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Sponsored| Name | Address | City |
|---|---|---|
| Arkansas Treatment Services, LLC | 408 Hazel Street | Texarkana |
| BHG Medical Services Texarkana | 2231 Trinity Blvd | Texarkana |
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Medication Treatment for Opioid Use Disorder in Texarkana
Texarkana sits right on the Arkansas and Texas line, and where you live shapes what treatment looks like here. Miller County is one of only four Arkansas counties with a certified opioid treatment program, according to a 2024 Arkansas Center for Health Improvement summary of federal data from 2022. This means people across the rural southwest corner of the state often travel to a city like this one to start care.
That also makes Texarkana a practical hub for medications for opioid use disorder (MOUD): methadone, buprenorphine, and naltrexone, offered through clinics and doctors’ offices. If you have opioid use disorder, or you are helping someone who does, the listings on this page and the helpline are the fastest way to reach a real provider.
Your Treatment Options and Where to Get Them
Three medications are FDA-approved to treat opioid use disorder, and they are available in two kinds of settings. Knowing the difference tells you what the listings here actually represent.
Methadone for opioid use disorder is provided only through licensed opioid treatment programs, not regular pharmacies. These programs, sometimes called OTPs, dispense methadone on-site and add counseling and other support.
Buprenorphine, including Suboxone and other buprenorphine-naloxone products, works differently. It can be prescribed in a doctor’s office and filled at a pharmacy, or it can be provided through a clinic. There is also an extended-release injectable form, Sublocade, given monthly.
Naltrexone, including the monthly Vivitrol injection, can be prescribed by any licensed provider, but treatment starts only after a person has stopped using opioids for a set time, so a clinician plans the timing with you.
Office-based treatment with buprenorphine or naltrexone can happen in a primary care or specialty office and is filled at your pharmacy. An opioid treatment program is the setting for methadone and can also offer buprenorphine.
If you want to understand how methadone and Suboxone compare, or what daily life looks like at a methadone clinic, those pages go deeper. The choice among medications is one you and a clinician make together.
Crossing the State Line: What Texarkana Residents Should Know
Because Texarkana is a twin city split between Arkansas and Texas, treatment rules can differ depending on which side a program sits on and where you live. Medication treatment is regulated by a mix of federal and state law, and a program follows the rules of the state it operates in.
If you use Medicaid or another state-specific plan, that coverage generally follows your state of residence, so it is worth confirming with a program on either side whether they accept your insurance before your first visit. The listings on this page focus on the Arkansas side. A program can tell you quickly whether you are eligible and, if not, point you to one that fits.
Distance, Take-Home Doses, and Telehealth
In a mostly rural region, getting to a program every day is the barrier people worry about most. Federal rules updated in 2024 expanded take-home methadone doses, up to a 28-day supply for patients who are stable in treatment. Your schedule is decided based on how treatment is going.
This flexibility can turn a daily drive into a far less frequent one over time. The same 2024 rules allow treatment to start by telehealth and removed older barriers to getting admitted, such as the prior requirement to show a year-long history of opioid use.
Buprenorphine can also be started through telehealth, including by phone in many cases, without a prior in-person visit. Those telehealth rules run through 2026 and are still being finalized, so confirm what is current with a provider.
Methadone remains OTP-dispensed, though some programs can begin treatment with a telehealth visit. If daily dosing is your concern, ask a program directly about take-home eligibility and what long-term methadone treatment involves.
Paying for Treatment
Cost is often the first question, and fortunately there are solutions to cost concerns. Arkansas expanded Medicaid through ARHOME, which covers adults with low incomes and delivers benefits through private plans.
Arkansas Medicaid covers buprenorphine products, including Suboxone, as a pharmacy benefit, generally with prior authorization through its office-based program. Coverage details can vary by plan and formulation.
Private insurance and Medicare also cover opioid use disorder treatment, and Medicare covers care delivered through opioid treatment programs. Many programs offer self-pay or sliding-scale options if you are uninsured.
The UAMS Center for Addiction Services and Treatment, working with the Arkansas Department of Human Services, has also funded treatment for people without insurance or the ability to pay. Ask any program what it accepts and what help exists before you rule it out based on cost.
The Overdose Picture and Why Treatment Matters Here
Arkansas has been making real progress. The Arkansas Department of Health reported 516 drug overdose deaths statewide in 2023, 389 in 2024, and 372 in 2025 based on provisional data, which reveals a steady decline.
