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| Crossroads Turning Points Inc Pueblo | 509 East 13th Street | Pueblo |
| Colorado Treatment Services Pueblo | 275 W Abreindo Ave | Pueblo |
| Diversus Health – Substance Use Services/Adult and Child | 1795 Jetwing Drive | Colorado Springs |
| Recovery Systems PC | 839 S Circle Dr | Colorado Springs |
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| AspenRidge Recovery – Colorado Springs | 1223 Lake Plaza Drive Suite C | Colorado Springs |
| Recovery Unlimited | 140 S Parkside Dr | Colorado Springs |
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Finding Opioid Use Disorder Treatment in Pueblo, Colorado
Pueblo sits in southern Colorado along the Front Range, and it is one part of the state where opioid use disorder has taken the heaviest toll.
All three FDA-approved medications for opioid use disorder are used in and around Pueblo County, in two kinds of settings: opioid treatment programs and regular medical offices. You do not have to know which one you want before you reach out.
The listings on this page connect you to local providers, and the site helpline can talk through your options if you would rather start with a call.
The Three Medications and Where You Get Them
There are three FDA-approved medications for opioid use disorder. Knowing what each is, and where it is legally available, tells you what the listings on this page represent. The right medication for you is a decision to make with your clinician.
Methadone is a full-strength daily medication that steadies withdrawal and cravings. For opioid use disorder, it is provided only through a licensed opioid treatment program, often called an OTP or a methadone clinic, not a regular pharmacy.
Buprenorphine, which most people know by the brand Suboxone (a buprenorphine and naloxone combination), can be prescribed in a doctor’s office and filled at your pharmacy, and is also offered at clinics and as a monthly injection called Sublocade.
Naltrexone, including the monthly Vivitrol injection, is not a controlled substance and any licensed provider can prescribe it. However, you have to be fully off opioids for a stretch before starting, so it is rarely the first step straight from active fentanyl use.
If you are weighing the daily-clinic path against the office-based path, how methadone and Suboxone compare day to day is a useful place to start, with more detail on how methadone treatment works.
Starting Treatment and What the First Visit Looks Like
The first step is an intake assessment where a provider asks about your opioid use, health and history, then works out a starting plan with you.
If you are coming off fentanyl, timing matters for buprenorphine. Starting it too soon after using can trigger sudden, severe withdrawal, called precipitated withdrawal, so a clinician plans the first dose with you rather than rushing it. Methadone is started inside an opioid treatment program and does not carry that same timing trap, which is one reason some people choose it after heavy fentanyl use.
Bring an ID and any insurance or Medicaid information, if you have it, though missing paperwork should not stop you from being seen. To understand how treatment handles fentanyl specifically, see starting methadone treatment when fentanyl is involved.
Take-Home Doses, Telehealth and the Rules As They Stand Now
If you are transferring into Pueblo, restarting, or hoping for fewer clinic trips, the rules changed recently in ways that help.
Federal rules updated by SAMHSA in 2024 expanded take-home methadone, up to a 28-day supply for patients who are stable in treatment, with the program deciding eligibility based on how treatment is going. Those same rules let treatment begin by telehealth and allowed mobile medication units. Methadone for opioid use disorder is still dispensed through an opioid treatment program, even when a first visit happens by video.
Staying with a steady dose is what makes the take-home path possible, and why a consistent methadone dose matters explains how that stability is built.
For buprenorphine, as of July 2026, treatment can be started through telehealth, including by phone in many cases and without a prior in-person visit. These important flexibilities run through the end of 2026 and are still being finalized, so confirm what is current with a provider.
Paying for Treatment in Pueblo
Cost is usually the first worry. There are several options to help you pay for treatment in Pueblo.
Health First Colorado, the state’s Medicaid program, covers all three FDA-approved medications for opioid use disorder, and Colorado removed prior authorization for buprenorphine, which shortens the wait to start. Medicare Part B covers methadone, buprenorphine and naltrexone when you receive them in an office or through an opioid treatment program.
Private insurance plans generally cover medications for opioid use disorder as well. If you are uninsured, many programs offer sliding-scale fees or draw on state and federal funding to keep care affordable. It is worth asking each provider directly what self-pay looks like.
Colorado’s own care-navigation service, Colorado LIFTS, run through the state Behavioral Health Administration, can also help sort out coverage and connect you to a program.
