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Medication Treatment for Opioid Use Disorder in Maywood
Maywood is a village in Proviso Township in west-suburban Cook County. This is a dense community serving as a regional healthcare center thanks to the major hospital campus. It has carried a heavier share of the county’s overdose loss than most suburbs, and it has also built one of the more visible local responses.
People here reach opioid use disorder (OUD) care through opioid treatment programs, through doctors’ offices and health centers that prescribe buprenorphine or naltrexone, and through telehealth. The listings below connect you directly to providers. If you would rather talk through which medication and setting fit before you call, the helpline on this page can help.
Three Medications and Two Settings Where You Can Get Treatment
Opioid use disorder has three FDA-approved medications, and each works differently. Methadone is a once-daily full agonist that’s dispensed for OUD only through a licensed opioid treatment program (OTP), not a pharmacy.
Buprenorphine, including Suboxone and other buprenorphine-naloxone products and the extended-release injection Sublocade, partly activates opioid receptors with a ceiling that lowers overdose risk. Clinicians can prescribe it in an office for you to fill at a pharmacy, or a clinic can provide it.
Naltrexone, including the monthly Vivitrol injection, blocks opioids instead of replacing them and starts only after a period off opioids. These reach you through two settings: the daily-dosing opioid treatment program, the only source of methadone for OUD, and office-based opioid treatment (OBOT) in a physician’s office or health center, usually for buprenorphine or naltrexone.
This comparison of how methadone and Suboxone differ is a helpful starting point, and here is more on what a methadone clinic is like. The medication that fits your situation is a choice without a single right answer.
A Village-Led Response to the Overdose Crisis
What stands out about Maywood is how directly the community has organized around this. The Village of Maywood has partnered with the Cook County Department of Public Health on a substance-use awareness and education effort.
This includes a community discussion and training series and free naloxone placed in display boxes at local businesses so residents can pick it up at no cost.
Local officials have been candid that Maywood ranks among the west-suburban communities most affected by substance use, and that the burden falls hardest where poverty is higher, which is why the response pairs treatment access with outreach and prevention.
Maywood police were also among the first departments in the county to route people toward treatment instead of arrest. For families trying to help someone connect to care, this guide for how to help a loved one is a practical place to start.
What Getting Started Looks Like
The first step is an intake assessment, where a clinician reviews your opioid history and health and helps you choose a medication and setting. Methadone dosing can often start the same day. Buprenorphine needs to be timed, because starting it too soon after fentanyl can cause sudden, severe withdrawal (precipitated withdrawal), so a clinician plans the first dose.
With fentanyl dominating the supply, this is a routine part of the plan, not a reason to delay. For the wider view of entering care, see this overview of opioid addiction treatment. Bring ID and insurance information if you have them, though lacking either should not stop an assessment.
Take-Home Doses, Telehealth, and Current Rules
The rules now make it easier to stay in treatment. Under SAMHSA’s 2024 revision of 42 CFR Part 8, stable patients can receive take-home methadone of up to a 28-day supply. Whether you are stable is decided by the program, and treatment can start by telehealth.
Buprenorphine can be started through telehealth, including by phone in many cases, without a prior in-person visit. Those flexibilities are available through 2026 and are still being finalized. This means you should confirm current options with a provider.
Methadone for OUD is still dispensed through an OTP, though intake can sometimes be by video. Illinois’s MAR NOW program, reached through the Illinois Helpline, connects people to a first buprenorphine prescription, often by phone. Holding a steady dose is what protects the progress you make.
Paying for Care in Illinois
In Illinois, Medicaid covers all three OUD medications, through HealthChoice Illinois managed care and fee-for-service coverage, administered by the Illinois Department of Healthcare and Family Services. State law (Public Act 100-1023) removed prior authorization for these medications and ended the previous 12-month buprenorphine limit.
This means coverage should not put a clock on treatment. Private plans sold in Illinois must cover this care under parity rules, and Medicare covers it too. Because cost and insurance gaps hit hardest in the communities carrying the most overdose loss, it is worth knowing that many providers use sliding-scale fees or block-grant funding for uninsured people; the helpline on this page can help you confirm what a provider accepts.
Overdose Treatment in Maywood and Suburban Cook County
County officials have described Maywood as among the west-suburban communities hardest hit by opioid overdose, part of why the village and county have organized such an active local response. This is part of a county trend that is finally improving.
