Fort Smith lists 3 Vivitrol-administering facilities in the 2025 SAMHSA National Directory. That puts the city above the threshold for genuine choice. The mix below tells you what those clinics actually offer beyond the monthly shot, what the local demand picture looks like, and which structural details matter when you book.
Each provider below carries an active SAMHSA listing in the 2025 N-SUMHSS National Directory with the VTRL service code. Click any clinic name to see address, services offered, insurance accepted, and how to verify intake.
Sebastian County reports a 2021 drug poisoning death rate of 31.3 per 100,000, well above the national county mean. Vivitrol demand here typically clusters around criminal justice referrals and post-detox transitions.
Uninsured rate runs around 12.8%, which is high. Vivitrol without insurance lists at roughly $1,500 per shot. Confirm sliding-scale availability or manufacturer copay assistance before booking.
Some Fort Smith Vivitrol providers are office-based prescribers who do nothing else. Others are full-service SUD treatment centers that handle detox, IOP, and counseling alongside the shot. The breakdown matters for two reasons: it tells you whether you can get the entire treatment episode under one roof, and it tells you whether the staff has experience managing the 7-to-10 day opioid-free window that has to come before your first injection.
| Capability | Count | Share of Fort Smith Vivitrol facilities | Distribution |
|---|---|---|---|
| Treat alcohol use disorder (AUD) | 3 | 100% | |
| Treat opioid use disorder (OUD) | 3 | 100% | |
| Accept Medicaid | 3 | 100% | |
| Sliding-scale fees | 3 | 100% | |
| Also offer buprenorphine (Suboxone, Sublocade) | 3 | 100% | |
| Methadone OTP on-site | 3 | - | |
| Residential detox | 1 | 33.3% | |
| Telehealth services | 3 | 100% | |
| Veterans-focused programs | 2 | 66.7% | |
| Programs for pregnant women | 2 | - |
Source: U.S. Census Bureau, ACS 5-year estimates ().
Sebastian County reported a model-based drug poisoning death rate of 31.3 per 100,000 residents in 2021 (95% CI 28.3 to 34.6).
Three-year change (20.9 to 31.3): +10.4 per 100,000.
County-level estimates are reported at the county level, not the city level. Source: NCHS Drug Poisoning Mortality by County (CDC dataset rpvx-m2md), 2019 to 2021 model-based estimates. NCHS urban/rural classification: Small Metro.
Nearest verified opioid treatment program in Arkansas: Springdale Treatment Center LLC in Springdale, about 58.4 miles (94 km) from Fort Smith by straight-line distance. Driving time will run longer.