The Arkansas State Crime Laboratory reported in 2026 that fentanyl’s share of overdose deaths has fallen sharply, which officials credit in part to wider naloxone access and awareness. Miller County was flagged in the 2024 federal analysis as an area of both high need and high social vulnerability, which is part of why a local treatment program matters so much.
Medication treatment is the most effective step for opioid use disorder, and it is available here. If you want the bigger picture on opioid use disorder and how it is treated, start there, then use the listings to act.
Rural Access, Pregnancy, and Returning to Treatment
Texarkana offers resources to support individuals in unique circumstances. If you live in one of the surrounding rural counties without a nearby clinic, Texarkana may be your closest option, and take-home dosing plus telehealth can make a program here workable even at a distance.
If you are pregnant, medication treatment with methadone or buprenorphine is the recommended standard of care, and starting or staying in treatment protects both you and your pregnancy. A program experienced in perinatal care can coordinate with your prenatal team.
If you stopped treatment before and are coming back, that is a common and manageable part of a long-term condition, not a failure, and a program can restart your care.
Families who want to understand the medications and how to help can start with our guide for families and information on methadone and pregnancy.
Naloxone and Staying Safe
Naloxone, the medication that reverses an opioid overdose, is available over the counter and through pharmacies and community programs. Arkansas has a statewide standing order (Act 284 of 2017) that lets any licensed pharmacist dispense naloxone without an individual prescription, and the state’s Good Samaritan protection (Act 1114 of 2015) shields people who seek emergency help during an overdose.
The Arkansas Opioid Recovery Partnership, funded by opioid settlement money, has distributed naloxone across the state through community outreach. Keeping naloxone on hand is a straightforward safety step, especially if you or someone close to you is at risk. You can learn more about recognizing and responding to an overdose.
Common Questions About Treatment in Texarkana
Can I get methadone at a pharmacy in Arkansas?
No. Methadone for opioid use disorder is dispensed only through a certified opioid treatment program, not a retail pharmacy. Buprenorphine and naltrexone can be filled at a pharmacy when a provider prescribes them.
Is there a clinic right in Texarkana?
Miller County is one of the few Arkansas counties with an opioid treatment program, according to a 2024 summary of federal data. The listings on this page show providers serving the area. Call to confirm current availability and whether they are taking new patients.
What is the difference between methadone and Suboxone?
Both treat opioid use disorder effectively. Methadone comes through a treatment program, while Suboxone (a buprenorphine product) can come from an office visit and a pharmacy. Which fits depends on your history and needs, and you decide with a clinician. Our comparison of the two lays out the trade-offs.
Can I start if the nearest program is far away?
Often, yes. Buprenorphine can usually be started by telehealth, sometimes by phone, and methadone programs can offer take-home doses as treatment stabilizes. Ask a program what starting looks like for your situation.
Will starting buprenorphine after fentanyl cause problems?
Starting buprenorphine too soon after using opioids can trigger sudden, severe withdrawal (called precipitated withdrawal), which is a particular concern with fentanyl. A clinician plans the timing of your first dose to avoid it, so tell them what you have been using.
Resources and Disclosures
Last reviewed July 2026.
Sources:
- Arkansas Center for Health Improvement, “New Federal Report Reveals Gaps in Opioid Treatment Access in Arkansas,” 2024. https://achi.net/newsroom/new-federal-report-reveals-gaps-in-opioid-treatment-access-in-arkansas/
- Arkansas Department of Health, Substance Misuse Education and Prevention, Vital Statistics provisional overdose death counts, 2023 to 2025. https://healthy.arkansas.gov/programs-services/prevention-healthy-living/substance-misuse-education-and-prevention/
- Arkansas State Crime Laboratory, overdose death drug-involvement data, 2026. https://dps.arkansas.gov/dashboard/
- SAMHSA and DEA, 42 CFR Part 8 (2024) and buprenorphine telemedicine rules, current through 2026. https://www.samhsa.gov/substance-use/treatment/opioid-treatment-program/42-cfr-part-8
- Arkansas Act 284 of 2017 (naloxone standing order) and Act 1114 of 2015 (Good Samaritan protection). https://rcorp.afmc.org/images/AFMC_RCORP-I_Good_Samaritan_Flier20220725v2.0.pdf
- Arkansas Department of Human Services, ARHOME; UAMS Center for Addiction Services and Treatment. https://humanservices.arkansas.gov/divisions-shared-services/shared-services/office-of-substance-abuse-and-mental-health/
Methadone Centers is not a treatment provider and does not provide medical advice. Information here is for education and does not replace care from a licensed clinician.
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