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Sponsored| Name | Address | City |
|---|---|---|
| Discovery House- Utah Inc. | 449 East 2100 South | Salt Lake City |
| Project Reality Salt Lake City | 667 S 700 E | Salt Lake City |
| De Novo | 339 East 3900 South #155 | Salt Lake City |
| Metamorphosis Salt Lake Inc | 339 East 3900 South Street | Salt Lake City |
| Tranquility Place | 160 800 S #B | Salt Lake City |
| Project Reality Salt Lake City | 667 S 700 E | Salt Lake City |
| Salt Lake City Comprehensive Treatment Center | 449 E 2100 S | Salt Lake City |
| BAART Programs Salt Lake City | 164 E 5900 South Suite 101 | Murray |
| New Season Treatment Center – Bountiful | 763 West 700 South Suite B | Woods Cross |
| BAART Programs Ogden | 2557 Lincoln Avenue | Ogden |
| CompassPointe Wellness Center | 689 West 5300 South | Murray |
| Project Reality | 5280 Commerce Dr | Murray |
| Project Reality Provo | 151 South University Avenue Suite # 1400 | Provo |
| Orem Comprehensive Treatment Center | 714 South State St | Orem |
| Taylorsville Comprehensive Treatment Center | 5983 South Redwood Road | Taylorsville |
| Layton Comprehensive Treatment Center | 523 West Heritage Park Blvd Suite 4 | Layton |
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Opioid treatment in Salt Lake City: methadone, buprenorphine, and naltrexone
Salt Lake City sits at the center of Utah’s largest treatment network, and the listings above reflect that: the Salt Lake Valley holds most of the state’s opioid treatment programs alongside a growing number of office-based prescribers. That matters because access here is uneven by neighborhood, not just by county. Small areas including Downtown, Rose Park, Glendale, and Sugar House carry some of the highest overdose death rates in Utah, while treatment options for opioid use disorder (OUD) cluster along the same urban core. Use the directory on this page to see nearby programs, or call the helpline to talk through a first step today.
Which medication, and where you actually get it
Three medications are approved for opioid use disorder, and where you fill them differs. Methadone for OUD is dispensed only through a licensed opioid treatment program (OTP), not a regular pharmacy, so you receive it on-site at a clinic, at least at first. 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. There is also an extended-release injectable buprenorphine, Sublocade, 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 off opioids for a set time before starting it or you risk withdrawal.
The two settings behind those medications are the OTP, built around daily or take-home dosing, and office-based opioid treatment (OBOT), which looks more like a standard doctor’s visit. Neither is better across the board. If you are weighing the choice, how methadone and Suboxone compare is a good starting point, and you can read more on what a methadone clinic involves. The right fit is a decision to make with a clinician.
Starting treatment when fentanyl is what’s on the street
Nearly half of Utah’s overdose deaths now involve fentanyl, and that changes how treatment starts. Starting buprenorphine too soon after fentanyl can trigger sudden, severe withdrawal, called precipitated withdrawal, because fentanyl lingers in the body longer than older opioids. Clinicians plan around this by timing the first dose or using a low-dose start, so tell the intake team what you have been using and when. At intake, expect a health history, a conversation about your goals, and same-day or next-day medication at some programs. Bring an ID and any insurance information if you have it, though lack of either should not stop you from calling. For more on the medicine itself, see methadone treatment for fentanyl addiction and the broader options for treating opioid addiction.
Take-home doses and telehealth: the current rules
Federal rules updated in 2024 (a revision of 42 CFR Part 8) expanded take-home methadone to as much as a 28-day supply for patients who are stable in treatment, on a graduated schedule, and the program decides eligibility based on how you are doing. Those same rules let treatment begin by telehealth and authorized mobile medication units. For buprenorphine, telehealth is broad right now: as of 2026, it can be started remotely, including by phone in many cases, without a prior in-person visit, under flexibilities that run through December 31, 2026 and are still being finalized. Methadone for OUD stays OTP-based, though some programs can begin care with an audio-visual telehealth visit. If you are transferring in or restarting after a gap, ask a clinic directly about guest dosing and take-home eligibility, and see why staying consistent with your dose matters during a move.
Paying for care in Utah
Utah Medicaid covers all three medications for opioid use disorder, methadone, buprenorphine, and injectable naltrexone (Vivitrol), across both fee-for-service and managed care plans, with substance use disorder counseling also covered. Starting January 1, 2026, Utah Medicaid and its managed care plans (including Health Choice Utah, Healthy U, Molina, and Select Health) moved to a single Hybrid Unified Preferred Drug List, so the covered-medication list is now the same across plans. Some products carry prior authorization, so ask the clinic what applies. If you have private insurance or Medicare, MOUD is generally a covered benefit; if you are uninsured, ask programs about self-pay rates, sliding-scale fees, and treatment supported by federal block grant funds.
