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Sponsored| Name | Address | City |
|---|---|---|
| Brier Creek Integrated Pain and Spine | Brier Creek Integrated Pain and Spine 7780 Brier Creek Parkway Suite 200 | Raleigh |
| Morse Clinic of North Raleigh | 3209 Gresham Lake Road Suite 113 | Raleigh |
| New Season Treatment Center – Raleigh | 3911 New Bern Ave | Raleigh |
| Solas Health | 8001 Creedmoor Rd | Raleigh |
| Fellowship Health Resources Inc | 5509 Creedmoor Road | Raleigh |
| Monarch Behavioral Health Outpatient Clinic – Raleigh | 1001 Navaho Drive Suite 100 | Raleigh |
| First Step Services, LLC – Raleigh, Cary – Serving NC – Alcohol, Drug, Outpatient Treatment | 211 East Six Forks Road Suite 117 | Raleigh |
| RMTC – Raleigh Methadone Treatment Center | 6118 Saint Giles Road Suite 130 | Raleigh |
| SouthLight, Inc. Garner Road | 2101 Garner Rd. | Raleigh |
| Wilson Professional Services | 3709 Nash Street NW | Wilson |
| Vance Recovery | 510 Dabney Drive | Henderson |
| Morse Clinic of Dunn, PC | 596 E Jackson Blvd Bldg B | Erwin |
| Western Wake Treatment Center | 2172 N. Salem Street | Apex |
| Morse Clinic of Zebulon | 877 East Gannon Avenue - Suite 103 | Zebulon |
| New Season Treatment Center – Durham | 1913 Lamar Street | Durham |
| Johnston Recovery Services – Opioid Treatment Program – Methadone & Buprenorphine | 1699 Old US Highway 70 West | Clayton |
| BAART Programs Durham | 800 N Mangum Street Suite 400 | Durham |
| Hillsborough Recovery Solutions | 129 Mayo Street | Hillsborough |
| Sanford Treatment Center | 2800 Industrial Dr | Sanford |
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Finding opioid use disorder treatment in Raleigh
Raleigh and the rest of Wake County are served by both opioid treatment programs (OTPs) that dispense methadone and by office-based providers who prescribe buprenorphine and naltrexone, so most people here can find medication treatment without leaving the county. Medications for opioid use disorder (MOUD) come in three forms, and the right one depends on your situation and a clinician’s assessment. The listings on this page show providers near you; you can call one directly or use the helpline. What follows explains what those listings represent and how to get started.
Your medication options and where each one is available
There are three FDA-approved medications for opioid use disorder, offered in two kinds of settings. Knowing the difference tells you what each listing can actually do for you.
Methadone is a full opioid agonist that steadies withdrawal and cravings. For opioid use disorder it is provided only through a licensed opioid treatment program, not a regular pharmacy, which is what a methadone clinic is. Dosing starts daily and can move to take-home doses over time. Buprenorphine, including Suboxone (a buprenorphine-naloxone combination) and extended-release monthly injections such as Sublocade, can be prescribed in a doctor’s office and filled at a pharmacy, or provided inside an OTP. Since 2023, any clinician with a standard DEA registration can prescribe it, which has widened where you can get it. Naltrexone, including the monthly Vivitrol injection, can be prescribed by any licensed provider, but treatment starts only after you have stopped using opioids for a set time. The two settings are opioid treatment programs (OTPs, for methadone and often the other medications too) and office-based opioid treatment (OBOT, typically buprenorphine or naltrexone). If you want to think through which fits you, here is a plain-language look at how methadone and Suboxone compare, and a fuller overview of methadone treatment. Your clinician helps you decide; none of the three is the single “best” choice for everyone.
How to start, and what the first visit looks like
Starting usually begins with an intake and assessment: a provider reviews your history, confirms a diagnosis, and talks through medication options with you. Some Raleigh-area programs offer same-day or walk-in intake, so it is worth calling to ask about the next available start. If you have been using fentanyl, timing matters for buprenorphine. Starting Suboxone too soon after fentanyl can trigger sudden, severe withdrawal (called precipitated withdrawal), so a clinician plans the first dose with you rather than rushing it. This is a normal part of getting started, not a reason to wait. For more on what treatment involves, see this guide to opioid addiction treatment and, if fentanyl is part of your situation, how methadone treatment works after fentanyl use.
Take-home doses, telehealth, and 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, on a graduated schedule earlier on. Eligibility for take-homes is decided by the program based on your stability, so it is a good question to ask when you call. The same 2024 changes let treatment begin by telehealth and authorized mobile medication units, and they removed the old requirement that a person have a full year of opioid use before being admitted. As of July 2026, buprenorphine can also 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 what is current with a provider. Methadone for opioid use disorder is still started and dispensed through an OTP. If you are transferring from another clinic or need a guest dose while traveling, staying on schedule protects your progress, which is why keeping your dose consistent matters during any change.
Paying for treatment in Wake County
North Carolina Medicaid covers all three medications for opioid use disorder, methadone through opioid treatment programs and buprenorphine and naltrexone through pharmacies and offices, and the state expanded Medicaid in December 2023, which broadened eligibility for many adults. Coverage runs through the state’s managed care plans, and some medications, such as Suboxone, require prior authorization, which the provider handles. If you have private insurance or Medicare, MOUD is generally covered, though methadone is the medication private plans most often leave out. Programs that receive SAMHSA block grant funding often offer sliding-scale or reduced self-pay rates, so ask each provider directly rather than assuming cost is a barrier. Per-clinic pricing is not listed here; the providers above can quote you what applies to your coverage.
