| Name | Address | City |
|---|---|---|
| Concerted Care Group Frederick | 300 B Scholls Lane | Frederick |
| Heritage Treatment Centers | 4200 Edmondson Ave suite 102 | Baltimore |
| Pikesville Health Services Methadone Clinic | 1209 Greenwood Rd | Pikesville |
| Hanover Treatment Services | 120 Penn Street | Hanover |
| Martinsburg Institute – Methadone Clinic & Suboxone Clinic | 223 Eagle School Road | Martinsburg |
| New Horizons Health Services, Inc. | 15216 Dino Drive | Burtonsville |
| B.N.J. Health Services | 5248 Reisterstown Rd | Baltimore |
| BornFree Wellness Centers of America | 19537 Doctors Drive Bldg 3 | Germantown |
| Inova CATS Program | 3300 Gallows Rd. | Falls Church |
| Genesis Treatment Services | 1106 Business Pkwy S # B | Westminster |
| Another Way – Methadone Clinic & Suboxone Clinic | 1363 Holton Lane | Takoma Park |
| JAEL Health Services | 10176 Baltimore National Pike | Ellicott City |
| Montgomery Recovery Services Inc | 14636 Rothgeb Drive | Rockville |
| People Encouraging People | 4201 Primrose Avenue | Baltimore |
| Sibus Treatment Services | 6170 Hunt Club Rd | Elkridge |
| Park Heights Health Services, Inc | 5260 Park Heights Avenue | Baltimore |
| Ron echard | 34 regis circal | sterling |
| Metro Treatment of Maryland, LP | 2053 Day Road | Hagerstown |
| Phoenix Health Center | 217 East Antietam Street | Hagerstown |
| Metwork Health Services, Inc. | 2120 Liberty Road | Eldersburg |
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MOUD treatment in Frederick, Maryland: what is here and how to begin
Frederick sits in a part of Maryland where you have real choices for opioid use disorder (OUD) treatment. Opioid treatment programs, the clinics that dispense methadone, operate in and around the city, and a growing number of office-based prescribers offer buprenorphine and naltrexone, some by telehealth. If the nearest clinic with the exact medication or hours you want is in a neighboring town or along the I-270 corridor toward Montgomery County, telehealth can often close that gap for buprenorphine. The listings below show providers you can contact directly. If you are deciding today, use the click-to-call options on a listing or the helpline on this page to reach a person who can walk you through the first step.
Your medication options, and where each one is available
Three medications are approved for opioid use disorder, and they are available in two different settings. Knowing which is which tells you what the listings below actually represent.
Methadone for OUD is dispensed only through a federally certified opioid treatment program (OTP), not a regular pharmacy. It is taken daily at first, with take-home doses added as treatment stabilizes. Buprenorphine, including Suboxone and other buprenorphine-naloxone products, works differently: any clinician with a standard DEA registration can prescribe it in an office and you fill it at a pharmacy, and it is also offered inside OTPs. Longer-acting forms exist too, such as the monthly Sublocade injection. Naltrexone, including the monthly Vivitrol injection, is not a controlled substance and any licensed prescriber can order it, but you have to be off opioids for a period first to avoid withdrawal. You can compare how methadone and Suboxone differ in daily life before you call. Treatment delivered in a clinic is often called an OTP; treatment delivered in a doctor’s office is called office-based opioid treatment (OBOT). For a fuller picture of how a methadone clinic works day to day, that guide goes deeper. Which medication and setting fit you is a decision to make with a clinician, not one this page makes for you.
Starting treatment: what the first visit looks like
The first step is usually an intake and assessment, where a provider reviews your history and, if appropriate, starts medication the same day. Bring a photo ID and your insurance information if you have them, but not having them should not stop you from calling. If you have been using fentanyl, timing matters for buprenorphine: starting it too soon after your last use can trigger sudden, severe withdrawal (called precipitated withdrawal), so a clinician plans the first dose with you. Because fentanyl behaves differently from older opioids, this is worth asking about directly. You can read more about treatment when fentanyl is involved and about opioid use disorder treatment overall. Some Frederick-area programs can begin methadone the same day or next day, and office-based buprenorphine can sometimes start within a couple of days.
Take-home doses, telehealth, and the current rules
If you are transferring in from another program or restarting after a gap, the current federal rules work in your favor. SAMHSA updated the rules governing opioid treatment programs in 2024 to expand take-home methadone, up to a 28-day supply for patients who are stable in treatment, with eligibility decided by the program. Those rules also allow treatment to begin by telehealth and permit mobile medication units. For buprenorphine, federal rules in effect through December 31, 2026 let a qualified prescriber start you by telehealth, including by phone in many cases, without a prior in-person visit; a permanent buprenorphine telemedicine rule took effect December 31, 2025 and runs alongside that temporary extension. Methadone for OUD is still dispensed in person through an OTP. If you are weighing a transfer, understanding why a steady methadone dose matters can help you avoid a gap. Telehealth rules are still being finalized, so confirm current options with the provider you choose.
Paying for treatment in Frederick
Cost is often the first worry, so start here. Maryland Medicaid covers all three medications for opioid use disorder, and it delivers substance use treatment through the Public Behavioral Health System, administered by the state’s contractor, Optum Maryland. The federal requirement that state Medicaid programs cover all FDA-approved OUD medications was made permanent by the 2024 Consolidated Appropriations Act, so that coverage is not set to lapse. Private insurance and Medicare also cover MOUD in most cases, though methadone is more often excluded by private plans than buprenorphine or naltrexone, and some programs offer self-pay or sliding-scale rates. Prior authorization and preferred-drug rules can vary by plan, so confirm the details with the provider and your insurer before your first visit.
