treatment for Different Needs in Wyoming
  12. How to Choose a MAT Clinic for Wyoming Residents
  13. FAQs About MAT Clinics in Wyoming
  14. Sources, Methodology and Editorial Standards
  15. MAT Clinics in Nearby States

Wyoming MAT at a Glance

0In-state methadone OTPsCMS, September 8, 2026; Wyoming Prevention Depot
NoACA Medicaid expansionKFF, October 2026
20.1 per 100,000Drug overdose death rate · 2024CDC NCHS via KFF; age-adjusted
10.4 per 100,000Opioid overdose death rate · 2024CDC NCHS via KFF
FreeNaloxone access locationsWyoming Department of Health, April 2026

What this means for you: Start with Wyoming buprenorphine or naltrexone options; methadone treatment requires an out-of-state OTP, with insurance and travel planning.

Get Help Finding a Clinic in Wyoming

Explore a treatment plan that fits your location

Wyoming residents can ask about office-based medication, telehealth and options across state lines. Share your city, insurance and medication questions to begin exploring care.

Call 1-(347) 591-7540
Your Information - Step 1 of 2

For an overdose or immediate danger, call 911. For mental health crisis support in the U.S., call or text 988. SAMHSA National Helpline: 1-800-662-4357.

MATClinicGuide.com provides education and treatment navigation, not medical treatment. This number reaches our navigation line, not a listed clinic. Calls may be answered by or routed to participating treatment providers or navigation partners. Confirm services directly with the clinic you choose.

Find MAT Clinics by City in Wyoming

Wyoming has no OTP in the CMS Medicare provider list dated September 8, 2026; Wyoming Prevention Depot also reports zero OTPs. The CMS file tracks Medicare-enrolled programs and is not, by itself, a complete certification registry.

No OTP in Wyoming: Routine outpatient methadone treatment for opioid use disorder is provided through a certified opioid treatment program. Wyoming residents seeking this treatment need to explore neighboring-state programs.

Wyoming city access options

These state guides are regional search starting points, not verified nearest clinics. Ask about actual provider availability, intake, travel and insurance before making arrangements.

CheyenneAsk about local buprenorphine, naltrexone and telehealth.

For methadone, explore Colorado or Nebraska.

LaramieAsk about local buprenorphine, naltrexone and telehealth.

For methadone, explore Colorado.

CasperAsk about local buprenorphine, naltrexone and telehealth.

For methadone, explore Colorado or South Dakota.

GilletteAsk about local buprenorphine, naltrexone and telehealth.

For methadone, explore South Dakota or Montana.

SheridanAsk about local buprenorphine, naltrexone and telehealth.

For methadone, explore Montana.

Rock Springs / Green River / EvanstonAsk about local buprenorphine, naltrexone and telehealth.

For methadone, explore Utah.

Jackson / Star ValleyAsk about local buprenorphine, naltrexone and telehealth.

For methadone, explore Idaho.

Suboxone, buprenorphine and Vivitrol providers in Wyoming

Wyoming buprenorphine providers may work in primary care, psychiatry or addiction medicine, and some offer telehealth. Use the Wyoming Department of Health treatment directories to explore care, or search FindTreatment.gov by ZIP code. The Substance Abuse and Mental Health Ombudsman offers free navigation help at (888) 857-1942.

Federal listing reference: September 8, 2026. Local appointments and medication services depend on the practice.

MAT Treatment Options in Wyoming by Medication

Buprenorphine and naltrexone are available in Wyoming, while ongoing outpatient methadone treatment requires an out-of-state OTP.

Methadone clinics in Wyoming: plan across state lines

Wyoming's zero-OTP situation makes travel part of planning for outpatient methadone care. An OTP provides medication and clinical monitoring; an ordinary pharmacy prescription is not the usual route for methadone treatment of opioid use disorder. Travel from Wyoming can involve frequent early dosing visits, so discuss work, childcare, transportation and dosing hours before selecting an out-of-state program.

