MAT Clinics in Virginia: Methadone, Suboxone & Vivitrol Treatment

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Find My Treatment Options

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

MATClinicGuide.com is a treatment-navigation resource, not a treatment provider. Calls reach our navigation line and may be routed to participating providers or partners.

MAT Treatment Options in Virginia by Medication

Methadone clinics in Virginia

Virginia has 45 listed OTP locations, including five in Richmond, four in Winchester and three each in Chesapeake and Newport News. Methadone treatment for opioid use disorder is delivered through certified OTPs, with regular visits at the beginning of care and take-home doses determined clinically. In Hampton Roads, Richmond and the Shenandoah Valley, the directory offers multiple options; people in more remote areas may have a longer trip. Read how methadone treatment works and what an opioid treatment program does.

Suboxone doctors in Virginia and buprenorphine providers

Buprenorphine, including Suboxone and generic combinations, can be prescribed by eligible Virginia clinicians in office-based care. Virginia Medicaid’s ARTS benefit includes office-based opioid treatment, often called OBOT. Treatment may fit people who cannot routinely travel to a methadone OTP, although appointments, pharmacy access and coverage vary. Federal rules no longer require the former X-waiver. Learn about buprenorphine and Suboxone treatment and the distinction between MAT and MOUD.

Long-acting injectable buprenorphine: Sublocade and Brixadi

Sublocade and Brixadi are longer-acting forms of buprenorphine given by a healthcare professional. They may reduce the need to take medication every day, but treatment eligibility and the starting process depend on the product and clinician. For Virginia patients, a practical first question is whether the prescriber can provide the injection and whether Cardinal Care or a private plan covers it. A clinic may need to coordinate with a specialty pharmacy. Read the Sublocade overview and discuss differences with a qualified prescriber.

Vivitrol in Virginia: extended-release naltrexone

Vivitrol is an extended-release naltrexone injection that blocks opioid receptors and is not an opioid. Starting it requires an opioid-free period, because giving naltrexone too soon can cause sudden withdrawal. Virginia Medicaid covers naltrexone for opioid use disorder through the ARTS benefit, subject to applicable plan and clinical requirements. A Virginia treatment team can explain whether it fits a person’s medical history, recovery goals and current opioid exposure. Read more about naltrexone and Vivitrol.

Paying for Medication Assisted Treatment in Virginia

Virginia Medicaid: Cardinal Care and ARTS

Virginia Medicaid, called Cardinal Care, is administered by DMAS. Virginia implemented Medicaid expansion on January 1, 2019. Its Addiction and Recovery Treatment Services (ARTS) benefit covers methadone, buprenorphine and naltrexone treatment for OUD, including OTPs and office-based opioid treatment. Ask Cardinal Care or the treating clinic about plan network status, medication formulation and any authorization steps.

Medicare coverage

Medicare Part B includes an OTP benefit for eligible opioid use disorder treatment at enrolled programs, with program-specific billing and coverage rules. Take-home buprenorphine and naltrexone prescriptions may be handled through Part D plans; clinician-administered treatments can have different coverage pathways. A Virginia clinic or Medicare plan can clarify which benefit applies.

Private insurance

Virginia private plans may cover OUD medications and treatment visits, but their networks, formularies, deductibles and authorization rules differ. Federal mental health and substance-use parity protections do not mean every medication or provider is automatically covered. Ask which OTPs and office-based clinicians are in-network.

No insurance: public services and lower-cost options

Virginia’s 40 Community Services Boards provide local public behavioral health and substance use service pathways. Some offer MOUD or support finding services and free naloxone. If uninsured, ask the nearest CSB and individual clinics about eligibility, payment support or sliding-fee possibilities rather than assuming a clinic is free. See insurance coverage, MAT costs or verify insurance.

Opioid Overdose in Virginia: Why Treatment Access Matters

Virginia recorded 1,552 drug overdose deaths in 2024, according to CDC NCHS data reported by KFF. The age-adjusted rate for all drugs fell from 30.5 per 100,000 in 2021 to 17.6 in 2024. The 2024 U.S. rate was 23.1. These numbers measure drug overdose deaths, not the number of people with opioid use disorder.

Virginia’s opioid-specific overdose death rate also declined, from 26.0 per 100,000 in 2021 to 13.5 in 2024; the U.S. opioid rate was 16.0 in 2024. Each death represents a person and a family or community affected. Medication access and naloxone availability remain important even as death rates decline.

Learn how naloxone reverses opioid overdose and how to support someone seeking care.

Virginia Resources & Helplines

In Virginia, naloxone is available through the statewide pharmacy standing order, over the counter at retailers, and without cost to Cardinal Care members. Some local health departments and Community Services Boards distribute it free. Call ahead to ask about supplies and training.

Virginia’s Good Samaritan overdose law, Va. Code § 18.2-251.03, provides specified protections to people seeking or giving emergency overdose help when legal conditions are met. It has exceptions and is not blanket immunity. In an overdose, call 911 promptly; for mental health crisis support, call or text 988.

How to Choose a MAT Clinic in Virginia

The right Virginia program depends on medication preference, the clinic’s location, payment arrangements and whether visits are practical. Compare a few options in the 45-location directory or ask a local CSB to help make contact.

Questions to ask a methadone OTP

• Are you enrolling new patients, and what is the first assessment process?
• What are weekday, weekend and holiday dosing hours?
• How are take-home doses and guest dosing evaluated?
• Do you accept Cardinal Care, Medicare or my health plan?
• Can you help transfer treatment from another Virginia OTP?

Questions to ask a buprenorphine provider

• Do you prescribe buprenorphine or Suboxone for OUD?
• Are telehealth appointments possible for my situation?
• Which pharmacies can fill the prescribed formulation?
• Do you provide or refer for Sublocade, Brixadi or Vivitrol?
• What are the expected visits, out-of-pocket costs and follow-up options?

What happens at the first visit?

1. Contact the clinic about intake and insurance.
2. Discuss symptoms, medical history, medications and treatment goals.
3. Complete an assessment and review suitable medication options.
4. Agree on a care plan and practical follow-up schedule.

For more, read how long MAT may last and whether counseling is required.

Sources, Methodology & Editorial Standards

1. CMS, Medicare Opioid Treatment Program Providers, file dated September 8, 2026
2. Virginia DBHDS, agency and REVIVE! information, accessed October 2026
3. Virginia DMAS / Cardinal Care, October 2026
4. Virginia Code § 18.2-251.03, Good Samaritan law
5. KFF Medicaid expansion status, October 2026
6. CDC NCHS via KFF, all-drug overdose death rates, 2019–2024
7. CDC NCHS via KFF, opioid overdose death rates, 2019–2024

Clinic listings were compiled from the CMS Medicare opioid treatment program file dated September 8, 2026. Forty-seven source rows were reduced to 45 distinct locations by consolidating the same-address, same-phone suite records in Harrisonburg and Verona. These listings describe Medicare-enrolled OTP entries; they do not establish all available clinicians, clinic capacity or real-time access. MATClinicGuide.com does not own or operate the clinics in this directory.

This content is educational and not medical advice, diagnosis or treatment. Medication choice and safety decisions require a licensed clinician. MATClinicGuide.com is a treatment-navigation resource, not a healthcare provider; calls to the site’s helpline connect to its navigation line rather than directly to a listed clinic. Calls may be answered by or routed to participating treatment providers or navigation partners. Confirm all clinical and payment details directly with the clinic. For emergencies call 911; for a mental health crisis call or text 988.

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