800-680-7137Call For Help With Addiction
Talk To Someone Now
- Find a Clinic Near You
- Access Help and Resources
- Get 24-Hour Guidance and Information
Sponsored| Name | Address | City |
|---|---|---|
| The Salvation Army Addiction Treatment Services (ATS) | 3624 Waokanaka Street | Honolulu |
| Island Integrated Health | 1600 Kapiolani Boulevard Suite 634 | Honolulu |
| Drug, Alcohol, Mental Health Counseling & Evaluation Services, Inc | 1111 Fort Street Mall 2nd Floor | Honolulu |
| Sand Island Treatment Center | 524 Kaaahi St | Honolulu |
| CARE Hawaii, Inc. | 875 Waimanu Street | Honolulu |
| CHAMP Clinic Honolulu | 173 S Kukui St | Honolulu |
| Ku Aloha Ola Mau: Turban Joseph MD | 1130 N Nimitz Hwy # C302 | Honolulu |
| Queen’s Counseling Services | 1374 Nuuanu Avenue Kaheiheimalie Building | Honolulu |
| Kokua Support Services | 1130 North Nimitz Highway Unit A-226 | Honolulu |
| Department of Veterans Affairs – Substance Abuse Treatment Program 116 | 459 Patterson Road | Honolulu |
| Kalani High School | 4680 Kalanianaole Highway | Honolulu |
| Providence Treatment – Honolulu | 1188 Bishop St STE 1008 | Honolulu |
No results found!
Opioid use disorder treatment on Oʻahu: what Honolulu offers
Honolulu holds most of Hawaii’s opioid treatment capacity, which matters in a state where the neighbor islands often rely on telehealth to fill gaps. If you are looking for medication for opioid use disorder (MOUD) in Honolulu County, you have real choices here: methadone through licensed clinics, and buprenorphine (including Suboxone) or naltrexone through both clinics and regular doctors’ offices. The listings above show programs on Oʻahu. This page explains what those options mean, what treatment costs, and how to take the next step, whether you call a provider on this page or the helpline.
The three medications, and where each one comes from
There are three FDA-approved medications for opioid use disorder, and knowing how each is dispensed tells you what the listings above actually represent.
Methadone for opioid use disorder is provided only through licensed opioid treatment programs (OTPs), not regular pharmacies. You receive your dose at the clinic, daily at first, and earn take-home doses over time as treatment stabilizes. Buprenorphine, including Suboxone and other buprenorphine-naloxone products plus the extended-release injection Sublocade, works differently: any clinician with a standard DEA registration can prescribe it in an office and you fill it at a pharmacy, or you can get it through an OTP. Naltrexone, including the monthly Vivitrol injection, can be prescribed by any licensed provider, but it starts only after you have stopped using opioids for a set time, so a clinician plans the timing with you. That is the office-based path, or OBOT, that sits alongside the clinic model. If you are weighing the daily structure of a clinic against office-based care, it helps to read how methadone and Suboxone compare day to day and what a methadone clinic actually involves before you call.
Starting treatment in Honolulu, and Hawaiʻi CARES
The first step is an assessment, where a provider reviews your history and helps match you to a medication. Hawaii runs a single statewide front door for this: Hawaiʻi CARES, the state Department of Health’s coordinated access line, handles universal intake, screening, and referral to treatment across the islands. You can reach it at 808-832-3100 or toll-free 800-753-6879. If you are coming off fentanyl and considering buprenorphine, timing matters: starting Suboxone too soon after fentanyl can trigger sudden, severe withdrawal (called precipitated withdrawal), so a clinician plans your first dose around that risk. This is worth understanding whether your goal is stabilizing after fentanyl use or reviewing the full range of opioid use disorder treatment options.
Take-home doses and telehealth: the current rules
Federal rules updated in 2024 expanded take-home methadone, up to a 28-day supply for patients who are stable in treatment, and let treatment begin by telehealth. Take-home eligibility is decided by your program based on your progress, not by a fixed timeline. For buprenorphine, telehealth is even more flexible: as of 2026, it can 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 opioid use disorder, though, is still dispensed through an OTP, so if you are transferring from another program or need guest dosing while on Oʻahu, you will still visit a clinic in person. Staying engaged and consistent with your dose is what moves you toward more take-homes and toward longer-term maintenance that fits your life.
Paying for treatment: Med-QUEST and other options
Hawaii’s Medicaid program, Med-QUEST, covers all three medications for opioid use disorder, methadone, buprenorphine, and naltrexone, along with the counseling that goes with them. Med-QUEST is delivered through several managed care plans, each with its own provider network, so it is worth confirming which Honolulu programs participate under your specific plan before you schedule intake; Hawaiʻi CARES can help you sort this out. Federal mental health parity rules require private insurers to cover this treatment at the same level as other medical care. If you are uninsured, the Department of Health’s Alcohol and Drug Abuse Division (ADAD) is the main source of public funding for treatment in the state, and SAMHSA block grant funds help cover people who fall outside Medicaid.