For a Cheyenne or Laramie search, begin with the Colorado guide; western Wyoming residents can explore Utah or Idaho as appropriate to their location. Ask the receiving OTP about its own assessment and take-home process. Read more about methadone treatment and how an OTP works.

Suboxone doctors in Wyoming and office-based buprenorphine

Wyoming residents can explore office-based buprenorphine, including Suboxone and generic formulations, without attending a methadone OTP. Some Wyoming prescribers offer telehealth, which may help when an office is far from home. The prescriber still needs to assess whether the medication and visit format fit your circumstances.

Ask a Wyoming practice how it handles starting medication, follow-up appointments and pharmacy coordination. Check whether it accepts new patients and your insurance, and whether you need an in-person visit. The state treatment directory and Ombudsman can help you explore these questions. See our buprenorphine and Suboxone guide for a fuller explanation of treatment.

Long-acting buprenorphine: Sublocade and Brixadi

Wyoming residents interested in Sublocade or Brixadi should ask a buprenorphine prescriber about long-acting injectable treatment. These medicines are given by a healthcare professional; a telehealth appointment does not replace the injection visit.

For rural Wyoming residents, an injection schedule may be worth discussing alongside travel for follow-up care. Read the Sublocade overview before discussing the options with your clinician.

Vivitrol in Wyoming: naltrexone treatment

Naltrexone is another medication option in Wyoming; Vivitrol is its extended-release injectable form. It works differently from methadone and buprenorphine and requires an opioid-free period before starting. Beginning naltrexone too soon after opioid use can cause severe withdrawal, so a clinician must assess readiness rather than relying on a self-chosen waiting period.

Ask a Wyoming provider whether it offers oral naltrexone, injectable naltrexone or both, and where injections take place. Our naltrexone and Vivitrol guide explains the main questions to bring to an appointment.

MedicationWhere you receive itVisits at the startWyoming Medicaid
Methadone for OUDOut-of-state certified OTPOften frequent; OTP sets the scheduleFederal MAT benefit; out-of-state payment must be confirmed
Buprenorphine / SuboxoneWyoming office-based care; telehealth may be possiblePrescriber sets assessment and follow-upWithin federal MAT benefit; check product and provider requirements
Sublocade / BrixadiHealthcare professional administering injectionsProduct-specific initiation and injection visitsAsk about the specific product and administration benefit
Naltrexone / VivitrolWyoming prescribing or injection practiceAssessment, opioid-free period and follow-upWithin federal MAT benefit; check formulation requirements

Federal coverage requirements do not establish that a particular Wyoming practice offers a medicine or that every brand is paid without authorization. Compare the medications for opioid use disorder; MAT and MOUD are explained in our terminology guide.

Methadone and OTP Rules for Wyoming Residents

Wyoming residents seeking routine outpatient methadone treatment for OUD must arrange care with an out-of-state OTP because Wyoming has no in-state program listed in the state resources cited here. The receiving program follows federal standards and its own state's requirements.

Plan with the receiving OTP: Ask about intake documents, dosing hours, guest dosing, transfers and take-home eligibility before traveling. Federal take-home standards changed in 2024, but the clinician decides what is appropriate.

Start with the neighboring-state guides below, then discuss the full travel and payment plan with the clinic. Do not assume that changing states will preserve a current dosing schedule without coordination.

Paying for MAT in Wyoming

Wyoming has not adopted ACA Medicaid expansion, according to KFF's October 2026 status table. Payment planning matters because low income alone may not make an adult eligible for Wyoming Medicaid.

Wyoming Medicaid and MAT coverage

Wyoming Medicaid, also known as EqualityCare, operates within the federal Medicaid MAT benefit under Social Security Act section 1905(a)(29).

When searching for MAT clinics that accept Medicaid in Wyoming, ask both the clinic and Medicaid about the exact medicine, formulation and visit. For a methadone OTP across the state line, establish whether Wyoming Medicaid can pay that specific program before relying on coverage.

