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Sponsored| Name | Address | City |
|---|---|---|
| Felipe Garcia Jr. MD.(Suboxone, Vivitrol) | 1615 W Oleander St | Fort Worth |
| Fort Behavioral Health | 7140 Oakmont Boulevard | Fort Worth |
| Hemphill Treatment Services | 700 Hemphill Street | Fort Worth |
| LAAM and Methadone Program VA North Texas Health Care System | 431 Fulton Street | Fort Worth |
| MHMR of Tarrant County | 1350 E Lancaster Ave | Fort Worth |
| O’ Bannon Carlton MD | 4801 Brentwood Stair Road | Fort Worth |
| Integrated Psychotherapeutic | 2121 Main Street, Ste 100 | Dallas |
| North Texas Addiction Counseling and Education, Inc. | 1506 Mineral Wells Hwy | Weatherford |
| STEP MED | 2929 Martin Luther King Jr. Blvd suite 4 | Dallas |
| CDHS Inc | 214 Billings St #240 | Arlington |
| Anchor of Hope Opioid Treatment Program | 2307 Springlake Road, Suite 500 | Dallas |
| New Season Treatment Center – Dallas | 1050 N Westmoreland Rd. Ste 330 | Dallas |
| AppleGate Recovery Lewisville | 560 W Main Street Suite 203 | Lewisville |
| Cross Roads Recovery Center – Dallas | 5552 S Hampton Rd | Dallas |
| North Dallas Drug Rehabilitation Center | 1606 South I-35 East | Carrollton |
| Dallas Comprehensive Treatment Center | 311 W I Parkway, Suite 500 | Dallas |
| Homeward Bound, Inc. | 5300 University Hills Blvd | Dallas |
| Symetria — Lewisville Outpatient Rehab & Suboxone Clinic | 1850 Lakepointe Dr #400 | Lewisville |
| Axcel Treatment and Recovery Clinic | 1327 Empire Central Dr Suite 105 | Dallas |
| Denton Treatment Services | 621 Londonderry Ln | Denton |
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Medication treatment for opioid use disorder in Fort Worth
Fort Worth and the rest of Tarrant County sit inside one of the larger metro treatment markets in Texas, which means you generally have access to both kinds of medication care: opioid treatment programs (OTPs) that dispense methadone on site, and office-based providers and pharmacies that handle buprenorphine and naltrexone. For opioid use disorder (OUD), medication is the core of effective care, and three FDA-approved options exist: methadone, buprenorphine (including Suboxone), and naltrexone (including the Vivitrol injection). The listings on this page show providers serving the Fort Worth area; you can call one directly or use the helpline below to talk through a first step today.
What your treatment options are, and where each one comes from
The three medications work differently and are not dispensed in the same places, so it helps to know what the listings actually represent before you call.
Methadone is a full opioid agonist that steadies you and blocks withdrawal. For OUD it is provided only through a licensed opioid treatment program, not a regular pharmacy or a family doctor’s office. Early treatment usually means daily visits to the clinic, with take-home doses added later. You can read more about how a methadone clinic operates day to day.
Buprenorphine, including Suboxone and other buprenorphine-naloxone products, is a partial agonist with a built-in ceiling that lowers overdose risk. Since the federal X-waiver was eliminated in 2023, any clinician with a standard DEA registration can prescribe it, so you can get it in a doctor’s office (office-based opioid treatment, or OBOT) and fill it at a pharmacy, or get it through an OTP. There is also a monthly extended-release injectable form, Sublocade. If you are weighing it against methadone, a side-by-side look at the two medications can help you bring questions to a clinician.
Naltrexone, including the monthly Vivitrol shot, is not an opioid and is not a controlled substance, so any licensed provider can prescribe it. The catch is timing: you have to be fully off opioids for a set period first, or it can trigger withdrawal. Which medication fits is a decision to make with a clinician, not one this page makes for you.
Starting treatment and what the first visit looks like
The first step is an intake assessment, where a provider reviews your history, confirms a diagnosis, and starts you on a medication. Bring an ID and insurance information if you have them, but not having them should not stop you from calling. Some Fort Worth area programs offer same-day or walk-in starts; availability changes, so ask when you call rather than assuming.
If you have been using fentanyl, mention that specifically. Starting buprenorphine too soon after fentanyl can cause sudden, severe withdrawal (precipitated withdrawal), because buprenorphine displaces what is already in your system. A clinician plans the timing of your first dose around this, and it is a manageable, routine part of starting care rather than a reason to wait. For more on the practical side of starting methadone treatment when fentanyl is involved, see the linked guide, and bring your questions to the program.
Take-home doses, telehealth, and the current rules
Federal rules updated in 2024 changed what staying in treatment looks like. SAMHSA’s revision of 42 CFR Part 8 expanded take-home methadone (up to a 28-day supply for patients who are stable in treatment, on a graduated schedule), allowed treatment to start by telehealth, and removed the old requirement that a person have a year of opioid addiction before being admitted. Take-home eligibility is decided by your program based on your progress, not set automatically.
Buprenorphine can also be started through telehealth, including by phone in many cases, without a prior in-person visit. Those flexibilities run through 2026 and are still being finalized federally, so confirm what is current when you call. Methadone for OUD remains dispensed through an OTP even when an initial visit happens by video. If you are transferring from another clinic or need a guest dose while traveling, ask the program directly; long-term methadone treatment is designed to continue without a gap.
