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Sponsored| Name | Address | City |
|---|---|---|
| Wyoming Substance Abuse Treatment and Recovery Centers (WYSTAR) | 1898 Fort Road | Sheridan |
| Wyoming Substance Abuse Treatment and Recovery Centers (WYSTAR) | 1003 Saberton Street | Sheridan |
| Piedmont Addiction Recovery Practice | 425 West Loucks Street | Sheridan |
| Volunteers of America – Buffalo Clinic | 521 West Lott Street | Buffalo |
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Getting Opioid Use Disorder Treatment in Sheridan, Wyoming
Sheridan sits in the north-central part of Wyoming, in Sheridan County near the Montana line, and like the rest of the state, it has a treatment picture shaped by distance.
Wyoming is one of the few states with no federally certified opioid treatment program operating inside it. For you, that means treatment with methadone for opioid use disorder (OUD) usually involves traveling to a program in a neighboring state. Buprenorphine (including Suboxone) and naltrexone, however, can be prescribed locally and increasingly by telehealth.
The listings on this page and the helpline can help you sort out which path fits your situation. If you are in crisis or someone is not breathing, call 911 first.
What Methadone, Buprenorphine and Naltrexone Each Require
There are three medications approved for opioid use disorder, and where you can get each one is the practical difference that matters most in Sheridan.
Methadone is a full opioid agonist that steadies withdrawal and cravings. For OUD, it is dispensed only through a licensed opioid treatment program, not a regular pharmacy or a family doctor’s office. Because Wyoming has no such program in-state, methadone treatment generally means regular travel to an OTP across a state line, at least until you earn take-home doses.
Buprenorphine and other buprenorphine-naloxone products, as well as the extended-release monthly injection Sublocade, are partial agonists. Since 2023, any clinician with a standard DEA registration that includes Schedule III authority can prescribe it from a regular office, and you fill it at a pharmacy, subject to state law.
This is what makes office-based opioid treatment (OBOT) the realistic front door for many people here. If you want to understand the trade-offs, our overview of how methadone and Suboxone compare lays them out plainly.
Naltrexone, including the monthly Vivitrol injection, is not an opioid and blocks opioid effects. Any licensed prescriber can order it, but you have to be fully off opioids for a set period first, or it triggers withdrawal.
You can read more about what an opioid treatment program actually involves if daily dosing is something you are weighing.
When the Nearest Methadone Clinic Is in Another State
Distance is the defining barrier around Sheridan, so it is worth knowing how the current rules ease it.
Federal rules updated in 2024 expanded take-home methadone to as much as a 28-day supply for patients who are stable in treatment, as decided by the program. This important change can make an out-of-state OTP workable once you are established. Staying on a steady dose is what protects you, and long-term medication treatment is legitimate care, not a half-measure. Guest dosing lets you receive doses at a cooperating program when you travel, which matters in a state this size.
For buprenorphine, treatment can be started through telehealth, including by phone in many cases and without a prior in-person visit. Those flexibilities run through the end of 2026 and are still being finalized, so confirm what is current when you speak with a provider. Telehealth is often the single most useful option when you live hours from a clinic.
Starting Treatment and What Intake Looks Like
The first step is usually an assessment, by phone, by telehealth or in person, where a clinician reviews your opioid use, your health, and your goals, then discusses which medication fits. Bring a photo ID, any insurance information, and a list of medications you take if you can, but not having everything should not stop you from calling.
One caution worth planning for: because most of the local drug supply now involves fentanyl, starting buprenorphine too soon after using can trigger sudden, severe withdrawal (called precipitated withdrawal), so a clinician will time your first dose carefully. This is manageable, and it is a reason to start with professional guidance rather than on your own.
For more on the medication side of getting started, see our guide to methadone treatment for fentanyl, and our broader look at opioid addiction treatment options.
Paying for Care in Wyoming
Wyoming Medicaid covers medications for opioid use disorder, though the state has not expanded Medicaid, so eligibility is narrower than in many states and some adults will not qualify. Wyoming was also identified in a federal review as covering methadone while being exempt from the Medicaid MOUD benefit mandate because it had no Medicaid-enrolled opioid treatment programs (CMS, 2024).
Private insurance and Medicare also cover MOUD, and buprenorphine from an office-based provider is often the most straightforward to bill. Some Wyoming providers receive federal State Opioid Response grant funding through the Wyoming Department of Health, which can offset costs for uninsured or underinsured individuals.
Be sure to ask any provider on this page directly what they accept and whether sliding-scale fees are available.
Where Wyoming’s Overdose Numbers Stand
County-level overdose counts for a place Sheridan’s size are small and not published as reliable annual figures, so the clearest picture is statewide.
