Opioid, Fentanyl and Heroin Rehab Centers in Las Vegas

How do I start methadone or buprenorphine treatment in Las Vegas?

To start methadone in Las Vegas, you go to a certified opioid treatment program, while buprenorphine can start at one of those clinics or with an office-based prescriber. Nevada requires each opioid treatment program to be certified by the Division of Public and Behavioral Health and licensed as a facility for treatment with narcotics.

The federal X-waiver has ended, so clinicians with a standard Drug Enforcement Administration registration can now prescribe buprenorphine, and some primary care and psychiatry offices across the valley offer it. Extended-release naltrexone is a monthly injection given only after withdrawal is complete. Naltrexone blocks opioids and does not ease withdrawal.

Listings for methadone clinics in Las Vegas and Suboxone clinics in Las Vegas show which programs report offering each medication. Fentanyl in the local drug supply is a good reason to begin under medical care, because the timing of a first buprenorphine dose can be harder after fentanyl use.

Supervised detox in Las Vegas or a clinic-led start lets staff adjust doses as symptoms change. Withdrawal care alone is a starting point, not a full course of treatment. Clark County and a local hospital run a 24/7 crisis stabilization center for adults at 5409 E. Lake Mead Blvd., with detox stays of up to 24 hours regardless of ability to pay.

Taking medication into residential care

Residential programs differ on whether they admit people who take methadone or buprenorphine. Before you go, ask the admissions team whether doses continue on site or through a partner clinic. Listings for residential rehab in Las Vegas note medication support where providers report it. For people in the justice system, the Eighth Judicial District Court runs a MAT Re-Entry Court alongside its Adult Drug Court.

Where can I get naloxone in Las Vegas?

Las Vegas pharmacies can provide naloxone without a prescription. Nevada law lets pharmacists dispense opioid antagonists with or without one, and nasal naloxone is also sold over the counter. A 2022 release from the Southern Nevada Health District described free nasal naloxone in vending machines at its main public health center on S. Decatur Blvd. Ask the district whether those machines still run. Overdose risk rises after any stretch without opioids, such as withdrawal care, a residential stay or time in custody, because tolerance drops quickly. In an emergency, call 911. Nevada’s Good Samaritan law, NRS 453C.150, bars arrest or prosecution based on evidence found because someone sought help for an overdose.

Does Nevada Medicaid pay for opioid treatment in Las Vegas?

Nevada Medicaid pays for care in Clark County through managed care plans. Each plan sets its own network for methadone, buprenorphine and naltrexone. The Clark County plans are CareSource, SilverSummit Healthplan, Anthem Blue Cross and Blue Shield, Health Plan of Nevada and Molina Healthcare of Nevada. The member services number on your card can name in-network clinics, and programs that take Medicaid are flagged in the listings. Medicare Part B covers services at opioid treatment programs. For people without coverage, the Division of Public and Behavioral Health funds treatment through community providers.

Pregnant and postpartum people get priority admission at any state-funded treatment program in Nevada. Listings for rehab for pregnant women in Las Vegas show programs that report serving them. For opioid programs beyond the valley, see opioid rehab across Nevada, or return to the Las Vegas treatment overview.