Oʻahu’s overdose picture, and why the medication still matters
Hawaii’s overdose crisis is largely a stimulant and polysubstance one. Statewide, unintentional drug overdose deaths rose from 252 in 2021 to 360 in 2024, and more than 75 percent of 2024 deaths were stimulant-related, primarily methamphetamine (Hawaiʻi Overdose Initiative, CDC SUDORS data, 2026). Fentanyl-only deaths actually fell statewide, from 43 in 2023 to 28 in 2024, which officials link partly to wider naloxone availability. Honolulu County ran against that trend: Oʻahu recorded 244 overdose deaths in 2024, up nearly 10 percent, the one county where deaths rose (Hawaii HIDTA, 2025). Fentanyl now shows up mixed with methamphetamine far more often, which makes an overdose reversal tool useful even for people who do not think they use opioids. If any of this describes you or someone you love, effective treatment is available on Oʻahu, and the next step can start with a call today. Understanding how opioid addiction works can help you make sense of the options.
Pregnancy, injection drug use, and other specific situations
Some situations change how quickly you can get in and what to expect. Hawaii’s Alcohol and Drug Abuse Division requires publicly funded programs to prioritize admission for pregnant women and for people who inject drugs, so if either applies to you, say so when you call; it moves you up. For pregnancy, methadone and buprenorphine are the recommended standard of care, and getting into treatment protects both you and your pregnancy. You can plan for a newborn’s care in advance through a Plan of Safe Care, and treatment is the recommended path, not a reason to avoid care. If you are in drug court or on probation, Hawaii’s courts support medication for opioid use disorder, and federal guidance discourages programs from banning FDA-approved medication. Because Oʻahu holds most of the state’s treatment capacity, people relocating from a neighbor island sometimes travel here for care, so ask any program about coordinating with providers back home. For more on methadone and pregnancy or how families can help, those guides go deeper.
Naloxone and staying safe
Naloxone, the medication that reverses an opioid overdose, is available over the counter and through pharmacies and community programs. In Hawaii, a state standing order lets pharmacies dispense it without an individual prescription, and the Hawaiʻi Health & Harm Reduction Center (HHHRC) provides it free, including by mail, to anyone on Oʻahu, Kauaʻi, Maui, and Hawaiʻi Island; you can reach HHHRC at 808-521-2437. Hawaii’s Good Samaritan law offers some protection from drug-possession charges for people who call 911 during an overdose, though that immunity is limited. Because fentanyl is increasingly mixed into methamphetamine and other drugs on Oʻahu, carrying naloxone is worth it even if you do not expect opioids. A return to drug use is a common and manageable part of recovery, not a failure, and knowing the signs of an opioid overdose helps you act fast.
Common questions about treatment in Honolulu
Do I have to go to a clinic every day?
At first, methadone means daily visits to an OTP, but you earn take-home doses over time as your treatment stabilizes, up to a 28-day supply for stable patients under 2024 federal rules. Buprenorphine and naltrexone are usually prescribed from an office and filled at a pharmacy, so they do not involve daily clinic visits.
Can I start Suboxone by phone in Honolulu?
Often, yes. As of 2026, buprenorphine can be started through telehealth, including by phone in many cases, without a prior in-person visit. These flexibilities run through the end of 2026 and are still being finalized, so confirm what is current with a provider.
Which medication is right for me?
That is a decision to make with a clinician, and it depends on your history, your goals, and your daily life. Methadone, buprenorphine, and naltrexone are all effective; they differ in how they work and how you get them. Reading how methadone and Suboxone compare is a good starting point before your appointment.
Will Med-QUEST cover it?
Med-QUEST covers all three medications for opioid use disorder and the counseling that goes with them. Coverage runs through managed care plans with different networks, so confirm that a specific Honolulu program takes your plan before intake. Hawaiʻi CARES can help you check.
Is methadone just trading one drug for another?
No. Taken as prescribed, methadone eliminates withdrawal and blocks cravings without the cycle of misuse, which lets your brain chemistry stabilize. SAMHSA, the CDC, and the American Society of Addiction Medicine consider it a standard of care. You can read whether methadone itself is addictive for a fuller answer.
Sources and disclosures
Last reviewed July 2026.
Sources:
- Hawaiʻi Overdose Initiative, Hawaii Opioid Settlement Program (CDC State Unintentional Drug Overdose Reporting System data), 2026: osp.hawaii.gov/hoi
- Hawaiʻi CARES, Hawaii State Department of Health, Alcohol and Drug Abuse Division: health.hawaii.gov/substance-abuse/cares
- Alcohol and Drug Abuse Division (ADAD), Hawaii State Department of Health: health.hawaii.gov/substance-abuse
- Hawaii Med-QUEST Division: medquest.hawaii.gov
- Harm Reduction Services Branch and naloxone access, Hawaii State Department of Health: health.hawaii.gov/harmreduction
- SAMHSA, medications for opioid use disorder overview: samhsa.gov/find-help
- DEA and HHS, telemedicine prescribing flexibilities extended through December 31, 2026: hhs.gov
MethadoneCenters.com is a referrer service that provides information about addiction treatment practitioners and facilities. MethadoneCenters.com is not a medical provider or treatment facility and does not provide medical advice. MethadoneCenters.com is not owned or operated by any treatment facility, does not endorse any treatment facility, and does not guarantee the quality of care provided or the results to be achieved by any treatment facility. The information provided is not a substitute for professional treatment advice.
Calls to any general helpline may be answered or returned by a paid advertiser. By calling the helpline you agree to the terms of use. We do not receive any commission or fee that depends on which treatment provider a caller chooses. There is no obligation to enter treatment.