MAT Clinics in North Dakota: Methadone, Suboxone & Vivitrol Treatment

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Find My Treatment Options

For an overdose or immediate danger, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.

MATClinicGuide.com is a treatment-navigation resource, not a clinic. This number connects to our navigation line; calls may be routed to participating providers or partners, not directly to a listed clinic.

MAT Treatment Options in North Dakota by Medication

Medication assisted treatment North Dakota services include methadone, buprenorphine and naltrexone. These medicines work differently; a clinician can help choose an option that fits your health needs, travel distance and treatment preferences.

Methadone clinics in North Dakota

North Dakota has four methadone clinics in Bismarck, Fargo, Grand Forks and Minot. Methadone for opioid use disorder is provided through certified opioid treatment programs, often with frequent visits at the beginning of care. For people living in Williston, Dickinson or smaller towns, the commute can be a significant part of treatment planning. Ask your chosen OTP about its intake schedule, take-home eligibility and whether travel can be reduced over time. Read our methadone treatment guide and OTP explainer.

Buprenorphine and Suboxone in North Dakota

Office-based buprenorphine care can help North Dakota residents who cannot travel regularly to one of the four OTP cities. Suboxone is a common buprenorphine/naloxone product, and the federal X-waiver requirement was removed in 2023. Care may be available through eligible medical practices and, depending on current rules and clinical judgment, telehealth. The state's eight regional human service centers are another place to discuss substance use treatment options. Compare treatments in our buprenorphine and Suboxone guide and see MAT versus MOUD.

Long-acting injectable buprenorphine: Sublocade and Brixadi

Long-acting buprenorphine injections, including Sublocade and Brixadi, may reduce the need to manage a medicine every day. For someone crossing large distances in North Dakota, the schedule of visits and the location of a qualified injection provider matter. These are not methadone products, and treatment plans and eligibility vary by medication. Ask the provider whether the injection is available, what visits are required before and after the first dose, and what North Dakota Medicaid or your insurer will pay. Learn more about Sublocade.

Naltrexone and Vivitrol in North Dakota

Vivitrol North Dakota treatment inquiries can be directed to qualified addiction-treatment and medical practices. Extended-release naltrexone is not an opioid medication; it blocks opioid effects, and starting it requires an appropriate opioid-free period to avoid precipitated withdrawal. This makes the timing of initiation an important topic for your clinician. Ask about follow-up visits and costs before beginning. North Dakota Medicaid coverage includes naltrexone for opioid use disorder under the federal medication-coverage requirement. Read our naltrexone and Vivitrol guide for more.

Paying for MAT in North Dakota

North Dakota Medicaid: MAT clinics that accept Medicaid

North Dakota Medicaid covers methadone, buprenorphine and naltrexone for opioid use disorder under federal Medicaid rules. The state expanded Medicaid on January 1, 2014, according to KFF. Coverage of a medication does not mean that any particular clinic accepts a member's plan, and services can involve pharmacy versus medical benefits. Ask your clinic and North Dakota Medicaid to confirm the exact benefit, network and any prior authorization.

Use the North Dakota Medicaid website to check enrollment and benefits. North Dakota Medicaid members can also obtain over-the-counter naloxone at no cost from enrolled pharmacies under the state's January 2024 policy.

Medicare

Medicare Part B has a benefit for qualifying OTP treatment services. Take-home buprenorphine or naltrexone may be covered through Part D depending on the product and plan. In North Dakota, contact the OTP or your plan about enrollment, billing and any expected out-of-pocket costs.

Private health insurance

Private insurance may cover addiction treatment under medical or pharmacy benefits, but coverage and provider networks vary. Mental health and substance use parity protections do not guarantee that every medication, formulation or North Dakota treatment center is available at no cost. Request a benefits check before scheduling an appointment.

Without insurance: are there free methadone clinics in North Dakota?

People searching for free methadone clinics North Dakota can contact an OTP directly to ask about payment assistance, reduced-cost care or referrals. ND HHS operates eight regional human service centers that offer substance use disorder treatment options; ask one about eligibility and local resources. A free naloxone kit is also available through ND HHS, independent of treatment enrollment. See MAT costs and insurance, insurance coverage and verify insurance.

Opioid Overdose in North Dakota: Why Access Matters

North Dakota recorded 108 drug overdose deaths in 2024, with an age-adjusted all-drug death rate of 14.8 per 100,000, according to CDC NCHS data published through KFF. That was below the 2024 national rate of 23.1. The state's rate rose from 11.4 in 2019 to 19.8 in 2022, then declined through 2024.