The overdose picture in Salt Lake County, and why treatment is the answer
Utah has been an outlier. While overdose deaths fell about 24% nationally from 2023 to 2024, Utah’s rose roughly 5%, one of only a few states to see an increase (CDC, 2025). The state recorded 606 drug overdose deaths in 2023, its highest ever, with 290 involving fentanyl (Utah Department of Health and Human Services, 2025). Salt Lake County carries a large share of that loss, and the county’s health department has documented overdose deaths reaching communities that earlier waves largely missed, including young Somali men in 2024. These numbers describe real neighbors, and they are not the end of the story: medication treatment is effective and available across the valley, and the listings above are where to start. For background on the condition itself, see understanding opioid addiction.
Pregnancy, reentry, and other specific situations
If you are pregnant, medication treatment is the recommended standard of care, and seeking it does not mean losing your child. Two Salt Lake City programs focus on this care: the SUPeRAD Clinic (Substance Use and Pregnancy, Recovery, Addiction and Dependence) at University of Utah Health and the PATH program (Peripartum Addiction Treatment and Healing) at Intermountain Health. A clinician manages medication through pregnancy and can prepare you and the care team for neonatal opioid withdrawal syndrome (NOWS) in the newborn. For people leaving jail, Utah Medicaid gained approval in July 2024 to cover services, including medication treatment, for up to 90 days before release, easing the risky gap at reentry, and Salt Lake County runs a Jail Resource and Reentry Program to connect people to care. Court-ordered and probation-referred treatment is common here; programs can confirm what documentation a referral requires. See guidance on methadone and pregnancy and information for families.
Naloxone and staying safe
Naloxone, the medication that reverses an opioid overdose, is easy to get in Utah. A statewide standing order lets pharmacists dispense it without a personal prescription, and community programs give it out free, including Utah Naloxone and its Andy’s Wellness Center in Salt Lake City. The Salt Lake City Harm Reduction Project operates syringe services in the greater Salt Lake area, more than half of the state’s total, and fentanyl test strips are distributed through state and local partners. Utah’s Good Samaritan law offers limited legal protection to someone who calls 911 during an overdose. A return to use can happen and is manageable, not a failure, so keeping naloxone on hand while in treatment is a reasonable safeguard. Learn the signs and response in this guide to recognizing and responding to an overdose.
Common questions about treatment in Salt Lake City
Do I have to go to a clinic every day for methadone?
At first, often yes, because methadone for OUD is dispensed through an opioid treatment program. As you stabilize, federal rules allow take-home doses up to a 28-day supply, and the program decides when you qualify based on your progress.
Can I start Suboxone without coming in first?
Frequently, yes. As of 2026, buprenorphine can be started by telehealth, including by phone in many cases, without a prior in-person visit, under federal flexibilities in effect through the end of 2026. Confirm current options with a specific provider.
Is same-day treatment possible here?
Some Salt Lake City programs offer same-day or next-day intake and medication. Availability varies by provider and day, so call the clinics in the listings above or the helpline to ask what is open now.
How much does treatment cost?
Utah Medicaid covers all three OUD medications, and private insurance and Medicare generally cover treatment too. Uninsured patients can ask about sliding-scale fees and block-grant-supported care. Costs vary by program.
What’s the difference between methadone and naltrexone?
Methadone is a daily opioid medication that prevents withdrawal and cravings and is dispensed at an OTP. Naltrexone (including monthly Vivitrol) blocks opioids and is prescribed by any licensed provider, but you must be off opioids for a set time before starting it. See this explainer on methadone and dependence for more.
Sources and disclosures
Last reviewed July 2026.
Sources:
- Utah Department of Health and Human Services, “10 years of data show drug overdoses remain a significant health threat in Utah,” 2025.
- Centers for Disease Control and Prevention, overdose mortality data cited via Deseret News, 2025.
- Utah Department of Health and Human Services, Indicator-Based Information System for Public Health (IBIS-PH), small-area overdose data, 2024.
- Centers for Disease Control and Prevention, “Reducing Stigma and Improving Naloxone Use in Salt Lake,” 2024.
- American Society of Addiction Medicine, Utah State Medicaid MOUD coverage report.
- Utah Department of Health and Human Services Medicaid, Hybrid Unified Preferred Drug List, effective January 1, 2026.
- Utah Department of Health and Human Services, “Stop the Opidemic,” naloxone standing order and Good Samaritan law.
- Utah Medicaid, Justice-Involved Program (CMS 1115 demonstration waiver, approved July 2, 2024).
- University of Utah Health SUPeRAD Clinic and Intermountain Health PATH program, via Utah Maternal and Infant Health Program.
- U.S. Drug Enforcement Administration and Federal Register, Fourth Temporary Extension of telemedicine flexibilities, effective January 1 through December 31, 2026.
- SAMHSA, 42 CFR Part 8 final rule, 2024.
Methadone Centers is not a treatment provider and does not offer medical advice. 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.
The helpline connection on this site is a sponsored resource. Calls may be answered by or routed to a treatment provider that supports this service. Using the helpline is not required, and the provider directory on this page is available for you to contact programs directly.