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Sponsored| Name | Address | City |
|---|---|---|
| MedMark Treatment Centers Dayton | 4201 N Main Street | Dayton |
| Dayton VA Medical Center | 4100 West 3rd Street | Dayton |
| Dayton Treatment Services | 7301 Poe Avenue | Dayton |
| Project CURE | 1800 North James H McGee Boulevard | Dayton |
| Project C.U.R.E. | 200 Daruma Parkway | Moraine |
| MedMark Treatment Centers Milford | 749C State Route 28 | Milford |
| Premier Care Cincinnati | 44 East Crescentville Road | Cincinnati |
| Richmond Comprehensive Treatment Center | 4245 South A St | Richmond |
| MedMark Treatment Centers Lebanon | 1521 Walmart Drive Suite 901 | Lebanon |
| Hope Center North | 4483 State Route 42 | Mason |
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Opioid treatment in Dayton: methadone, Suboxone, and more
Dayton sits in Montgomery County, which for years carried one of Ohio’s heaviest overdose burdens and now shows steady improvement. Treatment here runs the full range: opioid treatment programs that dispense methadone, and doctors’ offices and clinics that prescribe buprenorphine (including Suboxone) or naltrexone, with telehealth widening access across the county. The listings above show providers near you. If you or someone you love needs help today, call a provider on this page or the helpline to talk through a first step.
What treatment you can get in Dayton, and where
Three medications are approved to treat opioid use disorder (OUD), and where you get each one differs. Methadone for OUD is dispensed only through a federally certified opioid treatment program (OTP), not a regular pharmacy, and most people start with daily visits. Buprenorphine, including Suboxone and other buprenorphine-naloxone products, along with the extended-release injectable Sublocade, can be prescribed in a doctor’s office and filled at a pharmacy, or provided through a clinic. Naltrexone, including the monthly Vivitrol injection, can be prescribed by any licensed provider, though it starts only after you have been off opioids for a set time.
That split maps onto two settings. Opioid treatment programs offer methadone and often buprenorphine, with structured dosing. Office-based opioid treatment (OBOT) means a physician, nurse practitioner, or physician assistant prescribes buprenorphine or naltrexone in a regular medical setting. There is no single best option; which medication and setting fit you is a decision to make with a clinician. If you want to understand the trade-offs first, see how methadone and Suboxone compare before you call.
Starting treatment, and what the first visit looks like
The first step is an intake assessment, where a provider reviews your history and, if appropriate, starts medication the same day. Bring an ID and insurance information if you have them, but not having them should not stop you from calling. One timing detail matters with fentanyl in the local drug supply: starting buprenorphine too soon after using can trigger sudden, severe withdrawal (called precipitated withdrawal), so a clinician plans when to take the first dose. This is manageable and worth asking about directly. For more on the process, see how treatment works when fentanyl is involved.
Take-home doses, telehealth, and current rules
Federal rules updated in 2024 expanded take-home methadone, up to a 28-day supply for patients who are stable in treatment, with take-home eligibility decided by the program. Those rules also allowed treatment to start by telehealth and removed older barriers to getting admitted. For buprenorphine, telehealth flexibilities remain in place as of July 2026: you can usually start it by video, and by phone in many cases, without coming in first. Those flexibilities run through the end of 2026 and are still being finalized, so confirm what is current with a provider. Methadone for OUD is still dispensed through an OTP. If you are transferring care or returning after a gap, ask a program about guest dosing and take-home eligibility, and read why consistent dosing matters during a move.
Paying for care in Montgomery County
Ohio Medicaid covers all three medications for opioid use disorder, delivered through the state’s managed care plans, and Ohio has generally not required prior authorization for these medications. Medicaid is the primary payer for a large share of substance use treatment admissions in Ohio. If you have private insurance or Medicare, MOUD is typically a covered benefit, though methadone coverage varies more by private plan than buprenorphine or naltrexone does. If you are uninsured, ask providers about self-pay rates, sliding-scale fees, and treatment funded through the federal Substance Use Block Grant, which supports care for people who cannot otherwise pay.
