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Sponsored| Name | Address | City |
|---|---|---|
| Houston Substance Abuse Clinic | 7428 Park Place Blvd. | Houston |
| Texas Clinic Westview | 9320 Westview Dr #10 | Houston |
| Texas Clinic Fulton | 6311 Fulton Street | Houston |
| Best Recovery Healthcare Inc | 9211 South Main Street | Houston |
| Texas Clinic Galleria | 5851 San Felipe St Ste 425 | Houston |
| Adult Rehabilitation Services Inc | 6612 Hornwood Drive Suite C | Houston |
| Symetria — Houston Outpatient Rehab & Suboxone Clinic | 17347 Village Green Drive Suite 104 | Houston |
| Toxicology Associates Inc | 530 North Sam Houston Parkway East Suite 112 | Houston |
| Northshore Treatment Center | 176 Uvalde Rd. | Houston |
| HEROES Clinic (Houston Emergency Opioid Engagement System) | 7000 Fannin St Suite 190 | Houston |
| Toxicology Associates Houston | 4405 Caroline Street | Houston |
| METH-LAAM Treatment Center | 2905 Elgin St. | Houston |
| Daniela White, Psychiatrist | 5225 Katy Freeway Suite 650 | Houston |
| Twelve Oaks Medical Center New Vision | 4200 Twelve Oaks Drive | Houston |
| El Dorado Health Services | 1213 Durham Drive | Houston |
| Houston Treatment Center, Inc. | 1050 Edgebrook Dr #3 | Houston |
| TRS Solutions | 4625 North Freeway Suite 127 | Houston |
| VA Medical Center/Michael E DeBakey Substance Dependence Treatment Program | 2002 Holcombe Boulevard Mental Healthcare Line | Houston |
| Pasadena Substance Abuse Clinic | 1645 Pasadena Blvd | Pasadena |
| Counseling and Recovery Services (CARS) | 28314 Calvert Rd | Tomball |
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Medication treatment for opioid use disorder in Houston
Houston and the surrounding Harris County area are served by both opioid treatment programs (OTPs) and office-based prescribers, so a person looking for medication for opioid use disorder (OUD) here has more than one realistic path to care. Methadone, buprenorphine (including Suboxone), and naltrexone (including the Vivitrol injection) are all used to treat OUD, and each is available through a different setting. The listings on this page show local providers you can contact directly. If you are not sure where to start, the helpline can point you toward an option that fits.
The three medications and the two places you can get them
Understanding what the listings represent starts with two facts: which medication, and which setting. There are three FDA-approved medications for OUD, and they are not dispensed the same way.
Methadone for OUD is provided only through a licensed opioid treatment program, not a regular pharmacy. It is a full opioid agonist that is taken daily, with take-home doses earned over time as treatment stabilizes. Buprenorphine, including Suboxone and buprenorphine-naloxone products, can be prescribed in a doctor’s office and filled at a pharmacy, or provided through a clinic; longer-acting injectable forms such as Sublocade are also available. Because buprenorphine has a ceiling on its opioid effect, many people start here, and how methadone and Suboxone compare is one of the more common questions worth raising with a clinician. Naltrexone, including monthly Vivitrol, blocks opioids rather than activating them, and a person has to be off opioids for a set time before starting it.
The settings are office-based opioid treatment (OBOT), where a clinician prescribes buprenorphine or naltrexone you pick up at a pharmacy, and an opioid treatment program, the clinic model that dispenses methadone on site. Many Houston providers offer telehealth for the buprenorphine side of that picture.
Starting treatment: what the first step looks like
The first visit is usually an intake assessment: a clinician reviews your history, your goals, and your current use, then talks through which medication makes sense. Some programs offer same-day or walk-in starts, which matters when withdrawal or a recent overdose scare is driving the decision. If you have been using fentanyl, the timing of a first buprenorphine dose matters: starting it too soon after fentanyl can trigger sudden, severe withdrawal (precipitated withdrawal), so a clinician plans that first dose with you rather than rushing it. This is worth asking about directly when you call. For more on the medication side of starting care, see how treatment can help someone move off fentanyl, and the broader picture of opioid use disorder treatment.
Take-home doses, telehealth, and the rules that changed
Federal rules updated in 2024 expanded take-home methadone, up to a 28-day supply for patients who are stable in treatment, on a graduated schedule earlier in care, with eligibility decided by the program. The same update let treatment begin by telehealth and removed older barriers to getting admitted, including the prior requirement of a one-year history of opioid use. As of June 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 started and dispensed through an opioid treatment program, though some programs can begin with a telehealth visit. If you are transferring care or returning after a gap, ask a program directly about guest dosing and where you stand on staying steady on your dose during the move.
