Vivitrol Providers Directory
Vivitrol is the brand name for extended-release naltrexone, a once-monthly intramuscular injection that treats both opioid use disorder and alcohol use disorder. Unlike Suboxone or methadone, it does not require a federally certified opioid treatment program to administer. That changes where you can get it and what to expect at the appointment.
Top 10 states by Vivitrol facility count
Coverage tracks population and Medicaid expansion footprint, not need. New York, California, Ohio, Pennsylvania, and Florida lead in raw counts. Per-capita density tells a different story, and we surface that on each state page.
| Rank | State | Vivitrol facilities | Density |
|---|---|---|---|
| #1 | New York | 465 | |
| #2 | California | 457 | |
| #3 | Ohio | 375 | |
| #4 | Pennsylvania | 312 | |
| #5 | Florida | 281 | |
| #6 | Kentucky | 279 | |
| #7 | Arizona | 267 | |
| #8 | Maryland | 244 | |
| #9 | Indiana | 224 | |
| #10 | Illinois | 219 |
What Vivitrol actually is
Vivitrol is a 380mg dose of naltrexone suspended in microspheres, injected into the gluteal muscle every four weeks. Naltrexone is an opioid antagonist. It blocks the mu-opioid receptors that opioids bind to and that alcohol indirectly stimulates. No agonist activity, no withdrawal mitigation, no opioid effect at all.
That makes Vivitrol fundamentally different from Suboxone or methadone. Both of those medications are opioid agonists. They occupy the same receptors that heroin or oxycodone do, just more slowly and predictably. Naltrexone does the opposite. It evicts opioids from the receptor and prevents them from working. Try to use heroin on Vivitrol and nothing happens, until the shot wears off.
Why the difference matters
Two practical implications:
- You have to be opioid-free for 7 to 10 days before the first injection. Naltrexone in an opioid-dependent person triggers precipitated withdrawal almost immediately. This is the single biggest barrier to Vivitrol uptake for opioid use disorder.
- Any licensed prescriber can order it and any clinical office can administer it. There is no federal certification requirement, no DEA waiver, no special licensing. That is why the Vivitrol provider universe is much wider than the methadone or buprenorphine universe, and why the directory you are looking at has 6,318 entries instead of the few hundred OTPs that dispense methadone.
Find Vivitrol providers by state
- Alabama 30 facilities
- Alaska 23 facilities
- Arizona 267 facilities
- Arkansas 73 facilities
- California 457 facilities
- Colorado 118 facilities
- Connecticut 115 facilities
- Delaware 29 facilities
- District of Columbia 6 facilities
- Florida 281 facilities
- Georgia 91 facilities
- Hawaii 9 facilities
- Idaho 42 facilities
- Illinois 219 facilities
- Indiana 224 facilities
- Iowa 64 facilities
- Kansas 76 facilities
- Kentucky 279 facilities
- Louisiana 91 facilities
- Maine 59 facilities
- Maryland 244 facilities
- Massachusetts 189 facilities
- Michigan 190 facilities
- Minnesota 95 facilities
- Mississippi 38 facilities
- Missouri 146 facilities
- Montana 16 facilities
- Nebraska 35 facilities
- Nevada 48 facilities
- New Hampshire 46 facilities
- New Jersey 206 facilities
- New Mexico 50 facilities
- New York 465 facilities
- North Carolina 175 facilities
- North Dakota 27 facilities
- Ohio 375 facilities
- Oklahoma 18 facilities
- Oregon 59 facilities
- Pennsylvania 312 facilities
- Puerto Rico 3 facilities
- Rhode Island 24 facilities
- South Carolina 36 facilities
- South Dakota 12 facilities
- Tennessee 166 facilities
- Texas 152 facilities
- Utah 154 facilities
- Vermont 31 facilities
- Virginia 142 facilities
- Washington 97 facilities
- West Virginia 97 facilities
- Wisconsin 93 facilities
- Wyoming 24 facilities
Compare Vivitrol against other treatments
Vivitrol is one option in a small set of FDA-approved medications for opioid and alcohol use disorder. Picking the right one depends on your goals, your medical history, and your living situation. These guides walk through the tradeoffs.
- Suboxone vs Vivitrol - daily film vs monthly shot, agonist vs antagonist
- Sublocade vs Vivitrol - both monthly injections, opposite mechanisms
- Methadone vs Vivitrol - daily clinic visit vs monthly office shot
- Vivitrol vs oral naltrexone - same drug, very different adherence
- Vivitrol for alcohol use disorder vs other AUD medications
- Long-acting injectable MAT options compared
- All MAT options for opioid use disorder
- Alcohol use disorder medications overview
- Switching from Suboxone to Vivitrol
- Vivitrol after detox: the 7-10 day window
Cost and access guides
- How much does Vivitrol cost without insurance
- Does Medicaid cover Vivitrol
- Vivitrol with private insurance
- How to get a Vivitrol prescription
- What to expect at a Vivitrol injection appointment
Methodology
All facility counts come from the 2025 SAMHSA National Directory of Drug and Alcohol Use Treatment Facilities, the public-use file released by the Substance Abuse and Mental Health Services Administration based on the 2024 N-SUMHSS survey. We filter on the VTRL service code, which indicates the facility reports administering or prescribing Vivitrol.
Vivitrol provider acceptance into our verified directory requires four gates: SAMHSA listing, live phone status, geocoded street address, and confirmed in-office intramuscular administration. SAMHSA-listed providers without complete verification appear on state hubs as references but do not get individual clinic profile pages. See our methodology for the full data pipeline and update cadence.