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Sponsored| Name | Address | City |
|---|---|---|
| Aegis Treatment Centers Marysville | 201 D St suite g | Marysville |
| American Addiction Treatment Services, Inc | 1496 N. Beale Rd. | Marysville |
| BAART Programs Norwood | 310 Harris Ave Suite A | Sacramento |
| C.O.R.E. Medical Clinic, Inc. | 3990 Industrial Blvd | Sacramento |
| Aegis Treatment Centers Grass Valley | 109 Margaret Lane | Grass Valley |
| Aegis Treatment Centers Roseville | 1133 Coloma Way | Roseville |
| WellSpace Health J Street Community Health Center | 1820 J Street | Sacramento |
| BAART Programs Carmichael | 6127 Fair Oaks Blvd. | Carmichael |
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Opioid Use Disorder Treatment in Marysville and Yuba County
Marysville sits at the center of Yuba County in California’s Sacramento Valley, a smaller community where medications for opioid use disorder (MOUD), sometimes called medication-assisted treatment, are available locally through both clinic-based and office-based care, with telehealth extending options into the more rural parts of the county.
Methadone, buprenorphine (including Suboxone), and naltrexone (including Vivitrol) are all used, and larger provider networks in Roseville and Sacramento are within reach when a local opening is tight. The listings on this page show providers in and around Marysville. You can call one directly or use the helpline to talk through where to start.
Three Medications That Treat Opioid Use Disorders
Three medications are approved to treat opioid use disorder, and they are dispensed in two different treatment settings. Methadone is a full opioid agonist that eases withdrawal and cravings. For opioid use disorder, it is dispensed only through a licensed opioid treatment program, often called an OTP or, in California, a narcotic treatment program, and not through a regular pharmacy.
Buprenorphine, including the buprenorphine-naloxone combination sold as Suboxone and the extended-release monthly injection Sublocade, partly activates the same receptors and has a built-in ceiling that lowers overdose risk. A clinician can prescribe it in an office, and you fill it at a pharmacy, and OTPs offer it too.
Naltrexone, including the monthly Vivitrol injection, is not an opioid at all; it blocks opioid effects, and any licensed provider can prescribe it once you have been off opioids long enough to start safely.
In practice, Marysville residents reach methadone through opioid treatment programs and reach buprenorphine and naltrexone through office-based opioid treatment, known as OBOT.
If you are weighing the choice, here is how methadone and buprenorphine compare, and here is how an opioid treatment program works day to day. The right fit is a decision to make with a clinician.
What to Expect During Your First Visit
The first step is usually an intake assessment, where a clinician reviews your history, current use, and health, then helps you start the right medication. Bring a photo ID and your insurance or Medi-Cal information if you have them.
Many programs will begin the conversation even if you do not have insurance or coverage through Medicaid. Some local and regional programs offer same-day or next-day starts, which matter most when withdrawal is already beginning.
Sutter-Yuba Behavioral Health, the county behavioral health agency serving Yuba and Sutter counties, operates an Open Access intake clinic that can point you toward substance use treatment. If you have been using fentanyl, tell the clinician, because starting buprenorphine too soon after fentanyl can trigger sudden, severe withdrawal known as precipitated withdrawal. Timing the first dose must be planned carefully.
Here is more on starting methadone when fentanyl is involved.
Take-Home Doses and Telehealth When the Clinic Is a Drive Away
Distance is a real factor in a county this size, so the rules on take-home medication and telehealth matter here. Federal rules updated in 2024 expanded take-home methadone, up to a 28-day supply for patients who are stable in treatment, with eligibility decided by the program based on your progress rather than a fixed calendar.
That change can turn a daily drive into a weekly or monthly one. Buprenorphine can often be started and continued through telehealth, including by phone in many cases, without a prior in-person visit. This regulatory option is still being finalized, so confirm current options with a provider.
Methadone for opioid use disorder still has to be dispensed through an opioid treatment program, though some programs can begin treatment with a telehealth visit. If you are moving to the area or transferring from another clinic, ask a program about continuing your dose without a gap.
California’s Hub and Spoke System links narcotic treatment programs with office-based prescribers to widen buprenorphine access in counties like Yuba, and it is one reason ongoing, long-term methadone treatment is more workable than it used to be for people outside the bigger towns.
What Treatment Costs and How Medi-Cal Fits In
Cost is often the first worry, so start with coverage. In California, Medi-Cal covers all three opioid use disorder medications, along with counseling and naloxone, through the Drug Medi-Cal system run by the state Department of Health Care Services.
Under the CalAIM reforms, narcotic treatment programs are required to offer every FDA-approved opioid use disorder medication they can reasonably stock, so your medication choice should not be limited by which clinic you walk into.
Medicare and most private plans also cover treatment. If you are uninsured, Sutter-Yuba Behavioral Health sets fees on a sliding scale based on ability to pay, and many programs offer self-pay options. Ask about cost when you call so there are no surprises.
