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Sponsored| Name | Address | City |
|---|---|---|
| Community Medical Services – Austin on Ferguson | 305 Ferguson Drive | Austin |
| Methadone Clinic 1631 East 2nd St Suit B 78702 | 5508 Ponciana Dr | Austin |
| Community Medical Services Austin on William Cannon | 1110 W William Cannon Dr #303 | Austin |
| Maintenance and Recovery Services Inc (MARS)/South | 2627 Jones Road | Austin |
| OMEGA Recovery | 1710 Evergreen Ave Suite B | Austin |
| Addiction & Psychotherapy Services: Aeschbach Heinz MD | 2824 S Congress Ave | Austin |
| Briarwood Alcohol and Drug Detox – Austin, TX | 11711 N Lamar Blvd | Austin |
| Integral Care Narcotic Treatment Program | 1631 East 2nd Street Building A | Austin |
| Integral Care – CARE Program Journey OTP | 1165 Airport Boulevard | Austin |
| Crestone Wellness | 301 Highland Dr Taylor | Austin |
| Phoenix House Texas – Austin Outpatient | 400 West Live Oak Street | Austin |
| Community Medical Services Cedar Park | 1101 Arrow Point Dr #214 | Cedar Park |
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Medication treatment for opioid use disorder in Austin
Austin and the surrounding Travis County are served by both opioid treatment programs and office-based prescribers, which means you have real choices for treating opioid use disorder (OUD) close to home. The three FDA-approved medications, methadone, buprenorphine, and naltrexone, are all available here, in daily clinics and in doctors’ offices, with telehealth filling in where getting to an appointment is hard. The listings on this page connect you to local providers, and the helpline is there if you would rather talk it through with a person before you decide.
The three medications and where each one is available
Knowing what the listings represent makes the first call easier. There are three medications, offered in two kinds of settings.
Methadone is a full opioid agonist that steadies withdrawal and cravings. For OUD it is provided only through a licensed opioid treatment program (OTP), not a regular pharmacy, so dosing starts at the clinic. Buprenorphine, including Suboxone and other buprenorphine-naloxone products and the extended-release monthly injection Sublocade, can be prescribed in a doctor’s office and filled at a pharmacy, or provided through an OTP. Naltrexone, including the monthly Vivitrol injection, is not an opioid and can be prescribed by any licensed provider, though treatment begins only after you have been off opioids for a set period to avoid withdrawal.
Those two settings are worth naming plainly. An OTP, or methadone clinic, dispenses medication on site and is the only place to get methadone for OUD. Office-based opioid treatment (OBOT) means a clinician prescribes buprenorphine or naltrexone in a regular medical office. If you are weighing the options, it helps to see how methadone and Suboxone compare and to read through the basics of how a methadone clinic works. The choice among medications is one you and a clinician make together; no single option is right for everyone.
Starting treatment, and what the first visit looks like
The first step is an intake assessment, where a provider reviews your history and, if medication fits, begins induction, the process of finding a safe starting dose. Some Austin programs offer same-day or walk-in starts; the listings show who to call. Bring an ID and any insurance information if you have them, but not having those should not stop you from reaching out.
One practical caution matters if you have been using fentanyl: starting buprenorphine too soon after your last use can trigger sudden, severe withdrawal, called precipitated withdrawal. This is manageable, and a clinician will time your first dose to avoid it, so tell them exactly what you have been using. You can read more about treating fentanyl use with medication and about opioid use disorder treatment generally before you go in.
Take-home doses, telehealth, and the current rules
If you are transferring in, restarting, or hoping for fewer clinic trips, the rules changed recently in your favor. Federal rules updated by SAMHSA 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. Take-home eligibility is decided by the program based on your progress, not fixed in advance. The same update allowed treatment to start by telehealth and removed the old requirement of a year-long addiction history before admission.
As of July 2026, buprenorphine can 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 OUD is still dispensed through an OTP. Staying with a steady dose is what keeps treatment working, and it is worth understanding why a consistent methadone dose matters if you are managing a transfer or a guest dose while traveling.
Paying for treatment in Texas
Cost is often the first worry, so start here. Texas Medicaid covers all three medications for OUD, methadone, buprenorphine, and naltrexone, and covers the counseling and assessments that go with them; your share of the medication cost is generally capped based on income. That coverage of all FDA-approved medications is now a permanent federal requirement under the 2024 Consolidated Appropriations Act, so it is not going away. Medicare and most private plans also cover MOUD, though methadone coverage varies by private carrier. Many programs offer self-pay or sliding-scale fees, and SAMHSA block grant funding supports care for people who are uninsured. Ask each provider directly what they accept; the listings note contact details so you can check before your first visit.