ServiceCoverage frameworkQuestions for Wyoming residents
Methadone for OUDIncluded in the federal Medicaid MAT benefitWhich out-of-state OTP, if any, can bill Wyoming Medicaid for my care?
BuprenorphineIncluded in the federal Medicaid MAT benefitDoes this prescriber participate, and does this formulation need authorization?
NaltrexoneIncluded in the federal Medicaid MAT benefitAre the medication and injection visit billed separately?

Medicare

Wyoming residents with Medicare can explore the Part B OTP benefit for eligible services at a participating out-of-state program. Outpatient prescription buprenorphine or naltrexone may fall under Part D, depending on the medicine and how it is dispensed; clinician-administered medicines may have different billing.

Private insurance

For Wyoming private insurance, check the prescriber, pharmacy, injection service and out-of-state network separately. Mental health and substance use parity protections do not mean every medication or clinic is covered.

No insurance: state-funded care and sliding fees

Uninsured Wyoming residents can call the Ombudsman at (888) 857-1942 about state-funded community mental health and substance use treatment. Ask Wyoming buprenorphine prescribers about self-pay prices or sliding fees, and explore HealthCare.gov marketplace plans. People who are pregnant, a parent or caretaker, disabled, or 65 or older should still explore Medicaid eligibility.

There are no in-state free methadone clinics in Wyoming in the OTP sources used here. For treatment across a border, ask the receiving program about self-pay and financial assistance rather than assuming treatment is free.

Review MAT insurance coverage, questions for verifying benefits and cost and insurance planning.

Discuss your Wyoming payment questions

Ask about treatment navigation while you check benefits with your insurer and the practice.

Call 1-(347) 591-7540

Telehealth Suboxone in Wyoming

Some Wyoming buprenorphine prescribers offer telehealth, which may reduce the need to travel for every appointment. Federal DEA/HHS controlled-medication telemedicine flexibilities extend through December 31, 2026, subject to their conditions.

Policy checked: October 2026. Wyoming requirements, clinician licensing and clinical judgment also apply. Rules can change; ask the prescriber which remote and in-person visits your care requires.

For telehealth Suboxone in Wyoming, discuss where you will physically be during appointments and which pharmacy will fill the prescription. A Wyoming telehealth visit does not provide a methadone supply outside an OTP, and injectable buprenorphine or Vivitrol still requires an administration visit. Read our telehealth MAT guide to prepare for a consultation.

Opioid Overdose in Wyoming: Why Access Matters

Wyoming recorded 120 drug overdose deaths in 2024, compared with 135 in 2023, according to CDC NCHS data reported by KFF. Wyoming’s age-adjusted all-drug overdose death rate rose from 14.1 per 100,000 in 2019 to 23.7 in 2023, then fell to 20.1 in 2024.

Wyoming's 2024 all-drug rate was below the national rate of 23.1 per 100,000. Wyoming’s opioid overdose rate was 10.4, compared with 16.0 nationally, according to the same CDC NCHS/KFF sources. These statewide figures do not describe any one person's risk or the availability of care in their community.

Wyoming drug overdose deaths: age-adjusted rate per 100,000, all drugs. Source: CDC NCHS via KFF.

2019
14.1
2020
17.4
2021
18.9
2022
21.9
2023
23.7
2024
20.1
YearWyoming: all-drug rateWyoming: opioid rate
201914.18.3
202017.410.6
202118.912.4
202221.914.4
202323.715.0
202420.110.4

Rates are per 100,000 population. All-drug rates are age-adjusted; drug and opioid series are distinct measures. Source: CDC NCHS via KFF State Health Facts, 2019–2024.

Wyoming's free naloxone resources and medication access can be part of practical overdose prevention. See opioid overdose response and naloxone for more education.

Areas of Wyoming with Limited MAT Access

Wyoming's lack of an in-state OTP affects every region, while office-based buprenorphine, naltrexone and some telehealth services provide other paths to explore. The neighboring-state suggestions below are regional starting points; check actual distance, intake and payment with a program before travel.