Overdose Data in Yuba County
Yuba County has felt the fentanyl wave that reshaped overdose across California, and the most recent local numbers point in a hopeful direction. The California Overdose Surveillance Dashboard, maintained by the California Department of Public Health, recorded 16 opioid-related overdose deaths in Yuba County in 2024.
This is down about 27% from the year before. Each of those deaths is a real loss in a small community, and the decline lines up with a broader statewide plateau in fentanyl deaths and with local work by the Yuba Sutter Healthcare Council. The Community Overdose Prevention Efforts coalition and Yuba County Fentanyl Task Force run naloxone training and distribution across the area.
The practical takeaway is that treatment works and it is available here. If you want the background, this explains how opioid use disorder develops.
Care for Veterans, Pregnant Patients, and People Involved With the Courts
A few situations in this area call for extra attention. Beale Air Force Base sits just east of Marysville, so many local patients are service members, military families, or veterans. Veterans can receive opioid use disorder medication through the VA Northern California Health Care System, which runs an outpatient clinic in nearby Yuba City.
Families covered by TRICARE have their own treatment pathways alongside the community options listed here. For pregnant patients, methadone and buprenorphine are the recommended standard of care, because staying on medication is safer for the parent and baby than stopping. Care teams plan ahead for neonatal opioid withdrawal syndrome, a treatable condition that some newborns experience.
Treatment is the recommended path, not a reason for fear. Here is more on methadone and buprenorphine during pregnancy. People on probation or reentering the community after incarceration can ask programs about compliance documentation and about California’s CalAIM reentry support.
Naloxone and Staying Safe
Anyone close to opioid use should keep naloxone on hand. Naloxone, sold as the nasal spray Narcan, reverses an opioid overdose and is now available over the counter. In California, you can also get it at a pharmacy without a personal prescription under a statewide standing order.
The state’s Naloxone Distribution Project supplies it free through community programs, including the Narcan distribution run locally by the Yuba Sutter Healthcare Council. California’s 911 Good Samaritan law protects you from arrest for low-level drug offenses when you call for help at an overdose.
A return to use can happen and is manageable; keeping naloxone nearby is good planning. Learn the signs of a methadone overdose so you know when to act.
Common Questions from Marysville and Yuba County
Here are answers to questions we hear most often from people looking for care in Marysville and Yuba County. For more, see our general questions and answers about methadone treatment.
Can I pick up methadone at a pharmacy in Marysville?
No, for opioid use disorder, methadone is dispensed only at a licensed opioid treatment program, not a retail pharmacy. Buprenorphine (including Suboxone) and naltrexone are different: a clinician can prescribe them in an office and you fill them at a pharmacy.
Can I start the same day?
Sometimes you can start the same day. Some programs in and around Marysville offer same-day or next-day intake, which helps when withdrawal has already started. Availability changes, so call a provider on this page or the helpline to ask about the soonest opening.
Do I have to go to the clinic every day for methadone?
Not necessarily. Federal rules updated in 2024 allow take-home methadone, up to a 28-day supply, for patients who are stable in treatment. Early on you may dose at the clinic more often, and take-home doses increase as you progress, at the program’s discretion.
Does Medi-Cal cover treatment?
Yes, Medi-Cal covers methadone, buprenorphine, and naltrexone, plus counseling and naloxone, through California’s Drug Medi-Cal system. Medicare and most private plans cover treatment too, and uninsured residents can ask about sliding-scale fees.
I live in a rural part of the county. Can I use telehealth?
Often, you can use telehealth for certain medications. Buprenorphine can usually be started and continued by telehealth, including by phone in many cases, without a first in-person visit, under flexibilities in place through 2026. Methadone still requires an opioid treatment program, though some can begin with a telehealth visit.
Last reviewed and sources
Last reviewed July 2026.
- California Overdose Surveillance Dashboard, California Department of Public Health, 2024 data (skylab.cdph.ca.gov/ODdash).
- California Department of Health Care Services: Drug Medi-Cal, the California Hub and Spoke System, and the Naloxone Distribution Project.
- SAMHSA and DEA guidance on the 2024 update to 42 CFR Part 8 and on telemedicine prescribing of buprenorphine, effective 2025 through 2026. https://www.samhsa.gov/substance-use
- Public Health Institute, CA Bridge program. https://www.phi.org/our-work/programs/california-bridge/
- California Department of Public Health, naloxone and Good Samaritan guidance.
- VA Northern California Health Care System; Yuba Sutter Healthcare Council, Community Overdose Prevention Efforts. https://www.yubasutterhealthcarecouncil.org/cope
MethadoneCenters.com is a referrer service that provides information about addiction treatment providers and facilities. It is not a medical provider or treatment facility and does not provide medical advice, and the information here is not a substitute for professional care.
Some listings and helpline calls are sponsored. Calls to a number on a specific treatment center’s listing go to that center. Calls to a general helpline may be answered by SAMHSA or a verified treatment provider. There is no obligation to enter treatment, and you can also browse the directory or contact SAMHSA directly.