Frederick County’s overdose picture, and why it points toward treatment
Frederick County has seen overdose deaths fall for several years running. There were 17 unintentional drug- and alcohol-related intoxication deaths in the county in 2025, down from 36 in 2024, and the count has declined almost every year since a peak of 88 in 2016 (Maryland Department of Health overdose dashboard, reported February 2026). Of the 17 deaths in 2025, 12 involved opioids and 10 involved fentanyl. Statewide, Maryland recorded 1,315 such deaths in 2025, a decline of roughly 26 percent from the prior year (Maryland Department of Health, 2026). Local officials credit sustained, coordinated work rather than any single fix, and the practical takeaway for you is simple: effective medication treatment is available here, and starting it is the step most strongly tied to staying alive. You can learn more about opioid use disorder and how it is treated.
The COAST team: help meeting people where they are
Frederick County’s defining local resource is its Community Outreach And Support Team, known as COAST, run through the Frederick County Health Department. Launched in late 2020, COAST pairs a paramedic with a peer recovery specialist to connect people who have experienced a substance use crisis to treatment and recovery services. In 2025 the team engaged 1,802 community members through on-scene responses, follow-up visits, and outreach, and its referrals to services were accepted more than 80 percent of the time, according to the county health department. If you or someone you are helping has had an overdose or a close call, a program like COAST is a bridge into the same medication treatment the listings below can connect you to.
Pregnancy, reentry, and other specific situations
Some situations carry added stakes, and Maryland has programs built for them. If you are pregnant, methadone and buprenorphine are the recommended standard of care before, during, and after pregnancy, and seeking treatment is what protects both you and your baby. Maryland’s Medicaid MOM Program offers enhanced case management for pregnant and postpartum participants with OUD through the state’s managed care organizations, and the University of Maryland’s MACS for MOMs line supports the clinicians providing that care. For people leaving incarceration, Maryland’s jail-based treatment law (House Bill 116, 2019) requires all 24 counties to offer all three medications during incarceration and at reentry, and the state’s HealthChoice Reentry Demonstration, approved in January 2025 and implemented starting July 1, 2025, lets Medicaid cover treatment in the weeks before release so medication does not stop at the jail door. If a court or child welfare plan is involved, treatment providers can often document participation; ask when you call. You can share information written for families with a loved one who is helping, and read more about methadone and pregnancy.
Naloxone and staying safer
Naloxone, the medication that reverses an opioid overdose, is easy to get in Maryland. A statewide standing order updated in August 2025 lets any Maryland-licensed pharmacist dispense any form of naloxone to anyone, with no personal prescription and no required training, and the Maryland Overdose Response Program supplies free kits through community programs. Maryland’s Good Samaritan Law protects people who call for help during an overdose from arrest or prosecution for certain drug offenses, so calling 911 is the right move. If treatment is interrupted and a return to use happens, that is a common and manageable part of recovering from a chronic condition, not a failure; keeping naloxone on hand is a practical safeguard while you get back on track. See more on preventing and responding to an opioid overdose.
Common questions about treatment in Frederick
Is methadone or Suboxone better?
Neither is better for everyone. Methadone is a full opioid medication dispensed daily at a clinic at first, and many people find it holds up well against fentanyl. Buprenorphine (Suboxone) can be prescribed in an office and filled at a pharmacy, which fits some schedules better. The right choice depends on your history and needs and is best made with a clinician.
Do I have to go to a clinic every day?
At first, methadone is usually taken daily at an OTP. As you stabilize, federal rules updated in 2024 allow take-home doses, up to a 28-day supply for stable patients, with the program deciding eligibility. Office-based buprenorphine does not require daily visits.
Can I start treatment the same day?
Often, yes. Many Frederick-area opioid treatment programs can assess and begin methadone the same or next day, and office-based buprenorphine can sometimes start within a couple of days. Contact a provider in the listings to ask about current availability.
Can I start Suboxone by phone?
In many cases, yes. Federal rules in effect through December 31, 2026 allow buprenorphine to be started by telehealth, including audio-only in many situations, without a prior in-person visit. Confirm what a specific provider offers, since telehealth rules are still being finalized.
Will my information stay private?
Opioid treatment records carry strong federal confidentiality protections. If a court, employer, or family situation is involved, ask a provider directly what can and cannot be shared. You can also read more common questions and answers about treatment.
Last reviewed and disclosures
Last reviewed July 2026.
Sources:SAMHSA, DEA and HHS final telemedicine rule for buprenorphine (2025 to 2026); Federal Register, Fourth Temporary Extension of Telemedicine Flexibilities (2025); Frederick News-Post, Frederick County overdose data and COAST (February 2026); Maryland Department of Health, statewide naloxone standing order (2025); Maryland Department of Health, Good Samaritan Law; Johns Hopkins Bloomberg School of Public Health, Maryland HB116 jail-based treatment (2025).
Methadone Centers is a treatment-discovery and education resource, not a medical provider. Information here is general and is not medical advice; treatment decisions should be made with a licensed clinician.
The helpline on this site is sponsored. Calls may be answered by a paid treatment provider. Using it is not required to contact any provider listed on this page.