Southeast Wyoming

Communities: Cheyenne, Laramie, Torrington and Wheatland. Use the Wyoming treatment directory to explore office-based medication near home, with telehealth where appropriate.

Methadone search: See Colorado and Nebraska.

Central Wyoming

Communities: Casper, Douglas, Riverton and Lander. Discuss buprenorphine or naltrexone locally and ask how remote follow-up could fit your travel needs.

Methadone search: See Colorado and South Dakota.

Northeast Wyoming

Communities: Gillette, Sheridan, Buffalo and Newcastle. Ask Wyoming providers about medication visits and locate naloxone through the state resource tool.

Methadone search: See South Dakota and Montana.

Northwest Wyoming and the Big Horn Basin

Communities: Cody, Powell and Worland. Ask the Ombudsman for help exploring treatment resources and whether a Wyoming telehealth practice serves your location.

Methadone search: See Montana.

Southwest Wyoming

Communities: Rock Springs, Green River, Evanston and Kemmerer. Explore Wyoming office-based care while comparing the practical demands of cross-border methadone treatment.

Methadone search: See Utah.

Teton region

Communities: Jackson and Star Valley / Afton. Ask about Wyoming buprenorphine care, naltrexone appointments and remote visits, depending on your clinical needs.

Methadone search: See Idaho.

Wind River Reservation

People on the Wind River Reservation can ask their usual health service or the Wyoming Ombudsman for help exploring medication treatment and referrals. Discuss where prescribing and follow-up would happen, without assuming a particular local program offers MOUD.

Wyoming Resources and Helplines

The Wyoming Department of Health and the Substance Abuse and Mental Health Ombudsman provide starting points for treatment navigation. The Ombudsman's resource-navigation help is free.

Wyoming Department of Health

Behavioral Health Division, Mental Health and Substance Use Treatment Services

122 West 25th Street, Herschler Bldg 2W, Suite B
Cheyenne, WY 82002

(307) 777-6494
(800) 535-4006

Explore Wyoming treatment resources

Free navigation help

Substance Abuse and Mental Health Ombudsman

(307) 638-5519
(888) 857-1942

Ask about resources, access concerns and advocacy.

Free naloxone locations

Wyoming's Community Naloxone Resource Map launched in April 2026 to help people locate naloxone at no cost.

Find the state naloxone resource tool

Naloxone access in Wyoming

Wyoming pharmacists can prescribe or dispense naloxone, and Narcan nasal spray is also sold over the counter. The state resource tool identifies places offering free supplies; ask the location about current availability. Naloxone reverses opioid overdose and does not replace ongoing OUD treatment.

Wyoming overdose reporting protections

Wyoming's W.S. 35-7-1064, effective July 1, 2025, provides limited immunity for specified possession and use offenses when its conditions are met. Those conditions include giving the location, remaining for responders and cooperating. Protections have limits and do not cover every offense; read the enrolled law for details.

Medication Treatment for Different Needs in Wyoming

Wyoming's treatment directory and Ombudsman can help people explore services suited to pregnancy, age, military history or a transition out of custody.

Pregnant and postpartum people

In Wyoming, ask your prenatal clinician to coordinate OUD care with a medication prescriber. Do not stop prescribed OUD medication on your own. If methadone is part of the plan, discuss travel to an out-of-state OTP alongside prenatal and postpartum appointments. Pregnancy may also affect Wyoming Medicaid eligibility, so explore coverage rather than assuming you cannot qualify.

Veterans

Wyoming veterans can ask their usual VA care team which OUD treatment options and referrals are appropriate. If the plan includes an out-of-state OTP, ask who will coordinate the referral, follow-up and travel-related needs.

Adolescents and young adults

Wyoming families should ask a prospective practice which ages it treats and how it handles consent, privacy and medication assessment. The Ombudsman can help families explore resources without assuming every adult practice treats younger people. Our guide to supporting a loved one offers practical conversation tips.

People leaving jail or prison

Wyoming residents leaving custody should ask the healthcare and discharge teams to coordinate medication continuity, records and the next appointment. If ongoing methadone care requires an out-of-state program, make that connection part of discharge planning rather than leaving the travel arrangements until the medication supply ends.

