MAT Clinics in New Hampshire: Methadone, Suboxone & Vivitrol Treatment
Explore medication assisted treatment in New Hampshire, compare treatment choices and find local contacts. The September 2026 CMS list includes 9 Medicare-enrolled methadone OTP locations in 8 communities; New Hampshire’s nine Doorway hubs can also help people navigate care through 2-1-1.
On this page — jump to a section
- New Hampshire MAT at a Glance
- Get Help Finding a Clinic
- MAT Clinics by City
- Treatment by Medication
- Methadone Clinic Rules
- Paying for MAT
- Telehealth MAT
- Overdose and Access
- Limited-Access Areas
- Resources and Helplines
- Special Populations
- Choosing a Clinic
- Frequently Asked Questions
- Sources and Editorial Standards
- Nearby States
New Hampshire MAT at a Glance
What this means for you: Even if no methadone OTP is listed in your county, The Doorway can help you explore medication treatment and nearby services.
Get Help Finding a Clinic in New Hampshire
Not sure where to begin?
Call 2-1-1 any time to reach New Hampshire’s The Doorway network of nine regional hubs. You can also call our treatment-navigation line or send a private inquiry below.
Call 1-(347) 591-7540For an overdose or immediate danger, call 911. For mental health crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide is a treatment-navigation resource, not a provider. Our line is separate from listed clinics and may route calls to participating providers or navigation partners.
Find MAT Clinics by City in New Hampshire
The CMS file dated September 8, 2026 lists nine Medicare-enrolled opioid treatment programs across eight New Hampshire communities. Manchester has two listed locations; the other listed communities have one each. These are OTP locations, not a count of every office prescribing buprenorphine.
Top cities for methadone clinics
New Hampshire methadone OTP directory: 8 communities
Concord — 1 OTP
Metro Treatment of New Hampshire SAMHSA-certified OTP
100 Hall St, Concord, NH 03301-3408
Franklin — 1 OTP
Metro Treatment of New Hampshire SAMHSA-certified OTP
880 Central St, Ste 10, Franklin, NH 03235-2040
Hudson — 1 OTP
Merrimack River Medical Services SAMHSA-certified OTP
323 Derry Rd, Hudson, NH 03051-3020
Manchester — 2 OTPs
Metro Treatment of New Hampshire SAMHSA-certified OTP
865 2nd St, Ste 1B, Manchester, NH 03102-5265
Newington — 1 OTP
Merrimack River Medical Services SAMHSA-certified OTP
177 Shattuck Way, Newington, NH 03801
Somersworth — 1 OTP
Merrimack River Medical Services SAMHSA-certified OTP
200 Route 108, Somersworth, NH 03878-1106
Swanzey — 1 OTP
Metro Treatment of New Hampshire SAMHSA-certified OTP
1076 W Swanzey Rd, Swanzey, NH 03446-3219
West Lebanon — 1 OTP
Habit OpCo SAMHSA-certified OTP
254 Plainfield Rd, West Lebanon, NH 03784-2001
Suboxone, buprenorphine and Vivitrol providers in New Hampshire
Office-based Suboxone doctors in New Hampshire may work in primary-care, psychiatry or addiction-medicine settings. For buprenorphine providers in New Hampshire and Vivitrol treatment, search FindTreatment.gov by ZIP code. The Doorway network can also guide you from Berlin, Concord, Dover, Keene, Laconia, Lebanon, Littleton, Manchester or Nashua.
Listings reflect the CMS Medicare OTP file dated September 8, 2026. Confirm clinic intake, hours, services and insurance directly.
MAT Treatment Options in New Hampshire by Medication
Methadone clinics in New Hampshire
New Hampshire has nine CMS-listed methadone OTP locations in eight communities, with two in Manchester and one each in Concord, Franklin, Hudson, Newington, Somersworth, Swanzey and West Lebanon. Methadone for OUD is provided through certified OTPs, and treatment may begin with frequent visits and supervised dosing. A clinician determines dosing and any take-home schedule. If the nearest listed site is far away, ask The Doorway through 2-1-1 about intake, other programs and transportation planning. Learn about methadone treatment and how OTPs work.
Buprenorphine and Suboxone treatment
Buprenorphine, including Suboxone and generics, can be prescribed by qualified clinicians in outpatient practices and other settings. New Hampshire residents may begin a provider search through The Doorway or FindTreatment.gov. The federal X-waiver requirement ended in 2023, but prescribers still follow applicable licensing and prescribing rules. Ask about insurance, appointment format, pharmacy availability and follow-up visits. Read the buprenorphine and Suboxone guide or compare MAT and MOUD terminology.