The overdose picture in Travis County, and the response behind it
Austin sits in a county that was hit hard by fentanyl and has since posted one of the sharpest reversals in Texas. Accidental drug deaths in Travis County fell to 301 in 2025 from 486 in 2023, and fentanyl-related deaths dropped 60 percent over that span, from 279 to 111 (Travis County Medical Examiner, 2026). Officials credit wide naloxone distribution and coordinated outreach for much of the decline. Drug deaths remain the leading cause of accidental death in the county, so the work is not finished, but the trend shows that treatment and harm reduction save lives here. If you are earlier in your thinking, a clear overview of opioid use disorder can help you understand what you are dealing with.
Naloxone and staying safe while you get care
Naloxone, the medication that reverses an opioid overdose, is available over the counter and through pharmacies, and Texas has a statewide standing order that lets pharmacies and organizations distribute it without an individual prescription. Locally, the Texas Harm Reduction Alliance, an Austin-based group, distributes Narcan and trains community members; the county has placed thousands of doses in bars, vending machines, and nonprofit sites. One Texas-specific gap to know: the state protects you from liability for administering naloxone in good faith, but it does not have a broad Good Samaritan law shielding a 911 caller from drug-possession charges. Call 911 anyway, because getting emergency help is what saves a life. Keeping naloxone on hand is a sensible safeguard for anyone using opioids or close to someone who does, and a return to use is a common, manageable part of recovery, not a failure. You can learn the signs and steps around opioid and methadone overdose here.
Specific situations: pregnancy and leaving jail
Two groups in the Austin area face distinct, time-sensitive needs. For pregnant patients, methadone and buprenorphine are the recommended standard of care, and staying in treatment protects both parent and baby; a newborn may need short-term monitoring for neonatal opioid withdrawal syndrome (NOWS), which care teams manage routinely. Treatment is the recommended path, and providers work within a Plan of Safe Care framework; fear of losing custody keeps some people from seeking help, so it is worth knowing that getting into care is the protective step. See methadone and pregnancy for more.
People leaving the Travis County jail are at especially high risk in the first weeks after release, when tolerance has dropped, which is why continuity of medication and a fast reconnection to care matter so much. Court-ordered and Medicaid-funded intakes are common, and programs can document attendance where a court or probation requires it. Families supporting someone through any of this can start with our guide for families and loved ones. Everything here is handled confidentially and without judgment.
Common questions about treatment in Austin
Methadone or Suboxone, which should I choose?
Both are effective, and the right fit depends on your history, your daily life, and your preferences. Methadone means an OTP and, at first, daily dosing; buprenorphine can be office-based and filled at a pharmacy. A clinician can help you weigh them, and you can also learn whether taking methadone is itself an addiction, a common and fair question.
Do I have to go to a clinic every day?
Not necessarily. Methadone starts with in-person dosing at an OTP, but under the 2024 federal rules, stable patients can earn take-home supplies of up to 28 days. Buprenorphine and naltrexone are usually managed with less frequent visits from the start.
Can I start treatment the same week?
Often yes. Some Austin programs offer same-day or walk-in intake, and buprenorphine can frequently be started by telehealth. Call the providers in the listings to ask about current availability.
Will insurance cover it?
Texas Medicaid covers all three medications, and Medicare and most private plans cover MOUD as well. Confirm specifics, including any prior authorization, with the provider and your plan.
What happens when I am ready to stop?
Long-term medication is legitimate, effective care, and there is no fixed finish line; many people stay on it for years. If and when tapering makes sense, it is done gradually with a clinician. Here is more on when methadone treatment ends.
Last reviewed and disclosures
Last reviewed July 2026.
Sources
- Travis County Medical Examiner / Austin Public Health, reported via KUT, 2026 (2025 drug and fentanyl death figures).
- Texas Health and Human Services, statewide drug death trend, 2024.
- SAMHSA, 42 CFR Part 8 final rule on opioid treatment program standards and take-home doses, 2024.
- DEA and HHS, telemedicine prescribing flexibilities for controlled substances, effective through December 31, 2026, and the buprenorphine telemedicine final rule, 2025.
- Texas Health and Human Services / Texas Law Help, Texas Medicaid coverage of medications for opioid use disorder.
- Consolidated Appropriations Act, 2024, permanent Medicaid MOUD coverage requirement.
- Texas Health and Safety Code and Network for Public Health Law, Texas naloxone standing order and immunity provisions, 2024.
- Austin-Travis County Opioid Awareness Coalition and Texas Harm Reduction Alliance, local naloxone distribution.
Methadone Centers is a treatment-discovery and education resource, not a medical provider. The information here is educational and is not a substitute for advice from a qualified clinician. Always decide on medication and treatment with a licensed provider.
The helpline connected to this site is a sponsored resource. Calls may be answered by a treatment provider that supports this service. Using the helpline is free and carries no obligation, and you can also contact any provider in the listings directly.