Rural residents

For rural Wyoming residents, compare how often each option requires travel, including injection appointments and pharmacy visits. Ask whether a Wyoming telehealth prescriber can handle some follow-up remotely and what happens if internet access fails. The Ombudsman and state treatment directory can help you explore options while you plan a schedule you can attend.

How to Choose a MAT Clinic for Wyoming Residents

For Wyoming residents, a useful first choice is whether to explore local prescribing, telehealth or an out-of-state methadone program.

Questions for an out-of-state methadone clinic

  • Does your OTP accept new patients who live in Wyoming?
  • Which documents should a Wyoming resident bring to intake?
  • What dosing and assessment visits would my travel plan need to support?
  • How do you handle guest dosing, transfers and take-home decisions?
  • Can you bill my Wyoming insurance, and what would self-pay include?

Questions for a Wyoming buprenorphine provider

  • Are you accepting Wyoming patients for buprenorphine treatment?
  • Do you offer telehealth when I am physically in Wyoming?
  • How are starting medication, pharmacy access and follow-up arranged?
  • Do you administer injectable medication, or refer Wyoming patients elsewhere?
  • What are the visit and medication charges under my Wyoming coverage?

What happens at the first visit?

  1. Discuss your goals: Tell the clinician about opioid use, prescribed medicines, health conditions and your Wyoming location.
  2. Review options: Compare the clinical assessment with what you can access locally or across Wyoming's borders.
  3. Make a follow-up plan: Establish medication arrangements, payment, travel and who to contact between visits.

Ask your Wyoming clinician about treatment duration and the role of counseling alongside medication. Counseling can support care; it should not be framed as a prerequisite to seeking medication.

Red flags: Be cautious about guaranteed results, unexplained large upfront payments, or pressure to accept counseling-only care without a discussion of medication options.

Need help choosing your next step?

Discuss Wyoming treatment navigation before you contact a prescriber or out-of-state program.

Call 1-(347) 591-7540

FAQs About MAT Clinics in Wyoming

Is there a methadone clinic in Wyoming?

Wyoming has no OTP in the CMS Medicare provider list dated September 8, 2026, and Wyoming Prevention Depot reports zero OTPs. For routine outpatient methadone treatment of opioid use disorder, residents need to explore a certified program in a neighboring state. Compare the regional guides above and discuss intake, travel and payment with the receiving clinic.

How can I find Suboxone doctors in Wyoming?

Start with the Wyoming Department of Health treatment directories or ask the Substance Abuse and Mental Health Ombudsman at (888) 857-1942 for free navigation help. Ask a practice whether it prescribes buprenorphine, accepts new patients and takes your insurance. Some Wyoming prescribers offer telehealth, while others require office visits for some or all care.

Does Wyoming Medicaid cover Suboxone and other OUD medications?

The federal Medicaid MAT benefit includes buprenorphine, methadone and naltrexone for opioid use disorder. Wyoming Medicaid eligibility and provider participation still matter, and product-specific requirements may apply. For Suboxone, ask about the prescribed formulation and pharmacy. For methadone, do not assume Wyoming Medicaid will pay an out-of-state OTP; check that specific arrangement first.

Are there free methadone clinics in Wyoming?

There are no in-state methadone OTPs in the Wyoming sources cited here, so there is no in-state OTP to identify as a free clinic. Ask an out-of-state program about financial assistance, insurance and self-pay. For help exploring affordable Wyoming treatment alternatives, contact the Ombudsman and ask about state-funded community substance use services.

Can I get Suboxone through telehealth in Wyoming?

Some Wyoming buprenorphine prescribers offer telehealth. Federal DEA/HHS controlled-medication telemedicine flexibilities extend through December 31, 2026, subject to their conditions; state rules, licensing and clinical assessment also apply. Ask the prescriber what visits are required, where you must be located during appointments and how prescriptions will reach your pharmacy. Telehealth does not guarantee a prescription.