The overdose picture in Wake County, and why treatment matters
The trend locally has been improving. In Wake County, an estimated 158 residents died from a drug overdose in 2024, a 35 percent decline from 2023, according to Wake County Government using North Carolina Department of Health and Human Services data. Statewide, overdose deaths fell about 34 percent between 2023 and 2024, the first decline since 2019, per NCDHHS, with fentanyl still involved in most of those deaths. Officials credit part of the improvement to wider naloxone distribution and expanded access to treatment. Numbers like these describe real losses for families across the county, and they also point to what works: getting on and staying on medication is one of the most effective ways to prevent an overdose death. The providers on this page are the local starting point. For background on the condition itself, see this explainer on opioid addiction.
Pregnancy, reentry, and other specific situations
Some situations call for a provider with particular experience. For pregnant patients, methadone and buprenorphine are the recommended standard of care, and staying in treatment is safer for both parent and baby than stopping; a care team can also plan for neonatal opioid withdrawal syndrome (NOWS) and coordinate a Plan of Safe Care. Fear of child-welfare involvement keeps some pregnant patients from seeking care, but treatment is the recommended path, and you can ask a program how it handles confidentiality. Here is more on methadone and pregnancy. For people leaving the Wake County Detention Center or returning from incarceration, continuity of medication is the priority, since the weeks after release carry high overdose risk; ask a program about fast intake and documentation. Court-ordered and Medicaid-funded intakes are common here too, and many programs can verify attendance where a court or probation officer requires it. Families supporting someone through any of this can start with this guidance for families and loved ones.
Naloxone and overdose safety
Naloxone, the medication that reverses an opioid overdose, is available over the counter and through pharmacies and community programs. North Carolina has a statewide standing order, so you can get naloxone at a pharmacy without your own prescription, and the state’s 911 Good Samaritan law gives limited protection from certain drug-possession charges to someone who calls for help during an overdose, as long as they give their name to responders. In Raleigh, the North Carolina Harm Reduction Coalition and the Wake County Drug Overdose Prevention Coalition distribute free naloxone and connect people to care. Keeping naloxone on hand is a sensible step for anyone starting or returning to treatment. If a return to use happens, it is a common and manageable part of a chronic condition, not a failure; you can find guidance on overdose risk and prevention here.
Common questions about treatment in Raleigh
Is methadone or Suboxone better?
Neither is better for everyone. Methadone is a full agonist dispensed through an OTP and can suit people who need more structure; buprenorphine (Suboxone) can be prescribed in an office and filled at a pharmacy. The right fit depends on your history and goals, decided with a clinician. Here is more on what a methadone clinic involves.
Do I have to go to a clinic every day for methadone?
At first, usually yes. Federal rules updated in 2024 allow take-home methadone, up to a 28-day supply for stable patients on a graduated schedule, with eligibility decided by the program. Many people move to fewer visits over time.
Can I start treatment the same week?
Often, yes. Some Raleigh-area programs offer same-day or walk-in intake. Availability varies by provider, so call the listings above to ask about the next open start.
Can I start Suboxone by telehealth?
As of July 2026, buprenorphine can usually be started by telehealth, including by phone in many cases, without a prior in-person visit. These rules run through the end of 2026 and are still being finalized, so confirm current options with a provider.
Will Medicaid cover it?
North Carolina Medicaid covers all three medications for opioid use disorder. Some, such as Suboxone, need prior authorization, which the provider arranges. Private insurance and Medicare generally cover MOUD as well.
Can you get addicted to methadone?
Methadone creates physical dependence, which is not the same as active addiction; taken as prescribed, it steadies people and supports recovery. Here is a fuller answer on whether methadone is addictive.
Page details and disclosures
Last reviewed July 2026.
Sources:
- Wake County Government, “Wake County to invest McKinsey Opioid Settlement Funds towards prevention and education,” 2026 (Wake County overdose deaths, 2024).
- North Carolina Department of Health and Human Services, North Carolina Overdose Epidemic Data, 2025 to 2026 (statewide overdose trend).
- SAMHSA and DEA, buprenorphine telemedicine final rule and Fourth Temporary Extension of COVID-19 telemedicine flexibilities, 2025 to 2026.
- SAMHSA, 42 CFR Part 8 final rule on opioid treatment program standards and take-home doses, 2024.
- North Carolina Medicaid, medication assisted treatment coverage assurances and Clinical Coverage Policy 1A-41, 2025.
- North Carolina Harm Reduction Coalition and NC Department of Public Health, 911 Good Samaritan and naloxone standing order, 2013 to 2017 with later updates.
- FDA and SAMHSA, medications for opioid use disorder overview.
Methadone Centers is a treatment-discovery and education resource, not a medical provider. The information here is educational and is not medical advice, a diagnosis, or a treatment recommendation; decisions about medication and care should be made with a licensed clinician.
The helpline connected to this site is a sponsored resource. Calls may be answered by a paid advertiser among the treatment providers in our network.