Paying for treatment in Texas
Texas Medicaid covers all three medications for OUD, methadone, buprenorphine, and naltrexone, along with counseling, and methadone appears on the state’s preferred drug list for use in opioid treatment programs (ASAM Texas Medicaid report). The federal requirement that Medicaid cover all FDA-approved OUD medications was made permanent by the 2024 Consolidated Appropriations Act. Texas has not expanded Medicaid, so some adults will not qualify on income alone; for them, private insurance, Medicare, self-pay, and sliding-scale fees through SAMHSA block grant funding are the usual routes. Many Houston programs work with more than one of these, so it is reasonable to ask about cost when you call rather than assuming you cannot afford care.
The local overdose picture, and why treatment is the response
Harris County Public Health reported that substance-involved deaths rose from 673 in 2018 to 1,177 in 2022, with fentanyl the leading substance, followed by cocaine and methamphetamine (Harris County Public Health, 2024). National overdose deaths then fell sharply in 2024, the largest single-year drop on record, driven mostly by a decline in fentanyl deaths (CDC, 2025), though that is national framing rather than a Houston-specific count. The county is not standing still: Harris County Public Health runs a Substance Use Prevention program supported by the CDC’s Overdose Data to Action–LOCAL grant, which funds naloxone training and other overdose-reduction work. Numbers like these describe real loss, but they also point to why getting onto an effective medication, available locally, is the step that changes the odds. The listings on this page and the broader picture of opioid addiction are where to begin.
Pregnancy, the justice system, and other specific situations
Some people come to treatment under circumstances that raise the stakes. For pregnant patients, methadone and buprenorphine are the recommended standard of care, and starting or staying in treatment is safer for both parent and baby than stopping abruptly; clinicians monitor for neonatal opioid withdrawal syndrome (NOWS) and plan for it. Fear of child-welfare involvement keeps some pregnant people from seeking care, so it helps to know that treatment is what guidance recommends, not a mark against you. More detail is in this guide to methadone and pregnancy. Houston also sees people entering treatment through the courts, probation, or reentry after incarceration, sometimes connected to the Harris County District Attorney’s fentanyl task force work; programs here can document attendance where a court or probation officer requires it. Care is confidential, and a family member can help with the search without taking over the decision.
Naloxone and overdose safety in Texas
Naloxone, the medication that reverses an opioid overdose, is available over the counter and through pharmacies and community programs. Texas has a statewide standing order that lets pharmacies dispense it, and state law protects a person who administers naloxone in good faith from liability. Texas does have a 911 Good Samaritan provision, but it is narrow, so the safest plan is to carry naloxone, make sure someone close to you knows where it is, and call 911 right away in an emergency. A return to use is a common, manageable part of treating a chronic condition, not a failure, and keeping naloxone on hand is part of staying safe while treatment continues. More on responding to an opioid overdose is here.
Common questions about treatment in Houston
Is methadone or Suboxone the better choice?
Neither is better for everyone. Methadone is a full agonist taken daily through a clinic and is often chosen when fentanyl tolerance is high; buprenorphine has a ceiling effect, can be prescribed in an office, and offers more scheduling flexibility. The right fit is a decision you make with a clinician based on your history and your life.
Do I have to go to a clinic every day?
Not necessarily. Methadone starts with more frequent visits, but stable patients can earn take-home doses up to a 28-day supply under the 2024 federal rules. Buprenorphine and naltrexone are office-based and filled at a pharmacy, so they do not involve daily clinic visits at all.
Can I start treatment the same week?
Often, yes. Some Houston programs offer same-day or walk-in intake, and buprenorphine can be started by telehealth in many cases. Availability varies by provider, so calling the listings on this page is the fastest way to find an open door.
Will my insurance or Medicaid cover it?
Texas Medicaid covers all three OUD medications and counseling. Private plans and Medicare generally cover treatment as well, and many programs offer self-pay or sliding-scale options. Ask each provider what they accept.
Is being on medication long-term just trading one drug for another?
No. Long-term medication is legitimate, effective treatment for a chronic condition, and the question of whether you can get addicted to methadone is one a clinician can walk through honestly with you.
Last reviewed and disclosures
Last reviewed June 2026.
Sources:Harris County Public Health substance-involved deaths report, via Houston Public Media, 2024; Harris County Public Health, Substance Use Prevention program; CDC NCHS, drug overdose deaths 2023 to 2024, 2026; ASAM, Texas Medicaid coverage of MOUD; SAMHSA, 42 CFR Part 8 update; Federal Register, fourth temporary telemedicine extension.
Methadone Centers is not a treatment provider and does not offer medical advice. The information here is educational and is not a substitute for care from a licensed clinician. Decisions about medication and treatment should be made with a qualified provider.
Some listings and the helpline connection on this site are provided by paid advertisers or sponsors. Calls may be routed to a sponsored treatment provider. This does not change the cost of treatment or your options.