In suburban Cook County, the opioid overdose mortality rate was 10.8 per 100,000 in 2024, a 33.3% decline in one year, with 279 suburban opioid-involved deaths, about 87% involving fentanyl. Countywide, 2024 was a third straight year of decline, the largest of any county in the country since the national peak.
These figures represent real neighbors lost, and the decline reflects the naloxone, treatment, and outreach that Maywood’s own response is part of. For background on how opioid addiction develops, that context helps. The key takeaway is that effective treatment is close, and starting it is the strongest step against an overdose.
Special Situations Like Reentry, Pregnancy, and Co-occurring Needs
Some life situations are more challenging. People leaving jail or prison are at especially high overdose risk in the first weeks, and starting or continuing medication before release, with a warm handoff to a community provider, is the safest bridge.
During pregnancy, methadone and buprenorphine are the recommended standard of care, coordinated with prenatal care, and a Plan of Safe Care supports rather than punishes; treatment protects both patient and baby.
Many people also live with co-occurring mental health conditions or the effects of past trauma, and care that treats those alongside OUD tends to work best, something the hospital resources near Maywood are equipped to handle. For pregnancy specifically, see this guidance on MOUD during pregnancy.
Naloxone and Overdose Safety
Naloxone (Narcan) reverses an opioid overdose within minutes, and anyone near opioid use should carry it. In Maywood, free naloxone has been placed in display boxes at local businesses through the village’s partnership with the county and statewide. Illinois’s standing order ensures pharmacies can dispense naloxone without a prescription.
Free distribution is available through the state’s Drug Overdose Prevention Program. The Illinois Good Samaritan law protects people who call 911 for an overdose from certain drug-possession charges. Because fentanyl is so common, more than one dose may be needed. A return to use is a manageable part of a chronic condition, not a failure. More on recognizing and reversing an overdose is here.
Questions People in Maywood Ask
Where can I get free naloxone in Maywood?
Free naloxone has been distributed through display boxes at participating local businesses via the Village of Maywood and Cook County Department of Public Health partnership, and pharmacies dispense it without a prescription under the state standing order. Keeping a kit on hand is strongly encouraged.
Do I have to go to a clinic every day?
Not necessarily. Buprenorphine and naltrexone are usually office-prescribed and filled at a pharmacy. Methadone starts daily, but stable patients can earn take-home supplies of up to 28 days under the 2024 federal rules.
Can I start buprenorphine by phone?
In many cases, yes, including audio-only telehealth, without a prior in-person visit, under rules in effect through 2026. Illinois’s MAR NOW program is built for this. Methadone still requires an OTP for dosing.
I am leaving custody soon. What should I do?
Ask about starting or continuing medication before release and getting a warm handoff to a community provider. The first weeks after release carry high overdose risk, and staying on medication is protective.
Is one medication better than the others?
No single medication is best for everyone. Methadone, buprenorphine, and naltrexone each fit different histories and needs, and the right choice is one you make with a clinician.
Last reviewed and disclosures
Last reviewed July 2026.
Sources:
Cook County Department of Public Health, Chicago Department of Public Health, and Cook County Medical Examiner’s Office, Joint Opioid Report (June 2026) https://cookcountypublichealth.org/2026/06/24/cook-county-chicago-joint-opioid-report-shows-third-year-decline-in-opioid-overdose-deaths/
Cook County Department of Public Health, Opioids https://cookcountypublichealth.org/behavioral-health/opioids/
Cook County Department of Public Health and Village of Maywood substance use partnership (2024) https://cookcountypublichealth.org/2024/07/31/cook-county-and-village-of-maywood-join-forces-to-address-substance-use/
Illinois Department of Human Services, Drug Overdose Prevention Program https://www.dhs.state.il.us/page.aspx?item=58142
Illinois Department of Public Health, Opioid Overdose Response https://dph.illinois.gov/topics-services/opioids/overdose.html
U.S. Substance Abuse and Mental Health Services Administration (SAMHSA), 42 CFR Part 8 (2024) https://www.samhsa.gov/substance-use/treatment/opioid-treatment-program/42-cfr-part-8
Methadone Centers is a treatment-discovery and education resource, not a treatment provider, and does not offer medical advice. Decisions about medication and treatment should be made with a licensed clinician.
The helpline on this site is answered by a sponsored treatment provider. Calls to the helpline may be answered by a paid advertiser.
Last Updated: August 10, 2026