Long-acting buprenorphine injections: Sublocade and Brixadi
Monthly or weekly long-acting injectable buprenorphine may be an option after a clinician reviews treatment needs and product-specific starting requirements. Sublocade and Brixadi are given by qualified healthcare professionals rather than taken home as daily tablets or films. Availability differs by practice and payer; ask providers serving your New Hampshire community whether they offer either medicine and how authorization is handled. The Doorway can help identify treatment services without requiring you to know which medication is right before calling. Explore Sublocade treatment information and discuss choices with a clinician.
Naltrexone and Vivitrol in New Hampshire
Extended-release naltrexone (Vivitrol) is a non-opioid medication given by injection, generally monthly, for selected people with OUD. A person usually needs an opioid-free period first to avoid precipitated withdrawal, and a clinician must assess whether it is safe and appropriate. New Hampshire Medicaid covers medications for OUD under the federal Medicaid benefit, though plan and service details should be checked. The Doorway network can help locate addiction treatment in your area. See the Vivitrol and naltrexone guide and information about counseling and medication.
| Medication | Where you get it in New Hampshire | Visits at start | New Hampshire Medicaid |
|---|---|---|---|
| Methadone | Certified OTP | Often frequent supervised dosing | Covered for OUD |
| Buprenorphine / Suboxone | Qualified prescribing clinician and pharmacy | Clinician-dependent follow-up | Covered for OUD |
| Sublocade / Brixadi | Healthcare professional administering injection | Product-specific schedule | Buprenorphine covered; check product details |
| Naltrexone / Vivitrol | Qualified treatment practice | Assessment plus injection schedule | Covered for OUD |
Methadone (OTP) Rules in New Hampshire
New Hampshire licenses opioid treatment programs, and OTPs also follow federal SAMHSA and DEA requirements under 42 CFR Part 8. The CMS list identifies nine Medicare-enrolled locations, but a license or listing by itself does not tell you when intake appointments are available. When you contact a clinic, ask about assessment, identification, medical history, medications, payment and when a clinician could review dosing.
Intake, take-home medication and transfers
A methadone OTP generally evaluates medical and substance-use history before starting medication. Federal OTP regulations updated in 2024 allow greater clinical flexibility in certain take-home decisions; the treatment team assesses safety and applicable New Hampshire requirements. If you travel, change cities or already receive methadone elsewhere, ask about guest dosing or transferring before your next dose is due. The clinics in Manchester, Concord and West Lebanon may be useful initial contacts depending on where you live.
Paying for MAT in New Hampshire
MAT clinics that accept Medicaid in New Hampshire
New Hampshire Medicaid covers methadone, buprenorphine and naltrexone treatment for opioid use disorder under the federal Medicaid OUD medication benefit. The state expanded Medicaid on August 15, 2014, according to KFF. The plan, medication formulation, prescriber and service type can affect billing and authorization, so ask the clinic which Medicaid arrangements it accepts. Check the New Hampshire Medicaid program website for program information.
| Service | Covered | Notes |
|---|---|---|
| Methadone for OUD | Yes | Federal Medicaid MOUD benefit; coordinate with an OTP |
| Buprenorphine for OUD | Yes | Check formulation and dispensing details |
| Naltrexone for OUD | Yes | Check formulation and administration details |
Medicare
Medicare Part B has an opioid treatment program benefit for eligible services at enrolled OTPs. Medicare Part D may pay for covered outpatient prescriptions such as take-home buprenorphine or naltrexone, subject to plan rules. The September 2026 CMS directory is useful for identifying Medicare-enrolled New Hampshire OTP locations, not for determining a specific person’s benefit or deductible.
Private health insurance
Commercial insurance may cover MOUD and related services, though network status, pharmacy benefits and patient cost-sharing can differ. New Hampshire patients comparing Manchester or other local programs can ask whether the clinic is in network, whether visits and medication are billed separately and whether a referral is needed. Parity protections do not guarantee a specific drug or clinician is covered.
No insurance: are there free methadone clinics in New Hampshire?
The Doorway helps New Hampshire residents connect with treatment regardless of insurance status; call 2-1-1 to ask about financial-assistance options and appropriate referrals. Free methadone services or zero-cost admission should not be assumed. Ask the facility to explain any sliding-scale fees, public funding eligibility or assistance before treatment starts. Learn more about insurance coverage, MAT costs and verifying your benefits.
Need help understanding New Hampshire coverage?