Paying for treatment in Texas
Texas Medicaid covers all three FDA-approved medications, methadone, buprenorphine, and naltrexone, along with counseling and assessments, under both fee-for-service and managed care (STAR) plans (Texas Health and Human Services). A federal requirement that Medicaid cover MOUD was made permanent by the 2024 Consolidated Appropriations Act, so that coverage is not set to lapse. Texas has not expanded Medicaid, so some adults will not qualify; in that case, private insurance, Medicare, self-pay, and sliding-scale fees are the usual routes, and many OTPs set fees based on income. Be Well Texas, a state-supported program, can help connect people to care regardless of insurance status at 888-852-3935. Costs vary by provider, so ask each program what it accepts.
The local overdose picture, and why treatment is the response
In Tarrant County, the Texas Department of State Health Services reported a drug overdose death rate of about 23 per 100,000 residents in 2023, with fentanyl driving most opioid deaths (Texas Tribune analysis of DSHS data, 2024). Statewide, drug poisoning deaths rose 68 percent from 2019 to 2024 (DSHS, 2025). Those numbers describe real loss across this community, and they are also why local treatment access matters: medication treatment substantially lowers the risk of a fatal overdose. Tarrant County has joined the regional OD Map effort that helps first responders track where overdoses happen and direct people toward care. If you are reading this for yourself or someone else, the providers on this page are the practical next step. For background on how opioid use disorder develops and why it is treatable, see the linked overview.
Pregnancy, the justice system, and other specific situations
Some people come to treatment in circumstances that carry extra concerns. For pregnant patients, methadone and buprenorphine are the recommended standard of care, and stopping medication abruptly during pregnancy is riskier than staying on it; care teams plan for neonatal opioid withdrawal syndrome (NOWS) and a Plan of Safe Care so a newborn is supported. Fear of child-welfare involvement keeps some pregnant people from seeking care, but treatment is what protects both patient and baby, and providers experienced in perinatal care work with you on this. You can read more about methadone treatment during pregnancy.
For people entering treatment through a court, probation, or release from the Tarrant County Jail, ask a program whether it accepts your referral source and can provide attendance documentation if your situation requires it. Families trying to help a loved one start care can find guidance on how to support someone in medication treatment without taking over the decision.
Naloxone and overdose safety
Naloxone, the medication that reverses an opioid overdose, is available over the counter as Narcan and through pharmacies and community programs. In Texas, a statewide standing order lets organizations and individuals obtain and distribute it without an individual prescription, and the state’s “One Pill Kills” campaign runs an online Naloxone Locator Map showing where to get it free or low-cost (Texas DSHS). Keeping naloxone on hand is worth it for anyone using opioids or living with someone who does. Texas does have a Good Samaritan law, but its protections are narrow, so the safest move in an overdose is always to call 911 and stay until help arrives. A return to use can happen and is a manageable part of recovery, not a failure; understanding overdose risk helps you plan for it.
Common questions about treatment in Fort Worth
Is methadone or Suboxone better?
Neither is better for everyone. Methadone is a full agonist dispensed through a clinic and often suits people who want more structure or have not done well on other options; buprenorphine has a lower overdose risk and the convenience of office and pharmacy access. The right fit depends on your history, preferences, and a clinician’s input.
Do I have to go to a clinic every day?
At first, methadone usually means daily clinic visits, with take-home doses earned as you stabilize (up to a 28-day supply for stable patients under 2024 federal rules). Buprenorphine and naltrexone are typically prescribed for you to take at home from the start.
Can I start treatment the same day in Fort Worth?
Some area programs offer same-day or walk-in intake, but it varies by provider and day. Call a clinic on this page or the helpline to ask about current openings rather than assuming.
Will my insurance cover it?
Texas Medicaid covers all three medications, and most private plans and Medicare cover OUD treatment. Coverage details and copays differ, so confirm with the specific provider and your plan.
Can I get buprenorphine by telehealth?
In many cases yes, including by phone, without a prior in-person visit, under federal flexibilities current through 2026. Methadone is still dispensed through an OTP. Confirm current options with a provider, since the rules are being finalized.
What if I need to transfer my methadone treatment here?
Contact a local OTP about transferring; programs handle transfers and, where possible, guest dosing so your treatment does not lapse. Have your current clinic’s information ready when you call.
Last reviewed and disclosures
Last reviewed June 2026.
Sources
- U.S. Food and Drug Administration; SAMHSA, Medications for Opioid Use Disorder overview, 2026.
- SAMHSA and the Federal Register, 42 CFR Part 8 final rule, 2024.
- DEA and HHS, Fourth Temporary Extension of telemedicine flexibilities and the buprenorphine telemedicine final rule, 2025 through 2026.
- Texas Health and Human Services; Texas Law Help, Texas Medicaid coverage of MOUD, 2024.
- Health Affairs, permanent Medicaid MOUD coverage under the 2024 Consolidated Appropriations Act, 2025.
- Texas Department of State Health Services, drug poisoning death data, and the Texas Tribune analysis of DSHS Tarrant County data, 2024 and 2025.
- Texas DSHS, “One Pill Kills” campaign and Naloxone Locator Map; Texas naloxone standing order, 2025.
Methadone Centers is a treatment-discovery and education resource, not a medical provider. The information here is general and is not medical advice, a diagnosis, or a treatment recommendation; decisions about medication and care should be made with a licensed clinician.
Calls placed through the helpline on this site may be answered by a sponsored treatment provider. Using this site does not guarantee admission to any specific program.