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Sponsored| Name | Address | City |
|---|---|---|
| Recovery Now—Nashville Suboxone Clinic | 4515 Harding Pike ste 327 | Nashville |
| BHG Nashville Treatment Center | 2410 Charlotte Ave | Nashville |
| JourneyPure — Nashville Outpatient & Suboxone Clinic | 2424 21st Ave S | Nashville |
| Samaritan Recovery Community | 319 South 4th Street | Nashville |
| Southeast Addiction Center – Nashville Drug & Alcohol Rehab Center | 3507 Charlotte Ave | Nashville |
| Cumberland Heights Treatment Center | 8283 River Road | Nashville |
| Weinberg Jane MD | 602 West Iris Drive | Nashville |
| Miller Muchael P MD | 1915 1/2 Church Street | Nashville |
| Hermitage Comprehensive Treatment Center | 589 Stewarts Ferry Pike | Nashville |
| ABC Health Clinic | 2617 Grandview Ave STE 100 | Nashville |
| The Next Door | 402 22nd Avenue North | Nashville |
| Comprehensive Rehabilitation Center | 1315 Otay St | Nashville |
| Vanderbilt Addiction Center | 1601 23rd Avenue South | Nashville |
| Branyon Clinic | 2540 Bransford Ave | Nashville |
| Affordable & Restorative Health: Winston H. Griner, MD | 5722 Hickory Plz STE B4 | Nashville |
| Simpson Treatment Services | 2714 Nashville Road | Franklin |
| Clarksville Comprehensive Treatment Center | 495 Dunlop Lane Suite 106 | Clarksville |
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MOUD treatment in Nashville: methadone, buprenorphine, and naltrexone
Nashville sits in Davidson County, where medication treatment for opioid use disorder (OUD) is available through both opioid treatment programs (OTPs) and office-based providers, and increasingly by telehealth. That mix matters here, because what your insurance pays for can steer which medication is realistic. Davidson County also has an active overdose-response and naloxone network that has tracked a real decline in deaths since 2021. The provider listings above show clinics and prescribers serving the Nashville area; the sections below explain your options, what treatment costs, and how to take the next step. If you want to talk to someone now, call a provider on this page or the helpline.
Your medication options and where Nashville providers offer them
Three medications are approved to treat opioid use disorder, and they are offered in two settings. Knowing the difference tells you what the listings above actually represent.
Methadone is dispensed only through a licensed opioid treatment program, not a regular pharmacy or a family doctor’s office. Nashville has several OTPs, where dosing starts daily and can move to take-home doses over time. 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. Long-acting injectable buprenorphine (Sublocade) is given monthly. Naltrexone, including the monthly Vivitrol injection, is not a controlled substance and any licensed provider can prescribe it, but you have to be fully off opioids first to avoid sudden withdrawal. An opioid treatment program (OTP) handles methadone and often the others under one roof; office-based opioid treatment (OBOT) means a clinic or practice that prescribes buprenorphine or naltrexone you pick up at a pharmacy. If you want to understand how methadone and Suboxone compare day to day before you call, that comparison is a good starting point, and the overview of how a methadone clinic works explains the OTP side. Which medication fits is a decision to make with a clinician, not one this page can make for you.
Starting treatment and what to expect at intake
The first visit is an assessment: a clinician reviews your opioid use, health history, and goals, then talks through which medication makes sense. Some Nashville programs offer same-day or next-day starts, and buprenorphine can often be started by telehealth. One thing worth planning with your provider: because most of the local drug supply now contains fentanyl, starting buprenorphine too soon after using can trigger sudden, severe withdrawal, called precipitated withdrawal, so the clinician times your first dose carefully. This is routine for them to manage, not a reason to wait. Bring an ID and any insurance information if you have it, but missing paperwork should not stop you from being seen. For more on the first steps, see how methadone treatment works when fentanyl is involved and the broader guide to opioid use disorder treatment.
Take-home doses, telehealth, and the current rules
Federal rules updated in 2024 (a revision of 42 CFR Part 8) expanded take-home methadone, up to a 28-day supply for patients who are stable in treatment, with the program deciding eligibility based on your progress. The same update made it permanent to start treatment by telehealth and authorized mobile medication units. For buprenorphine, telehealth flexibilities remain in effect: as of June 2026 it can be started through telehealth, including by phone in many cases, without a prior in-person visit. Those rules run through the end of 2026 and are still being finalized, so confirm what is current with a provider. Methadone for OUD stays OTP-dispensed in Tennessee; a telehealth visit can begin care, but you still receive the medication through the program. If you are transferring into Nashville from another clinic or restarting after a gap, ask programs directly about guest dosing and how they handle transfers, and read why staying consistent with your dose matters during a move.
Paying for treatment in Tennessee
Cost is often the first question, so start here. Tennessee’s Medicaid program is TennCare, delivered through managed care organizations including BlueCare, UnitedHealthcare Community Plan, Amerigroup/Wellpoint, and the BESMART provider network, which streamlines buprenorphine coverage and prior authorization for members. One important detail specific to Tennessee: TennCare does not cover methadone for opioid use disorder, per its current pharmacy clinical criteria (TennCare/OptumRx, 2026). It does cover buprenorphine products and injectable naltrexone (Vivitrol), generally with prior authorization. That gap is worth knowing before you choose a setting, because for a TennCare member, office-based buprenorphine or naltrexone may be the covered path while methadone would be self-pay. Private insurance and Medicare cover MOUD more broadly, and many OTPs offer self-pay or sliding-scale rates. Ask any provider on this page what they accept and whether a medication you are considering is covered under your specific plan.