Ask our navigation team about next steps and questions to bring to a treatment center.
Call 1-(347) 591-7540This connects to MATClinicGuide’s navigation line, not a listed clinic. Calls may be answered by or routed to participating providers or navigation partners.
Telehealth MAT in New Hampshire
Telehealth Suboxone in New Hampshire may be an option when a qualified prescriber and the patient meet applicable federal and state requirements. Federal DEA/HHS telemedicine flexibilities for certain controlled-medication prescribing extend through December 31, 2026; rules may change afterward. Remote assessment does not make every visit, prescription or pharmacy fill available online. Methadone for OUD remains dispensed through certified OTPs, even when some parts of care use telehealth.
People living far from OTP communities, including Carroll or Coös counties, can ask The Doorway about office-based buprenorphine and remote visits where available. Review telehealth MAT options before contacting a provider.
Opioid Overdose in New Hampshire: Why Access Matters
New Hampshire recorded 293 drug overdose deaths in 2024, down from 486 in 2022, according to CDC NCHS data presented by KFF. The age-adjusted all-drug overdose death rate fell from 36.0 per 100,000 in 2022 to 21.6 in 2024. This progress matters, but opioid-involved overdose remains a major reason to keep treatment and overdose-reversal medication accessible.
| Year | All-drug rate / 100,000 | Opioid rate / 100,000 |
|---|---|---|
| 2019 | 32.0 | 29.1 |
| 2020 | 30.3 | 26.9 |
| 2021 | 32.3 | 28.4 |
| 2022 | 36.0 | 32.1 |
| 2023 | 32.7 | 30.2 |
| 2024 | 21.6 | 18.7 |
In 2024, New Hampshire’s all-drug rate of 21.6 was below the national 23.1, while its opioid-specific rate of 18.7 remained above the national 16.0 (CDC NCHS via KFF). Treatment access and overdose prevention remain important even as statewide rates decline. Learn about naloxone and overdose response.
Areas of New Hampshire with Limited MAT Access
The September 2026 CMS list places methadone OTPs in six of New Hampshire’s ten counties; Belknap, Carroll, Coös and Sullivan have none listed. Suggested destinations below are starting points rather than confirmed closest clinics: check practical travel time and call before making a trip. The Doorway, office-based buprenorphine and telehealth may offer additional routes to care.
Coös County — North Country
Berlin, Colebrook and Lancaster; The Doorway hub is in Berlin.
Nearest OTP cities to explore: West Lebanon or Franklin.
Carroll County
Conway and Wolfeboro.
Nearest OTP cities to explore: Somersworth or Franklin.
Belknap County — Lakes Region
Laconia; The Doorway hub is in Laconia.
Nearest OTP cities to explore: Franklin or Concord.
Sullivan County
Claremont and Newport.
Nearest OTP cities to explore: West Lebanon or Swanzey.
Northern Grafton County
Littleton and Plymouth; The Doorway hub is in Littleton.
Nearest OTP cities to explore: West Lebanon.
New Hampshire Resources and Helplines
The New Hampshire Department of Health and Human Services (DHHS), Bureau of Drug and Alcohol Services, coordinates statewide substance-use resources. The Doorway’s nine hubs provide access points for screening, evaluation, treatment navigation, peer recovery support and related assistance. Call 2-1-1 for a connection at any hour.
NH DHHS — Bureau of Drug and Alcohol Services
The Doorway
Nine hubs: Berlin, Concord, Dover, Keene, Laconia, Lebanon, Littleton, Manchester and Nashua. Find a hub.
2-1-1 New Hampshire
24/7 treatment-navigation connection to The Doorway and local services. Dial 2-1-1.
Overdose prevention
New Hampshire standing orders allow pharmacies to provide naloxone and nalmefene without an individual prescription; NaloxBoxes have been placed statewide.
Naloxone access and the Good Samaritan law
NH DHHS announced expanded overdose-reversal access in January 2024. Pharmacies may dispense naloxone or nalmefene under statewide standing orders to people at risk and those who may help in an emergency; nalmefene is available at no cost to NH Medicaid beneficiaries. Naloxone is also sold over the counter. State-supported public NaloxBoxes have been placed since 2023, with nearly $3 million in State Opioid Response support.
New Hampshire RSA 318-B:28-b offers specified protections to people seeking emergency help during a drug or alcohol overdose, including protection tied to possession in qualifying circumstances. These protections do not extend to every offense, including drug dealing or supplying alcohol to minors. Call 911 during a suspected overdose.
