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Sponsored| Name | Address | City |
|---|---|---|
| SASI | 1916 North 12th Street | Toledo |
| Toledo Treatment Center | 115 S. Reynolds Road | Toledo |
| Zepf Center – SASI | 2005 Ashland Ave. | Toledo |
| Passion of Mind Healing Center | 14930 Laplaisance Road #127 | Monroe |
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Finding opioid use disorder treatment in Toledo
Toledo is the seat of Lucas County in northwest Ohio. The area is served by a mix of opioid treatment programs, office-based buprenorphine prescribers and telehealth, so most people have more than one realistic way to start.
All three FDA-approved medications for opioid use disorder, methadone, buprenorphine (including Suboxone) and naltrexone (including Vivitrol), are available locally through different settings.
Use the listings on this page to reach a provider directly, or call the helpline shown here if you want help sorting through the options first.
Which medication, and where you get it
Three medications are approved for opioid use disorder.
Methadone for opioid use disorder is dispensed only through a licensed opioid treatment program (OTP), the setting many people still call a methadone clinic, and not through a regular pharmacy.
Buprenorphine, including Suboxone and other buprenorphine-naloxone products, can be prescribed in a doctor’s office and filled at a pharmacy, or provided through an OTP. Buprenorphine also comes in a long-acting monthly injection called Sublocade, which can be prescribed by any licensed provider and is started only after you have been off opioids for a set time.
Care delivered in a doctor’s office is called office-based opioid treatment (OBOT), and much of it, sometimes called medication-assisted treatment or MAT, can now begin by telehealth. The medication and setting are things you decide with a clinician.
If you are weighing the choice, it helps to see how methadone and Suboxone compare and to understand how methadone treatment actually works before you call.
Starting treatment and what the first visit looks like
The first step is usually an intake assessment, where a provider reviews your history, talks through your options and, when appropriate, begins 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, as starting it too soon after your last use can trigger sudden, severe withdrawal (called precipitated withdrawal). A clinician will work with you to plan the timing of your first dose, rather than rushing it.
Methadone is started and managed inside an OTP. You can read more about methadone treatment when fentanyl is involved to know what to expect.
Take-home doses, telehealth and the current rules
Federal rules updated in 2024 expanded take-home methadone. This expansion allows for up to a 28-day supply for patients who are stable in treatment, allows treatment to start by telehealth, authorizes mobile medication units and removes the older requirement that a person have a full year of opioid use before being admitted. Take-home eligibility is decided by the program based on your progress.
Ohio brought its own opioid treatment program rules in line with the federal standard when the Ohio Department of Mental Health and Addiction Services updated Ohio Administrative Code 5122-40, effective January 31, 2025.
As of July 2026, buprenorphine can also be initiated via telehealth, including by phone in many cases and without a prior in-person visit. Keep in mind that those rules are still being finalized, so confirm current options with a provider.
Methadone for opioid use disorder remains dispensed through an OTP, which matters if you are transferring in or need a guest dose while traveling. Staying with your program and long-term medication treatment is legitimate, effective care.
Paying for treatment in Ohio
How to pay for treatment is often a concern for many people considering treatment; thankfully, there are several resources to help you cover the cost.
It helps to know that Ohio Medicaid covers all three medications for opioid use disorder. In its Unified Preferred Drug List, updated in October 2025, the Ohio Department of Medicaid moved to remove prior authorization for oral short-acting buprenorphine products, instead using safety edits and a review process. This change can shorten the wait time to start.
Private insurance, Medicare and self-pay are also options, and many programs offer sliding-scale fees or draw on federal block-grant funding for people without coverage. Ask any provider on this page what they accept before your first visit.
The local overdose picture in Lucas County
The trend here has been moving in the right direction. The Toledo-Lucas County Health Department reported 159 opioid-related overdose deaths in Lucas County in 2024, with fentanyl involved in roughly 88 percent of them. The Lucas County Coroner’s Office recorded about a 27 percent drop in fatal overdoses from 2023 to 2024, and preliminary 2025 figures show the decline continuing.
Behind those numbers are real people and families, and the point of the local response is that effective treatment is available now. If you want the bigger picture first, start with how opioid use disorder works, then use the listings to find a nearby provider.