Can I get Vivitrol or injectable buprenorphine in Wyoming?

Naltrexone and buprenorphine are Wyoming treatment options, but ask the practice about specific injectable products such as Vivitrol, Sublocade or Brixadi. These medicines require a healthcare professional to give the injection. Discuss clinical eligibility, local availability, administration visits and insurance. Naltrexone also requires an opioid-free period that your clinician must assess.

Where can I get free naloxone in Wyoming?

The Wyoming Department of Health launched its Community Naloxone Resource Map in April 2026 to help residents find locations offering naloxone at no cost. Use the state resource link above to explore options and contact a location about supplies. Naloxone reverses opioid overdose; it is different from buprenorphine, methadone and naltrexone used in ongoing OUD care.

What if I do not qualify for Wyoming Medicaid?

Wyoming has not adopted ACA Medicaid expansion, so some low-income adults may not qualify. Ask the Ombudsman about state-funded treatment, ask prescribers about sliding fees and explore HealthCare.gov marketplace coverage. Still consider applying for Wyoming Medicaid if you are pregnant, a parent or caretaker, disabled, or 65 or older, because different eligibility pathways may apply.

Where should Wyoming residents look for out-of-state methadone treatment?

Use your Wyoming location to choose a regional starting point: Colorado or Nebraska from the southeast, Colorado or South Dakota from central Wyoming, South Dakota or Montana from the northeast, Montana from the northwest, Utah from the southwest, and Idaho from the Teton region. These are search directions, not confirmed nearest clinics or promises of admission.

Who can help me navigate Wyoming treatment resources?

The Substance Abuse and Mental Health Ombudsman offers free help navigating Wyoming resources and advocacy concerns at (307) 638-5519 or (888) 857-1942. The Wyoming Department of Health also maintains treatment directories. These resources can help you explore options, but the treating clinician decides which medication and care setting fit your health needs.

Sources, Methodology and Editorial Standards

  1. CMS Medicare Opioid Treatment Program Providers — reference file dated September 8, 2026
  2. Wyoming Prevention Depot — medication-assisted treatment and zero-OTP statement; accessed October 2026
  3. Wyoming Department of Health — treatment directories, agency contacts and Ombudsman; accessed October 2026
  4. Wyoming Department of Health — Community Naloxone Resource Map announcement, April 20, 2026
  5. Wyoming SF0074, Enrolled Act 63 — W.S. 35-7-1064; effective July 1, 2025
  6. KFF — Medicaid expansion status, October 2026
  7. CDC NCHS via KFF — drug overdose deaths and rates, 2019–2024
  8. CDC NCHS via KFF — opioid overdose death rates, 2019–2024

Federal policy references: Social Security Act section 1905(a)(29) for Medicaid MAT coverage; DEA/HHS Fourth Temporary Extension for controlled-medication telemedicine through December 31, 2026; and federal OTP take-home standards updated in 2024.

This Wyoming guide combines the CMS Medicare-enrolled OTP reference dated September 8, 2026 with Wyoming public treatment resources and dated health statistics. CMS enrollment is different from SAMHSA certification; the state-specific zero-OTP statement is also supported by Wyoming Prevention Depot. MATClinicGuide.com does not own or operate any clinic.

Medical disclaimer: This educational guide does not diagnose, prescribe or recommend an individual treatment plan. A qualified clinician should assess medication choice, starting treatment and changes to existing care.

Referral disclosure: MATClinicGuide.com is an educational and treatment-navigation resource, not a treatment provider. Our call button reaches MATClinicGuide's treatment-navigation line rather than a clinic in this guide. Calls may be answered by, or routed to, participating treatment providers or navigation partners. Confirm treatment, payment and availability directly with any clinic. For an emergency, call 911; for a U.S. mental health crisis, call or text 988.

Read our editorial policy, medical disclaimer and advertising and referral disclosure.

MAT Clinics in Nearby States

Wyoming residents can explore neighboring-state guides when planning methadone care or comparing treatment resources across a border.

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