MAT Treatment Considerations for Special Populations
Pregnant and postpartum people
Pregnant or postpartum people in New Hampshire who have opioid use disorder can ask an obstetric clinician and an addiction-treatment specialist about evidence-based medication care. Methadone and buprenorphine are commonly considered in this setting, with decisions individualized to medical needs. The Doorway’s Concord, Manchester, Nashua and other regional hubs can help connect callers with local treatment services. Do not stop or change a prescribed medication without discussing it with your treatment team.
Veterans
Veterans living in New Hampshire can ask their VA care team about medication treatment for OUD or referrals to community providers. The CMS-listed clinics in Manchester, Concord and West Lebanon are possible local starting points for discussing access, but a directory listing does not establish VA network participation. The Doorway is another statewide navigation option through 2-1-1. Ask about care coordination and whether any proposed treatment fits existing prescriptions and health conditions.
Adolescents and young adults
Young people in New Hampshire should receive an age-appropriate clinical assessment, including careful discussion of medication eligibility and family involvement when suitable. The Doorway can help identify services across its nine hub cities. New Hampshire’s Good Samaritan overdose protections also address qualifying alcohol-overdose emergencies, which can matter when an underage person needs urgent help. Emergencies require calling 911 rather than attempting to manage a suspected overdose alone.
People leaving jail or prison
Someone leaving a New Hampshire correctional facility may need to arrange a timely connection to outpatient treatment, especially if already receiving medication for OUD. A discharge planner, The Doorway or a community clinic can help discuss continuity of care and required documentation. The CMS list includes programs in eight New Hampshire communities; ask the receiving clinic whether it can coordinate a transition. Medication interruptions should be reviewed promptly with a qualified clinician.
Rural residents
People in rural Coös, Carroll, Belknap and Sullivan counties may face additional travel demands because no Medicare-enrolled OTP location appears in those counties in the September 2026 CMS list. Doorway hubs in Berlin, Laconia and Littleton help bring navigation closer to some rural communities. Ask about office-based buprenorphine, telehealth where permitted and realistic travel plans for methadone visits. Supporting a loved one can also help families prepare for a call.
How to Choose a MAT Clinic in New Hampshire
Start with the medication and care setting that fit your medical needs, then check practical factors such as location, insurance and appointment access. For methadone, use the CMS-listed OTPs above; for other medication options, The Doorway can help explore New Hampshire services.
Questions to ask before you call
- Does your New Hampshire location currently accept new patients?
- Do you provide methadone for OUD through a certified OTP?
- What documents and medical records should I bring to intake?
- How often must I attend in person at the beginning?
- How are take-home doses evaluated and reviewed?
- Can your OTP coordinate guest dosing or a transfer?
- Do you prescribe buprenorphine/Suboxone, and are appointments available by telehealth?
- Do you provide or coordinate Vivitrol or injectable buprenorphine?
- Do you accept my New Hampshire Medicaid, Medicare or private plan?
- What are my likely out-of-pocket costs and follow-up expectations?
What happens at the first visit?
- Contact the clinic or call The Doorway through 2-1-1 for navigation.
- Discuss symptoms, medical history and current medications with qualified staff.
- Ask a clinician about appropriate medication and safety considerations.
- Review costs, follow-up appointments, pharmacy or OTP dosing logistics.
Medication may be part of care for different lengths of time; see how long MAT lasts.
Questions before contacting a New Hampshire clinic?
Our navigation line can help you plan what to ask about treatment, coverage and location.
Call 1-(347) 591-7540This connects to MATClinicGuide’s navigation line, not a listed clinic. Calls may be answered by or routed to participating providers or navigation partners.
FAQs About MAT Clinics in New Hampshire
How many methadone clinics are in New Hampshire?
The September 8, 2026 CMS list identifies nine Medicare-enrolled opioid treatment program locations in New Hampshire across eight communities. Manchester has two; Concord, Franklin, Hudson, Newington, Somersworth, Swanzey and West Lebanon each have one. These are CMS-listed OTPs, not a count of all addiction-treatment practices. Ask each clinic about intake and services.
Does New Hampshire Medicaid cover Suboxone?
Yes. New Hampshire Medicaid covers buprenorphine treatment for opioid use disorder under the federal Medicaid OUD medication benefit. Suboxone is one buprenorphine formulation, and particular products or pharmacy rules may affect coverage details. Ask your prescriber and Medicaid plan what authorization or cost-sharing applies. The state Medicaid website can help with program questions.
Are there free methadone clinics in New Hampshire?
