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Sponsored| Name | Address | City |
|---|---|---|
| Promesa Behavioral Health | 7120 North Marks Avenue Suite 110 | Fresno |
| BAART Programs Van Ness | 539 N. Van Ness Avenue | Fresno |
| Dr. Joseph Alimasuya, MD | 6777 N Willow Ave | Fresno |
| Fresno New Connection | 4411 North Cedar Avenue Suite 108 | Fresno |
| My Time Recovery | 1107 West Rialto Avenue | Fresno |
| Aegis Treatment Centers Fresno | 3707 E. Shields Avenue | Fresno |
| VA Central California Health Care System | 2615 East Clinton Avenue | Fresno |
| WestCare Belmont Health & Wellness | 611 East Belmont Avenue | Fresno |
| BAART Programs Cartwright | 3103 East Cartwright Avenue | Fresno |
| Latif Ziyar, M.D., Inc. | 7335 North First StreetSuite 102 | Fresno |
| WestCare California MLK | 2772 Martin L King Jr Blvd | Fresno |
| Aspire Counseling Services | 7498 North Remington Avenue Suite 102 | Fresno |
| MedMark Treatment Centers Fresno | 1310 M Street | Fresno |
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Medication treatment for opioid use disorder in Fresno
Fresno is the medical hub of the central San Joaquin Valley, so people here can usually reach both kinds of medication treatment for opioid use disorder (OUD) close to home: opioid treatment programs (OTPs) that dispense methadone, and office-based providers who prescribe buprenorphine or naltrexone. For patients in the smaller farming communities and foothill towns around Fresno County, a local OTP may be a drive away, and telehealth for buprenorphine increasingly closes that gap. The listings on this page show providers serving the Fresno area; the sections below explain your options and how to take the next step.
Which medication, and where you get it
Three medications are approved for OUD, and they are not dispensed the same way. Methadone for OUD is provided only through licensed opioid treatment programs, not regular pharmacies, which is why an OTP visit is part of methadone care. Buprenorphine, including Suboxone and other buprenorphine-naloxone products plus the extended-release injection Sublocade, can be prescribed in a doctor’s office and filled at a pharmacy, or provided through a clinic. Naltrexone, including the monthly Vivitrol injection, can be prescribed by any licensed provider, but it starts only after you have been off opioids for a set time, so a clinician plans the timing with you.
That difference in setting is the practical thing to understand as you read the listings. An opioid treatment program tends to mean scheduled dosing, especially early on, while office-based opioid treatment (OBOT) works more like regular doctor visits with prescriptions you fill at a pharmacy. Neither is the “right” choice on its own; that is a decision to make with a clinician who knows your history. If you want to think it through first, here is how methadone and Suboxone compare, and a fuller look at how methadone treatment works.
Starting treatment, and what the first visit looks like
The first step is usually an intake and assessment, where a provider reviews your history, confirms a diagnosis, and starts you on medication (induction). Bring a photo ID and your insurance or Medi-Cal information if you have it, though many programs will still see you if you do not. One caution worth planning for: because most of the local drug supply now contains fentanyl, starting buprenorphine too soon after using can trigger sudden, severe withdrawal (precipitated withdrawal), so a clinician times your first dose carefully. Some Fresno-area programs offer same-day or walk-in starts. You can read more about starting methadone treatment when fentanyl is involved or about opioid treatment options generally.
Take-home doses, telehealth, and current access rules
Access rules changed in ways that matter for the Valley. Federal rules updated in 2024 (42 CFR Part 8) expanded take-home methadone, up to a 28-day supply for patients who are stable in treatment, on a graduated schedule earlier on. Take-home eligibility is decided by your program based on your progress, not fixed by the calendar. The 2024 rules also allow treatment to start by telehealth and authorize mobile medication units, both of which help patients far from a clinic. As of July 2026, buprenorphine can also be started through telehealth, including by phone in many cases, without a prior in-person visit; those flexibilities run through the end of 2026 and are still being finalized, so confirm current options with a provider. Methadone for OUD is still dispensed through an OTP. For patients transferring in or restarting, staying consistent with dosing protects your progress; here is why sticking with your dose matters and how long-term maintenance treatment works.
Paying for treatment in Fresno
Cost is often the first question, so start here. Medi-Cal, California’s Medicaid program, covers all three medications for OUD through its Drug Medi-Cal benefit, and coverage of MOUD medications is carved out so a pharmacy can bill the state directly (National Health Law Program, 2024). Most Medi-Cal members in Fresno County receive care through a managed care plan such as CalViva Health, which coordinates behavioral health and treatment referrals. Private insurance and Medicare also cover medication treatment, and many programs offer self-pay or sliding-scale fees. If a treatment request is denied, Medi-Cal members have appeal rights through their plan and the state.