Nashville and Davidson County overdose snapshot
The picture here is serious but improving. The Metro Public Health Department’s Overdose Response Program recorded 513 suspected overdose deaths among Davidson County residents in 2024, a 26 percent drop from 2023 and the continuation of a steady decline since deaths peaked at 725 in 2021 (Metro Public Health Department, 2025). Fentanyl was detected in roughly 70 percent of those deaths, and cocaine and methamphetamine appear often alongside it (Metro Public Health Department, 2025). Numbers like these represent real losses for Nashville families, and they also point to why fast access to medication matters: treatment with methadone or buprenorphine substantially lowers the risk of a fatal overdose. The providers listed on this page are the practical next step, and the harm-reduction resources below can help keep someone safe in the meantime. For background on the condition itself, see this overview of opioid addiction.
Pregnancy, parents, and family support in Nashville
If you are pregnant and using opioids, staying on or starting medication is the recommended standard of care; both methadone and buprenorphine are used in pregnancy, and stopping abruptly carries real risks. Neonatal opioid withdrawal syndrome (NOWS) is a short-term, manageable condition that treatment teams handle routinely. Tennessee runs perinatal supports including the Tennessee Department of Health’s CHANT (Community Health Access and Navigation in Tennessee) care-coordination program and the Tennessee Initiative for Perinatal Quality Care (TIPQC). Many parents in Nashville worry about child-welfare involvement; being in treatment is protective, and a clinician or care coordinator can explain how Plan of Safe Care planning works so you can get help without facing it alone. Family members helping a loved one will find the guidance on methadone and pregnancy and the information for families useful starting points.
Naloxone and overdose safety in Davidson County
Naloxone, the medication that reverses an opioid overdose, is widely available in Tennessee. Under a statewide collaborative pharmacy practice agreement, pharmacists can dispense it without a personal prescription, and over-the-counter Narcan is on retail shelves. Tennessee’s Regional Overdose Prevention Specialists (ROPS), reaching all 95 counties and hosted in Nashville by organizations such as STARS, provide free naloxone and training to people at risk and their families, and the Davidson County Sheriff’s Office has placed free Narcan vending machines locally. Tennessee’s Good Samaritan Law (in effect since 2014) offers protection for someone seeking medical help during an overdose. Carrying naloxone is a reasonable safety step for anyone using opioids or close to someone who does, and a return to use is a common, manageable part of recovery rather than a failure. See how to recognize and respond to an opioid overdose for details.
Common questions about treatment in Nashville
Is methadone or Suboxone better?
Neither is better in general; they fit different people. Methadone is a full agonist dispensed daily at an OTP at first, which suits people who do well with structure. Buprenorphine (Suboxone) is a partial agonist you can get from an office-based prescriber and fill at a pharmacy. The right choice depends on your history and circumstances and is made with a clinician.
Does TennCare pay for methadone?
No. TennCare does not cover methadone for opioid use disorder under its current clinical criteria (TennCare/OptumRx, 2026). It does cover buprenorphine products and injectable naltrexone, usually with prior authorization. Private plans and Medicare typically cover all three medications.
Can I start treatment the same day?
Sometimes. Some Nashville programs offer same-day or next-day intake, and buprenorphine can often begin with a telehealth visit. Call providers on this page to ask about current availability; wait times vary by clinic.
Do I have to go to a clinic every day for methadone?
At first, usually yes. As you stabilize, federal rules now allow take-home methadone up to a 28-day supply, with the program deciding when you qualify. Buprenorphine and naltrexone do not require daily clinic visits.
Can I get buprenorphine by telehealth in Tennessee?
Yes, in many cases. As of June 2026, buprenorphine can be started by telehealth, including by phone, without a prior in-person visit. These flexibilities run through the end of 2026 and are being finalized, so confirm current options with a provider. For more, see the treatment questions and answers and whether you can get addicted to methadone.
Last reviewed and disclosures
Last reviewed June 2026.
Sources
- Metro Public Health Department of Nashville/Davidson County, Suspected Drug Overdose Deaths in Davidson County data brief, 2025, nashville.gov
- TennCare, Clinical Criteria, Step Therapy, and Quantity Limits (OptumRx), 2026, tn.gov
- TennCare, Office-based Buprenorphine Treatment and BESMART program, tn.gov
- Tennessee Department of Mental Health and Substance Abuse Services, Naloxone and Regional Overdose Prevention Specialists, tn.gov
- Tennessee Department of Health, Neonatal Abstinence Syndrome and CHANT, 2026, tn.gov
- SAMHSA, Medications for Opioid Use Disorder overview, samhsa.gov
- DEA and HHS, Fourth Temporary Extension of telemedicine flexibilities and buprenorphine telemedicine final rule, 2025 to 2026, dea.gov
Methadone Centers is a treatment-discovery and education resource, not a treatment provider, and does not provide medical advice. Information here is for education and does not replace care from a licensed clinician.
Calls placed through the helpline on this site may be answered by a sponsored treatment provider. Listing on this page does not imply endorsement.