The Wyoming Department of Health reported that opioid-involved overdose deaths rose from 46 in 2019 to 84 in 2024, then fell to 54 in 2025. Locally, the Sheridan Police Department reported six fentanyl-related cases among its 2025 drug investigations, a reminder that fentanyl has reached even smaller Wyoming communities.
Beyond the numbers are real people, real families and real loss. But they don’t tell the whole story. Effective medications are available, and they work. Starting treatment is the single biggest step you can take to lower the risk of a fatal overdose. If you want to understand the condition itself, our page on opioid addiction and dependence is a good starting point.
Veterans, Pregnancy and Other Specific Situations
Sheridan has a notably large veteran community anchored by the Sheridan VA Health Care System. This is especially important as veterans carry particular risks around chronic pain and co-occurring conditions. The VA covers medications for opioid use disorder, and Volunteers of America Northern Rockies, listed by the Wyoming Department of Health as a Sheridan treatment provider, works in partnership with the VA to serve veterans across the region.
If you are pregnant, methadone or buprenorphine is the recommended standard of care, because staying in treatment is safer for you and your baby than stopping. For individuals in this situation, providers can explain neonatal opioid withdrawal syndrome (NOWS) and coordinate a Plan of Safe Care. Your privacy is protected by federal confidentiality laws. Seeking treatment is generally viewed as a positive step, not a reason to lose custody.
Families supporting someone can find guidance in our information for families and, for expecting parents, our page on methadone and pregnancy.
Naloxone and Overdose Safety Across Sheridan County
Naloxone, the medication that reverses an opioid overdose, is widely available in Wyoming. Pharmacists can dispense it under state law without an individual prescription, an over-the-counter Narcan product is sold at pharmacies and retailers and the Wyoming Department of Health runs a Community Naloxone Resource Map plus free Narcan for organizations, with distribution sites in nearly every county.
In 2025 Wyoming also enacted its first overdose Good Samaritan law (Senate File 0074), which gives limited legal protection to someone who calls for help during an overdose.
Keep naloxone on hand if you or someone you love uses opioids, and treat any return to use as a manageable part of recovery rather than a failure. Our guide on recognizing and responding to an overdose covers the warning signs.
Common Questions About Treatment Near Sheridan
Is there a methadone clinic in Sheridan?
There is no opioid treatment program in Sheridan or anywhere in Wyoming, so methadone for OUD means traveling to a certified program, often across a state line. Buprenorphine and naltrexone, by contrast, can be prescribed by local office-based clinicians and by telehealth, which is why many people in the Sheridan area start there.
Can I start Suboxone by telehealth from home?
In most cases, yes. Buprenorphine can currently be started through telehealth, including by phone in many situations, without a prior in-person visit, under federal flexibilities in effect through the end of 2026. The rules are still being finalized, so ask a provider what applies right now.
Will Wyoming Medicaid pay for my treatment?
Wyoming Medicaid covers all three OUD medications, but because Wyoming has not expanded Medicaid, fewer adults qualify than in many states. Private insurance and Medicare also cover treatment, and some providers have grant funding to help uninsured patients. B sure to confirm coverage with the provider you choose.
How is methadone different from buprenorphine?
Methadone is a full opioid agonist dispensed daily through a clinic, at least early on; buprenorphine is a partial agonist with a built-in ceiling that lowers overdose risk and can be prescribed from an office and filled at a pharmacy. Neither is “better” for everyone. You and a clinician decide based on your history and your life.
What if I want to stop the medication someday?
That is a decision to make with your provider, not alone. Many people stay on medication long-term because it works, and there is no fixed finish line; if you do taper, it is done gradually and under supervision. Our methadone questions and answers page addresses this in more detail.
Last reviewed and disclosures
Last reviewed July 2026.
Sources:
- U.S. Drug Enforcement Administration and HHS, telemedicine prescribing rules, 2025 to 2026 (Federal Register, Fourth Temporary Extension; Expansion of Buprenorphine Treatment via Telemedicine Encounter).
- SAMHSA, 42 CFR Part 8 final rule on opioid treatment program standards and take-home methadone, 2024.
- Wyoming Department of Health, opioid overdose data and Community Naloxone Resource Map, 2025 to 2026.
- MACPAC analysis of SAMHSA and CMS data on Medicaid MOUD coverage, 2024.
- Wyoming Department of Health, State Opioid Response provider listing, 2026.
- Sheridan Police Department 2025 drug enforcement statistics, via Sheridan Media, 2026.
- CDC Foundation, Wyoming Senate File 0074 overdose Good Samaritan law, 2025.
Methadone Centers is an informational directory, not a treatment provider, and does not offer medical advice. Information here does not replace care from a licensed clinician. Always decide on treatment with a qualified provider.
Some calls to numbers on this site may be answered by a sponsored treatment provider. Calls are answered by paid advertisers. This does not influence the educational information above.
Last Updated: August 3, 2026