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Sponsored| Name | Address | City |
|---|---|---|
| Redwood Empire Addictions | 2403 Professional Drive | Santa Rosa |
| Santa Rosa Treatment Program Inc | 625 Steele Lane | Santa Rosa |
| MedMark Treatment Centers Vallejo | 1628 Broadway Street Suite B | Vallejo |
| Marin Treatment Center, Inc. | 1466 Lincoln Ave. | San Rafael |
| BAART Programs E Street | 1143 Missouri Street | Fresno |
| MedMark Treatment Centers Fairfield | 1143 Missouri St | Fairfield |
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Medication Treatment for Opioid Use Disorder in Santa Rosa
Most of Sonoma County’s medication treatment for opioid use disorder is concentrated in and around Santa Rosa, the county seat, while the heaviest overdose burden sits to the west along the Russian River corridor. That shapes how care works here, including how clinic-based and office-based providers cluster in the city, and how telehealth and mobile services help reach people farther out.
Whether you are looking for methadone, buprenorphine (including Suboxone), or naltrexone, the listings below are your starting point, and the helpline can talk through options with you.
Your Medication Options
Three medications are approved to treat opioid use disorder. This is called MOUD, sometimes called medication-assisted treatment or MAT. These medications are offered in two different treatment settings.
Methadone for opioid use disorder is dispensed only through a licensed opioid treatment program (OTP). In this clinic model, dosing starts daily, and take-home doses are added over time as treatment stabilizes.
Buprenorphine, which includes Suboxone and other buprenorphine-naloxone products as well as the extended-release injection Sublocade, works differently. Any medical professional with a standard DEA registration can prescribe it in a regular doctor’s office, and you fill it at a pharmacy.
Naltrexone, including the monthly Vivitrol injection, is not a controlled substance and can be prescribed by any licensed provider, though it is started only after you have been off opioids for a set period.
Office-based opioid treatment (OBOT) and telehealth have expanded access to where buprenorphine and naltrexone can be started, while methadone can only be prescribed through an OTP.
If you are weighing the choice, it helps to see how methadone and Suboxone compare and what an opioid treatment program involves before you call.
How to Start, and What to Expect During Intake
Getting started usually begins with an intake assessment, where a provider reviews your history and helps you choose a medication and setting. Bring a photo ID and your insurance or Medi-Cal information. However, many programs will offer an initial assessment and guide you toward community resources even without insurance.
Same-day treatment is available in Sonoma County, including through emergency departments that use the CA Bridge model to begin buprenorphine on the spot and connect you to ongoing care. However, because most of the local drug supply now contains fentanyl, starting buprenorphine too soon after use can trigger sudden, severe withdrawal (called precipitated withdrawal). This means the timing of your first dose must be carefully planned.
Starting treatment when fentanyl is involved is something local programs manage routinely.
Know More About Take-Home Doses and Telehealth Options
Federal rules updated in 2024 changed what ongoing methadone treatment can look like. Stable patients can now receive take-home methadone up to a 28-day supply, decided by the program based on how treatment is going, and programs can begin treatment through a telehealth visit.
Buprenorphine can be started by telehealth as well, including by phone in many cases, without a first in-person visit. However, these options are only available through 2026 and are still being finalized. You must confirm what the current options are with a provider.
Mobile medication units are also permitted, which matters in a county where some residents live far from the nearest clinic. Methadone for opioid use disorder is still dispensed through an OTP, not a pharmacy.
If you are transferring in or returning to care, ask a program about guest dosing and where you stand on long-term methadone treatment.
Paying for Treatment
In California, Medi-Cal covers all three opioid use disorder medications through the Drug Medi-Cal program, which Sonoma County operates as an organized delivery system. State law bars prior authorization for FDA-approved MOUD under Medi-Cal and state-regulated plans, and there is no copay for the medications, so cost is rarely the reason to wait.
Private insurance and Medicare also cover medication treatment, and programs that accept self-pay often use sliding-scale fees. If you are not sure what you qualify for, a provider in the listings below or the helpline can help you sort it out.
Overdoses in Sonoma County
Sonoma County’s overdose picture has been improving. The county’s overdose death rate fell from 2022 to 2024 to 22.4 per 100,000 residents, close to the statewide rate of about 22 per 100,000, though still above pre-pandemic levels.
An average of 12 residents die each month from drug overdoses, the third highest rate among Bay Area counties, and the burden falls hardest along the Russian River. More recently, fentanyl concentrations in local wastewater declined through 2024 and 2025, one sign the trend is moving in the right direction.
