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Sponsored| Name | Address | City |
|---|---|---|
| Montgomery Metro Treatment Center | 6001 East Shirley Lane | Montgomery |
| Chilton County Treatment Center | 2100 Holiday Dr | Clanton |
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Medication Treatment for Opioid Use Disorder in Montgomery
Montgomery is Alabama’s capital and the hub of the River Region, and as the seat of Montgomery County, it anchors a metro with a range of treatment options. Alabama uses three medications for opioid use disorder, each reached differently.
Treatment with methadone must happen in a licensed opioid treatment program, buprenorphine through a clinic or a doctor’s office, and naltrexone through most any licensed prescriber.
Montgomery County has certified opioid treatment program services, and office-based care and telehealth add to what is available. The providers on this page are where to start, and the site helpline can walk you through the first step.
Choosing a Medication and a Setting
Opioid use disorder is treated with medication, an approach also called medication-assisted treatment (MAT). Methadone, a full opioid agonist, steadies withdrawal and cravings and is dispensed only through an opioid treatment program, not a pharmacy.
Buprenorphine, including Suboxone and the long-acting Sublocade injection, partly activates opioid receptors with a ceiling that lowers overdose risk, and since 2023 any clinician with a standard DEA registration can prescribe it in an office for a pharmacy to fill.
Naltrexone, including the monthly Vivitrol injection, blocks opioids and can be prescribed by any licensed provider after a person has been off opioids for a set time. Our look at how methadone and Suboxone differ can help you weigh the two, and our guide to what to expect at an opioid treatment program covers the clinic side.
Starting Treatment
The first visit is an assessment of your history, your health, and your goals, followed by a recommendation. Bring a photo ID, insurance or Medicaid details, and a list of your medications, and ask about timing, since some providers can begin quickly.
If you have been using fentanyl, tell the provider, because starting buprenorphine too soon can cause precipitated withdrawal, a sudden and severe reaction that careful dose timing prevents. Our guide to beginning treatment when fentanyl is involved explains what to expect.
Take-Home Doses, Telehealth, and Transfers
The 2024 update to 42 CFR Part 8 allows patients who have been evaluated to be stable greater treatment flexibility. Opioid treatment programs can provide take-home methadone up to a 28-day supply for stable patients and can start treatment by telehealth, and mobile medication units are permitted.
Buprenorphine can be started by telehealth under rules current through 2026, in some cases by phone, though those rules are still being finalized. Methadone for opioid use disorder is still dispensed through an opioid treatment program, whether you are new or moving from another clinic, and keeping your dose steady through a transfer protects your progress.
Paying for Treatment
Alabama Medicaid covers all three medications and coordinates care through the Alabama Coordinated Health Network. Alabama has not expanded Medicaid, so some adults will not qualify. For adults who don’t qualify, programs funded by the Alabama Department of Mental Health use an income-based sliding scale, and private insurance and Medicare also help.
Pregnant residents can get immediate temporary coverage under the state’s Presumptive Eligibility for Pregnancy law, effective in 2025.
Overdose and the River Region response
County-level death counts are not consistently published for Montgomery, so the clearest recent measure is statewide. Alabama recorded 1,211 overdose deaths in 2024, with fentanyl and other synthetic opioids involved in 61% of them, and the statewide total has been falling.
Montgomery has been among the metros pressed hardest by fentanyl, and the area has responded. A 2024 state law lets prosecutors charge someone who supplies a fatal dose of fentanyl with manslaughter, and the Alabama Bureau of Pardons and Paroles has run overdose-reversal training and handed out naloxone at its Montgomery Day Reporting Center for people under supervision.
The steadying response for an individual is the same: start or stay in treatment, and keep naloxone nearby. For background, see our overview of Alabama’s opioid crisis.
Reentry, Pregnancy, and Other Situations
Two situations deserve extra note. For people leaving jail or prison, the weeks right after release carry a high overdose risk, and Alabama has added substance use services in more than a dozen correctional facilities to keep treatment going through reentry; starting or restarting medication around release is protective.
Medication for opioid use disorder is the recommended standard of care to protect mother and baby. Methadone and buprenorphine are both effective, and stopping abruptly can be riskier than continuing.
A treatment team must manage neonatal opioid withdrawal syndrome (NOWS) if it occurs; pregnant women get priority admission at certified Alabama programs with no admission fee, as our guidance on medication treatment in pregnancy describes.
Naloxone and Overdose Safety
Naloxone reverses an opioid overdose, and Alabama makes it available through a statewide standing order at pharmacies, the over-the-counter nasal spray, and the Naloxone Saves distribution program. The 2015 Good Samaritan law protects people who administer it in good faith. Keep a dose on hand if you or someone close to you uses opioids, and know that learning how to respond to an overdose takes only a few minutes.
Common questions
Is there a methadone clinic in Montgomery?
Yes, Montgomery County has certified opioid treatment program services, where methadone for opioid use disorder is dispensed, and buprenorphine is available from office-based prescribers and by telehealth. The listings on this page show the closest options.
Can I start Suboxone quickly?
Often, yes. Any clinician with a standard DEA registration can prescribe buprenorphine, so offices and clinics can sometimes begin within days, including by telehealth through 2026.
How do I choose the right medication?
That is a decision to make with a clinician, based on your history and your goals. Our answers to common treatment questions can help you prepare.
About this page
Last reviewed August 2026.
Sources:
CDC drug overdose data for Alabama https://usafacts.org/answers/how-many-drug-overdose-deaths-happen-every-year-in-the-us/state/alabama/
Alabama fentanyl manslaughter law (2024) https://www.wtvy.com/2026/04/17/how-prosecutors-can-hold-drug-dealers-accountable-overdose-deaths-alabama/
SAMHSA, opioid treatment programs and 42 CFR Part 8 (2024) https://www.samhsa.gov/substance-use/treatment/opioid-treatment-program
Alabama Department of Public Health, naloxone standing order https://www.alabamapublichealth.gov/pharmacy/opioid-reversal.html
Alabama Medicaid Agency, Presumptive Eligibility for Pregnancy (2025) https://medicaid.alabama.gov/content/4.0_Programs/4.7_PEP.aspx
Alabama Department of Mental Health, substance use treatment services https://mh.alabama.gov/division-of-mental-health-substance-abuse-services/substance-abuse-treatment-services/
Methadone Centers is an informational directory and education resource, not a treatment provider. Nothing here is medical advice; decisions about medication and treatment should be made with a licensed clinician.
The site helpline is answered by a sponsor. Methadone Centers does not receive a commission or fee based on which provider a caller chooses, and there is no obligation to enter treatment. Calls to a general helpline may be routed to SAMHSA or a verified treatment provider.
Last Updated: August 9, 2026