The local overdose picture, and why treatment is the answer to it
Fresno County has been reducing fentanyl deaths after several hard years. Fentanyl-related deaths fell from 114 in 2021 to 98 in 2022 and 94 in 2023, which county officials credited in part to a wider naloxone and awareness push (Fresno County, reported by ABC30, May 2024). Fentanyl still drives most opioid overdoses here, and it now turns up in counterfeit pills and other drugs, so the risk reaches people who never sought out an opioid. The reason those numbers matter on this page is simple: medication treatment is the most effective response to that risk, it is available locally, and the county’s own referral resource, RecoverFresno, can help connect you to screening and treatment. You can read more about opioid use disorder and how it is treated.
Pregnancy, the justice system, and other specific situations
Some situations carry added stakes. For pregnant patients, medication treatment with methadone or buprenorphine is the recommended standard of care and is far safer than continued opioid use or an unmanaged withdrawal; providers work with you on managing neonatal opioid withdrawal syndrome (NOWS) after delivery, and California’s Plan of Safe Care is designed to support parent and infant rather than to punish. Seeking treatment is a protective step, and confidentiality protections apply. For people entering treatment through drug court, probation, or reentry after incarceration, look for a program that accepts your referral source and can document attendance if that is required. Families supporting someone often carry the search; here is guidance on methadone and pregnancy and on how families can help.
Naloxone and staying safe
Naloxone, the medication that reverses an opioid overdose (sold as Narcan and as generic nasal sprays), is available over the counter and through pharmacies and community programs. In California, community organizations, clinics, and first responders can also get it free through the state’s Naloxone Distribution Project, which has supported hundreds of thousands of reported overdose reversals since 2018 (DHCS). California’s 911 Good Samaritan law protects someone who calls for help at the scene of an overdose from arrest for low-level drug possession. Keeping naloxone on hand is worth it for anyone using opioids or close to someone who does, and a return to use is a common, manageable part of recovery, not a failure. Here is more on recognizing and responding to an opioid overdose.
Common questions about treatment in Fresno
Is methadone or Suboxone better?
Neither is better across the board. Methadone is dispensed through an OTP and suits some patients well; buprenorphine (Suboxone) can be prescribed in an office and filled at a pharmacy, which many find more flexible. The right fit depends on your history, other health conditions, and daily life, and it is a decision to make with a clinician. Compare the two here.
Do I have to go to a clinic every day for methadone?
Not necessarily, and less often than the old reputation suggests. Federal rules updated in 2024 let stable patients earn take-home methadone, up to a 28-day supply. Dosing is more frequent early in treatment, then can ease as you stabilize, based on your program’s assessment.
Can I start treatment the same day?
Sometimes. Some Fresno-area programs offer same-day or walk-in intake and can begin medication that day; buprenorphine can also often be started by telehealth. Availability varies by provider, so call the listings on this page to ask.
Will my insurance or Medi-Cal cover it?
Medi-Cal covers all three OUD medications through Drug Medi-Cal, and private insurance and Medicare cover treatment as well. Many programs also offer self-pay or sliding-scale options if you are uninsured.
Can buprenorphine really be prescribed by phone?
As of July 2026, yes, in many cases buprenorphine can be started through telehealth, including audio-only, without a prior in-person visit. These rules run through the end of 2026 and may change, so confirm what is current when you call.
Last reviewed and disclosures
Last reviewed July 2026.
Sources:
- Fresno County fentanyl-related overdose deaths, 2021 to 2023, reported by ABC30 (KFSN), May 2024.
- National Health Law Program, Substance Use Disorders in Medi-Cal: An Overview, 2024.
- California Department of Health Care Services (DHCS), Naloxone Distribution Project, 2025.
- California Department of Public Health (CDPH), naloxone standing order, 2026.
- SAMHSA and Federal Register, 42 CFR Part 8 final rule (take-home and telehealth), 2024.
- DEA and HHS, Fourth Temporary Extension of telemedicine flexibilities and buprenorphine telemedicine final rule, effective December 31, 2025, through December 31, 2026.
- U.S. Food and Drug Administration (FDA) and SAMHSA, medications for opioid use disorder overview.
Methadone Centers is not a treatment provider and does not offer medical advice. Information on this page is for education and does not replace care from a licensed clinician.
Calls placed through the helpline on this site may be answered by a sponsored treatment provider. Using the directory listings connects you directly to the provider you choose.