The Doorway can connect New Hampshire residents with treatment navigation regardless of insurance, but that does not mean every methadone clinic is free. Call 2-1-1 to explore options and ask a program about possible assistance, enrollment or payment arrangements. The CMS list shows nine Medicare-enrolled OTP locations; pricing and admission rules need direct confirmation.
Where can I find Suboxone doctors in New Hampshire?
New Hampshire residents can look for Suboxone or other buprenorphine prescribers using FindTreatment.gov or call 2-1-1 to reach The Doorway. Doorway hubs serve Berlin, Concord, Dover, Keene, Laconia, Lebanon, Littleton, Manchester and Nashua. Buprenorphine may be prescribed in outpatient medical settings, not only at the methadone clinics listed here.
Can I get telehealth Suboxone in New Hampshire?
Telehealth buprenorphine treatment may be possible if a licensed prescriber can meet applicable federal and New Hampshire requirements. Federal DEA/HHS telemedicine flexibilities currently extend through December 31, 2026, but rules can change. A remote appointment is not a promise of a prescription or pharmacy dispensing. Ask prospective providers about their intake process and follow-up.
Which New Hampshire counties do not have a listed methadone OTP?
Belknap, Carroll, Coös and Sullivan counties have no OTP location in the CMS file dated September 8, 2026. Residents can explore listed clinics in places such as Franklin, Concord, Somersworth, Swanzey or West Lebanon, depending on their location. The Doorway hubs in Berlin and Laconia offer additional treatment-navigation starting points.
Does New Hampshire have Vivitrol treatment?
Vivitrol, the injectable form of extended-release naltrexone, is among medications used for opioid use disorder. New Hampshire Medicaid covers naltrexone for OUD, while individual provider availability and product billing should be checked. Treatment generally requires an opioid-free period determined with a clinician. Call The Doorway at 2-1-1 or search FindTreatment.gov to explore local options.
What is The Doorway in New Hampshire?
The Doorway is a New Hampshire DHHS program with nine regional hubs that help people reach substance-use screening, evaluation, treatment navigation and recovery supports. The hub cities include Berlin, Concord, Dover, Keene, Laconia, Lebanon, Littleton, Manchester and Nashua. Dial 2-1-1, available 24/7, for a connection to the program and current resources.
Can I get methadone take-home doses in New Hampshire?
Take-home methadone decisions are made by the treating opioid treatment program based on clinical and applicable regulatory requirements. Federal OTP regulations updated in 2024 increased flexibility for some take-home decisions; New Hampshire OTPs also operate under state licensing and federal rules. Ask the clinic how it evaluates eligibility and what an initial dosing schedule may involve.
Where can I get naloxone in New Hampshire?
New Hampshire statewide standing orders let pharmacies dispense naloxone and nalmefene without an individual prescription to people at risk of overdose and those who may respond. Naloxone is also sold over the counter; public NaloxBoxes have been deployed statewide. New Hampshire Medicaid members can obtain nalmefene at no cost. For a suspected overdose, call 911 immediately.
Sources, Methodology and Editorial Standards
- CMS Medicare Opioid Treatment Program Providers — September 8, 2026
- The Doorway — About — accessed October 2026
- The Doorway — Locations — accessed October 2026
- NH DHHS overdose reversal standing orders announcement — January 2024
- New Hampshire Good Samaritan law coverage — 2015
- KFF Medicaid expansion status — accessed October 2026
- KFF overdose death rates, CDC NCHS data — 2019–2024 data
- NH DHHS — Substance Misuse Treatment Services — accessed October 2026
- NH DHHS — Medicaid — accessed October 2026
OTP names, addresses and phone numbers are transcribed from the CMS Medicare-enrolled provider listing dated September 8, 2026 and grouped by community; The Doorway and NH DHHS inform statewide navigation and resource descriptions. The listings are informational, not a confirmation of current availability, accreditation beyond stated listing scope or individual insurance acceptance. MATClinicGuide.com does not own or operate any clinic.
This content is educational and is not medical advice, diagnosis or treatment. A qualified clinician should evaluate medication choice, potential withdrawal and related health questions. MATClinicGuide.com is an educational and treatment-navigation resource, not a medical provider. Calling the MATClinicGuide helpline reaches its treatment-navigation line, not a clinic shown on this page; calls may be answered by or routed to participating providers or navigation partners. Confirm clinical, scheduling and payment details with the actual clinic. For an emergency call 911; for mental health crisis support call or text 988.
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MAT Clinics in Nearby States
People near New Hampshire’s state borders can also explore treatment-navigation guides for nearby states. Treatment and insurance rules may differ across borders.