Naloxone and harm reduction in Lucas County
Naloxone, the medication that reverses an opioid overdose, is available over the counter and free through Project DAWN, a program of the Ohio Department of Health with sites across the state.
The Toledo-Lucas County Health Department distributed roughly 18,000 naloxone kits in 2024, up from about 2,000 in 2019, and now offers a naloxone vending machine at the health department, alongside syringe services and fentanyl test strips supported by state Harm Reduction Expansion funding.
Because some of the local supply now contains xylazine, a sedative that naloxone does not reverse, responders are advised to give and call 911.
Ohio’s Good Samaritan Law, in effect since 2016, can protect both the person who overdoses and the person who calls 911 from minor drug-possession charges when help is sought and a treatment screening and referral follow within 30 days. The law has conditions and limits, so the safest rule is simple: call 911 no matter what.
A return to use is a common, manageable part of a chronic condition, so if you or someone you love is using an opioid, keeping naloxone on hand can save a life. Additionally, understanding overdose risk is another critical part of staying safe.
Pregnancy, reentry and other specific situations
If you are pregnant, major medical guidance treats continued methadone or buprenorphine as the recommended standard of care, because stopping suddenly carries real risks. Providers can also plan for neonatal opioid withdrawal syndrome (NOWS) and a Plan of Safe Care.
Treatment is meant to support you and your family rather than trigger reporting. You can read more about methadone and pregnancy before you call.
For people leaving local or regional jails, Lucas County’s Harm Reduction Expansion work specifically funds continuity of care and improved access to medication. Additionally, the Lucas County Sheriff’s Office Drug Abuse Response Team (DART) does post-overdose outreach that connects people to treatment. Conversations with providers are confidential.
Common questions about treatment in Toledo
Do I have to go to a clinic every day for methadone?
Not necessarily. Methadone starts with more frequent visits, but under the 2024 federal rules, stable patients can earn take-home doses of up to a 28-day supply. Eligibility is decided by your program and based on how treatment is going, so ask a specific clinic how they handle take-homes.
Can I start Suboxone by phone in Toledo?
Often, yes. As of July 2026, buprenorphine can be started through telehealth, including by phone in many cases, without a first in-person visit. These rules are being finalized during 2026, so confirm what a given provider currently offers before you count on a phone start.
Will Ohio Medicaid pay for my treatment?
Ohio Medicaid covers all three medications for opioid use disorder. As of an October 2025 update, prior authorization was being removed for oral short-acting buprenorphine products. Private insurance, Medicare, self-pay, and sliding-scale options also exist. Ask the provider what they accept.
Is staying on medication long term just trading one addiction for another?
No. Physical dependence, meaning your body adjusts to a medication, is not the same as addiction, which involves compulsive use and harm. Methadone and buprenorphine are prescribed, monitored and shown to lower overdose risk. You can read more about dependence versus addiction with methadone.
I have been using fentanyl. Will buprenorphine make me sick?
It can if the timing is wrong, which is called precipitated withdrawal. Because fentanyl lingers in the body, a clinician will time your first buprenorphine dose carefully, and some programs use specific starting methods to avoid it. This is a conversation to have with the provider at intake.
Last reviewed July 2026
Sources
- Toledo-Lucas County Health Department, Overdose Prevention (2024 data): lucascountyhealth.com/overdose-prevention
- Ohio Department of Mental Health and Addiction Services, Ohio Administrative Code 5122-40 (2025): codes.ohio.gov
- Ohio Department of Medicaid, Unified Preferred Drug List (October 2025): medicaid.ohio.gov
- Ohio Department of Health, Project DAWN and Good Samaritan Law: odh.ohio.gov
- DEA and HHS, Fourth Temporary Extension of Telemedicine Flexibilities (through December 31, 2026): dea.gov
Methadone Centers is an informational directory and education resource, not a medical provider or treatment facility. Nothing on this page is medical advice; talk with a licensed clinician about your situation.
Calls to the helpline shown on this page may be answered by a paid treatment provider that sponsors this service. It is not a referral to or endorsement of any specific provider, and there is no obligation. You can also contact any provider listed on this page directly.