Pueblo County’s Overdose Picture, and Why Treatment Still Matters
Pueblo County has carried a heavier overdose burden than most of Colorado. In analyses of county-level CDC data, Pueblo has ranked among the twelve Colorado counties with the highest drug-overdose death rates, and one of only three urban Front Range counties in that group, alongside Denver and Adams.
Statewide, the trend has been uneven: Colorado’s synthetic-opioid deaths peaked at roughly 1,213 in late 2023, fell to about 803 a year later, then rose again to around 957 by August 2025, running counter to the national decline. These numbers highlight real loss in this community, and they are also why this page exists to educate residents that medication treatment is effective and available locally.
For context on the condition itself, see opioid addiction and how it is treated.
Local Response, Courts and Pregnancy
Pueblo has built specific responses worth knowing about if your situation is complicated.
The Pueblo Department of Public Health and Environment tracks the local drug supply and runs prevention work, and the county’s Quick Response Team pairs first responders with a peer navigator to follow up with people after an overdose. Through the county’s Law Enforcement Assisted Diversion program, some people arrested on low-level drug charges are routed toward services and a case manager instead of booking.
If your treatment is court-connected, through drug court, probation or reentry after incarceration, providers here work with those requirements, making treatment the recommended standard.
For pregnant patients, methadone and buprenorphine are the recommended standard of care. Research shows that getting into and staying in treatment protects both parent and baby.
Read more about methadone and pregnancy, and families helping someone can start with guidance for families.
Naloxone and Staying Safe
Naloxone, the medication that reverses an opioid overdose, is worth having on hand whether you use opioids or love someone who does.
In Colorado, a statewide standing order lets pharmacists dispense naloxone without an individual prescription, and an over-the-counter Narcan product is also sold directly. The locator at Stop the Clock Colorado can show you participating pharmacies and community sources, and local harm-reduction services in Pueblo distribute it as well.
Colorado’s 911 Good Samaritan Law offers protection from certain charges when you call for help during an overdose, so calling 911 is always the right move. Find out more on recognizing and responding to an opioid overdose here.
Because a return to use can happen and is a manageable part of treatment, not a failure, keeping naloxone nearby is simple insurance and can mean the difference between life and death.
Common Questions About Treatment in Pueblo
Do I have to go to a clinic every day?
Not necessarily. Methadone starts with more frequent visits, but stable patients can earn take-home doses, up to a 28-day supply under the 2024 federal rules, with the program deciding based on your progress. Buprenorphine prescribed in an office is typically picked up at a pharmacy, so it does not involve daily clinic visits at all.
What is the difference between methadone and Suboxone?
Both treat opioid use disorder well. Methadone is dispensed daily through an opioid treatment program and is a full opioid agonist; buprenorphine (Suboxone) can be prescribed in a doctor’s office and has a ceiling on its effects, which lowers overdose risk. The right choice depends on your history and needs, and it is one you make with a clinician.
Can I start treatment the same week?
Often yes. Many providers offer prompt intake, and telehealth can speed up starting buprenorphine. Call the providers listed here or the helpline to ask about current openings because wait times vary by program.
Does Medicaid cover it?
Yes. Health First Colorado covers methadone, buprenorphine and naltrexone for opioid use disorder. Importantly, buprenorphine no longer needs prior authorization before starting in Colorado.
How long will I be on medication?
There is no fixed answer. Long-term medication is legitimate, effective care and many people stay on it for years; others taper with a clinician’s help when the time is right. That timing is a conversation to have with your provider, not a deadline.
About This Page
Last reviewed August 2026.
Sources: SAMHSA and DEA (federal medication rules and telehealth); FDA (approved medications); Health First Colorado and the Colorado Behavioral Health Administration (Medicaid coverage and care navigation); Colorado Department of Public Health and Environment (naloxone standing order); Colorado Health Institute and the CDC (county overdose rankings); Common Sense Institute Colorado and the CDC (statewide overdose trend); Pueblo Department of Public Health and Environment (local overdose response, Quick Response Team, and Law Enforcement Assisted Diversion program).
Methadone Centers is a treatment-discovery and education resource, not a treatment provider, and this page is not medical advice. Speak with a licensed clinician about your care.
The helpline on this site is a sponsored resource. Calls are answered by a paid advertiser, and contacting the helpline does not obligate you to any provider or service.
Last Updated: August 19, 2026