The overdose picture in Montgomery County
The trend here is moving in the right direction. Montgomery County recorded 176 overdose deaths in 2024, a 39 percent drop from 2023, according to the Community Overdose Action Team, the county’s coordinated response led through Public Health – Dayton & Montgomery County (COAT, 2025). Fentanyl continues to drive most opioid deaths, and officials have flagged a rise in deaths involving stimulants like methamphetamine mixed with fentanyl. Numbers like these describe real losses in this community, and they are also the reason a coordinated local response exists. Effective medication treatment is available across the county, and starting it is the most protective step a person can take. For background on the condition itself, see this explanation of opioid addiction.
Treatment during pregnancy and after a justice-system referral
Two situations in the Dayton area carry specific, high-stakes concerns. For pregnant patients, methadone and buprenorphine are the recommended standard of care, and Ohio law offers a specific protection: under Ohio Revised Code 2151.26, a children services agency cannot file a complaint about a newborn based solely on the parent’s substance use if the parent enrolled in and stayed in a treatment program during pregnancy. Ohio’s Maternal Opiate Medical Supports (MOMS and MOMS+) model was built to coordinate this care, and a Plan of Safe Care organizes support for the newborn. Fear of losing custody keeps some pregnant people from seeking care; getting into treatment is what the law and the medicine both point toward. For people entering through a court, probation, or a hospital referral after an overdose, programs can assess quickly and provide documentation when a court requires it. Loved ones helping someone navigate this can start with our guide for families and this overview of methadone and pregnancy.
Naloxone and staying safe in Dayton
Naloxone, the medication that reverses an opioid overdose, is available over the counter and through pharmacies and community programs. In the Dayton area, Ohio’s Project DAWN distributes free naloxone, and you can have it mailed to you through the state program; CarePoint syringe services in Montgomery County also connects people to naloxone and treatment referrals. Ohio’s Good Samaritan law offers limited protection from minor drug-possession charges for someone who calls 911 during an overdose, with conditions, so the safest move is always to call for help. A return to use can happen and is a manageable part of recovery, not a failure; keeping naloxone on hand protects you and the people around you. See more on recognizing and responding to an opioid overdose.
Common questions about treatment in Dayton
Do I have to go to a clinic every day for methadone?
At first, usually yes. Methadone for OUD is dispensed through an opioid treatment program, and early treatment involves regular visits. As you stabilize, federal rules now allow take-home supplies of up to 28 days, with the program deciding eligibility based on your progress. Buprenorphine does not require daily clinic visits.
Can I start Suboxone without going in person?
Often, yes. As of July 2026, buprenorphine can be started through 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.
How is methadone different from Suboxone?
Both reduce cravings and withdrawal. Methadone is a full opioid agonist dispensed through a clinic; buprenorphine is a partial agonist with a ceiling effect that lowers overdose risk and can be prescribed in an office. Which fits you depends on your history and preferences, decided with a clinician.
Will Medicaid cover my treatment?
Ohio Medicaid covers all three medications for opioid use disorder through its managed care plans, generally without prior authorization. Ask any provider on this page whether they accept your specific plan.
Is it safe to be on medication long term?
Long-term medication is legitimate, effective care for a chronic condition, not an unfinished step or a crutch. Many people stay on methadone or buprenorphine for years, and research links staying in treatment to a large drop in overdose death. See more answers to common questions.
Sources and disclosures
Last reviewed July 2026.
Sources:
- Community Overdose Action Team, 2024 COAT Data Unit Report (Public Health – Dayton & Montgomery County), 2025.
- Dayton Daily News, area overdose death data, December 2025.
- SAMHSA, Medications for Opioid Use Disorder overview; 42 CFR Part 8 (2024).
- DEA and HHS, Fourth Temporary Extension of Telemedicine Flexibilities and buprenorphine telemedicine final rule, 2025 to 2026.
- Ohio Department of Medicaid, behavioral health coverage of MOUD.
- Ohio Department of Behavioral Health (formerly OhioMHAS), Project DAWN and perinatal treatment programs.
- Ohio Revised Code 2151.26 (newborn and parental treatment provision).
- Ohio Department of Health, Project DAWN and Good Samaritan law.
Methadone Centers is a treatment-discovery and education resource, not a medical provider. Information here is general and not a substitute for advice from a licensed clinician. It does not diagnose any condition or recommend a specific treatment.
The helpline connected to this site is sponsored. Calls may be answered by a paid treatment provider. Using the helpline does not obligate you to enter any program.