North Dakota's 2024 opioid overdose death rate was 9.4 per 100,000, versus a national opioid rate of 16.0 (CDC NCHS via KFF). Although statewide mortality fell from the 2022 peak of 148 drug overdose deaths, geographic access to four OTPs remains a practical issue for treatment-seeking families.

Naloxone and immediate response

Naloxone can reverse an opioid overdose. ND HHS offers free two-dose naloxone kits; asking for a kit is a useful safety step while considering treatment. Learn how to recognize and respond to an overdose in our naloxone and opioid overdose guide.

North Dakota Resources & Helplines

The North Dakota Department of Health and Human Services (ND HHS) Behavioral Health Division helps residents locate substance use services and information. Its eight regional human service centers offer treatment options, and naloxone kits may be requested separately.

North Dakota naloxone access and Good Samaritan protections

North Dakota Medicaid members can receive over-the-counter naloxone at no cost from Medicaid-enrolled pharmacies under a January 2024 state policy. Naloxone is also available from many pharmacies, public health units and primary care providers. Under North Dakota Century Code 19-03.1-23.4, up to three people, including the person overdosing, may receive specified possession-related protections when they call 911, remain until help arrives and cooperate with responders; protections have conditions and limits. See ND HHS Good Samaritan information.

How to Choose a MAT Clinic in North Dakota

Choosing a MAT clinic in North Dakota starts with finding a medication and visit plan that fits your clinical needs and the trip you can realistically make. Residents outside the four OTP counties may need different questions from people who live near an OTP.

Questions to ask before you call

For a methadone clinic:

• Do you have a new-patient intake process, and how do I schedule it?
• What are the dosing hours, including weekends and winter-weather changes?
• How do you evaluate eligibility for take-home methadone doses?
• Can you help coordinate guest dosing or a transfer if I travel or move?
• Do you accept my North Dakota Medicaid, Medicare or private insurance coverage?

For a buprenorphine provider:

• Do you prescribe buprenorphine for opioid use disorder?
• Can assessments or follow-up visits occur by telehealth under current rules?
• What local pharmacy arrangements and follow-up visits are required?
• Do you offer or refer for Sublocade, Brixadi or naltrexone if appropriate?
• Can medication be started without first completing counseling?

What happens at the first visit?

1. Discuss opioid use, medical history, current medications and your goals.
2. Review medication options and any safety considerations with the clinician.
3. Agree on an individualized plan, including follow-up and cost or coverage checks.
4. Discuss naloxone, practical transportation and ongoing support if useful.

Medication can be an effective part of care even when counseling is not immediately available. Read whether MAT requires counseling.

Sources, Methodology & Editorial Standards

1. CMS Medicare Opioid Treatment Program Providers, file version September 8, 2026
2. ND HHS — opioid treatment and Behavioral Health Division, accessed October 2026
3. ND HHS — Behavioral Health service locator, accessed October 2026
4. ND HHS — Good Samaritan law, accessed October 2026
5. ND HHS — overdose awareness resources, August 2023
6. ND HHS — naloxone for Medicaid members, January 2024
7. ND HHS — Medicaid, accessed October 2026
8. KFF — Medicaid expansion status, October 2026
9. KFF — opioid and drug overdose death rates (CDC NCHS), including 2019–2024
10. ND HHS — naloxone kit request, accessed October 2026
11. FindTreatment.gov — national treatment locator, accessed October 2026

Methodology and editorial standards

Clinic addresses and telephone numbers were compiled from the September 8, 2026 CMS Medicare OTP directory and grouped by North Dakota city. State government, KFF and CDC NCHS materials inform coverage, overdose data and public resources. Directory entries do not establish an appointment opening or confirm that a clinic currently accepts a particular insurance plan. Editorial policy · Medical disclaimer · Advertising and referral disclosure.

Medical and referral disclosure

MATClinicGuide.com is an educational and treatment-navigation resource. It does not own or operate any of the listed clinics and does not diagnose, prescribe or provide treatment. The phone number on this page reaches MATClinicGuide’s treatment-navigation line, not a specific listed clinic; calls may be handled by or routed to participating treatment providers or navigation partners. Confirm clinic details directly with the facility and consult a licensed professional for medical decisions. For an emergency call 911; for crisis support call or text 988.