Behind those numbers are people, and effective medication treatment is available locally to anyone ready to start. Understanding how opioid use disorder develops can make the first step feel less daunting.
Pregnancy, Housing Instability, and Other Needs
If you are pregnant, medication treatment is the recommended standard of care, and methadone or buprenorphine lowers the risk to you and your baby compared with continued opioid use or sudden withdrawal.
Providers can plan for neonatal opioid withdrawal syndrome (NOWS) and build a Plan of Safe Care with you rather than around you. Sonoma County has directed opioid settlement funds toward perinatal care coordination. Seeking treatment is a protective step, and it helps to know how methadone and pregnancy fit together before an appointment.
Housing instability is another local reality. People experiencing homelessness are about 1% of the county’s population but roughly 10% of its overdose deaths, and local outreach and mobile services are increasingly built around reaching them.
Naloxone and Overdose Prevention in Sonoma County
Naloxone reverses an opioid overdose, and it is something anyone connected to opioid use should carry. In California, a statewide standing order from the California Department of Public Health enables pharmacies and community programs to provide it without an individual prescription.
The state’s Naloxone Distribution Project has supplied free naloxone across all 58 counties since 2018. California’s Good Samaritan law protects people who summon emergency help or give naloxone in good faith during an overdose.
Locally, Face to Face runs a syringe services and naloxone program in Santa Rosa serving thousands of residents a year, and West County Health Centers’ Lower Russian River Opioid Prevention and Harm Reduction Initiative, funded through the county’s opioid settlement dollars, is extending fentanyl test strips and naloxone into the harder-hit river communities.
Carrying naloxone and staying in treatment are the two most reliable ways to prevent a fatal overdose, and a return to use is common and manageable rather than a failure. Knowing how to recognize and respond to an opioid overdose is worth a few minutes for anyone at risk or close to someone who is.
Common questions about starting treatment in Santa Rosa
A few questions come up again and again; more are answered in our common questions about methadone treatment.
Do I have to go to a clinic every day for methadone?
At first, methadone is dosed daily at an opioid treatment program while your treatment stabilizes. Under 2024 federal rules, stable patients can receive take-home doses up to a 28-day supply, so daily visits are usually temporary. The program decides take-home eligibility based on how treatment is going.
Can I start Suboxone without going in person?
Often yes. Buprenorphine, including Suboxone, can be started by telehealth, and by phone in many cases, without a prior in-person visit, under flexibilities in effect through 2026. Those rules are still being finalized, so confirm current options with a provider or through the listings below.
Is methadone available at a pharmacy in Santa Rosa?
No. For opioid use disorder, methadone is dispensed only through a licensed opioid treatment program, not a retail pharmacy. Buprenorphine and naltrexone are different, and both can be prescribed in a doctor’s office and picked up at a pharmacy.
Will Medi-Cal cover my treatment?
Medi-Cal covers methadone, buprenorphine, and naltrexone through the Drug Medi-Cal program, with no prior authorization for FDA-approved medications and no copay for them. Private insurance and Medicare also cover MOUD, and some programs offer sliding-scale self-pay.
What if I have used fentanyl recently?
Tell the intake provider. Because fentanyl lingers in the body, starting buprenorphine too soon can cause precipitated withdrawal, so a clinician will time your first dose. Methadone induction follows a different, closely monitored schedule. These are routine decisions for local programs.
Review and disclosures
Last reviewed July 2026.
Sources:
- Sonoma County Department of Health Services, opioid overdose data and settlement funding (2025) https://sonomacounty.gov/board-of-supervisors-approves-5m-in-opioid-settlement-funds-for-substance-use-disorder-projects
- California Department of Health Care Services, Naloxone Distribution Project https://www.dhcs.ca.gov/individuals/naloxone-distribution-project/
- SAMHSA and DEA, buprenorphine telemedicine final rule (2025 to 2026) https://www.samhsa.gov/about/news-announcements/statements/2025/dea-and-hhs-issue-final-telemedicine-rule-for-buprenorphine-access
- U.S. Food and Drug Administration, Information about Medications for Opioid Use Disorder https://www.fda.gov/drugs/food-and-drug-administration-overdose-prevention-framework/information-about-medications-opioid-use-disorder-moud
Methadone Centers is a treatment-discovery and education resource, not a medical provider. The information here is educational and is not medical advice or a substitute for care from a licensed clinician; decisions about medication and treatment are made with your provider.
Calls to some numbers on this site may be answered by a sponsored treatment provider or partner. Using the directory or helpline does not guarantee admission to any specific program.
Last Updated: August 4, 2026