Sublocade Programs That Take Private Insurance

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Sublocade Rehab That Takes Insurance

Insurance status sits in its own SAMHSA field, and almost every site offering extended-release injectable buprenorphine also records private coverage. Filtering on it produces a page that overlaps heavily with the main Sublocade listing instead of surfacing something new. Read it that way.

The injection is billed differently from a prescription filled at a pharmacy, often under the medical benefit, so ask the program how that works before your first appointment. The main Sublocade page sets out the same providers with more on how the treatment runs.

Rehab Centers Near You

Top 12 Drug and Alcohol Rehab Centers Offering Sublocade Rehab That Takes Insurance

APEX Recovery – Brentwood

209 Ward Circle, Brentwood, Tennessee, 37027

4.7★★★★★89

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICAREAccepts State Insurance+1

Co-occurring DisordersMATYoung adults+5

The facility sits on Ward Circle, in the Maryland Farms area of Brentwood — an affluent Williamson County suburb immediately south of Nashville. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management and drug withdrawal management. Care is provided on an outpatient basis, so people continue living at home. Recorded credentials include The Joint Commission. Mental health conditions treated here include co-occurring disorders, depression and anxiety disorders, delivered alongside substance use care. The…

4.2 miWhitfield Park9.4 miNashville International AirportServes13 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · +37 more

Levels of care

30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Clonidine and Lofexidine Detox · Continuing Care · Depression Retreat · +23 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Residential Rehab · Men's Sober Living · +8 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · +6 more

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · Health Net (Centene) · Humana · Magellan Health · Optum · Oscar Health · +3 more

Recovery Unplugged Nashville – Brentwood

255 Wilson Pike Circle, Brentwood, Tennessee, 37027

4.9★★★★★~~386~~

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidSelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

The facility sits on Wilson Pike Circle, in the Maryland Farms area of Brentwood — an affluent Williamson County suburb immediately south of Nashville. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and dual diagnosis treatment. Both residential and outpatient care are recorded at this location. Recorded credentials include The Joint Commission, DEA and State substance use agency licence.Treatment addresses substance use alongside co-occurring mental health conditions, including anxiety disorders, co-occurring disorders…

3.7 miWhitfield Park8.9 miNashville International AirportServes13 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +50 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · +62 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · +5 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · +4 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · +74 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · +8 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · ComPsych · Humana · Magellan Health · Optum · Sendero Health Plans · UnitedHealthcare (UHC)

Diablo Valley Treatment and – San Ramon

111 Deerwood Road, San Ramon, California, 94583

5.0★★★★★~~116~~

CARF accredited

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

MATSeniorsYoung adults+4

Diablo Valley Treatment and – San Ramon is based on Deerwood Road in San Ramon, a Tri-Valley city in southern Contra Costa County. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and intensive outpatient program (IOP). Care is provided on an outpatient basis, so people continue living at home. This provider is accredited by CARF.Mental health conditions treated here include anxiety disorders, co-occurring disorders and depression, delivered alongside substance use care. The…

0.4 miBollinger Canyon Creek13 miOakland San Francisco Bay AirportServes22 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +52 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Continuing Care · +41 more

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Senior Detox · +12 more

Support services

Community Outreach · Health and Wellness Support · Health Education · Intervention Services · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Self Help Groups · Waitlist Interim Services

Insurance accepted

Aetna · Anthem / Elevance Health · Blue Shield of California · Cigna Healthcare · UnitedHealthcare (UHC)

Clear Steps Recovery – Needham

392 Chestnut Street, Needham, Massachusetts, 2492

5.0★★★★★92

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicareAccepts TRICARE+4

Co-occurring DisordersMATTrauma-informed+9

392 Chestnut Street in Needham puts Clear Steps Recovery inside a short drive of Dover, Wellesley and the towns around them. Wellesley, Dedham, Newton and Brookline all sit within 6 miles of the door. Needham sits in Norfolk County, and the county's own provision is limited enough that this site draws from a wide area. Care offered spans partial hospitalization, intensive outpatient and outpatient care. SAMHSA holds the federal registration; the Massachusetts Bureau of Substance…

4.1 miHarvey Beach13 miBoston Logan International AirportServes61 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · +6 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +5 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · +70 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Practical Support · Recovery Support Services · Self Help Groups · +3 more

Insurance accepted

Harvard Pilgrim Health Care · Mass General Brigham Health Plan · Medicare · Optum · TRICARE · Tufts Health Plan · UnitedHealthcare (UHC) · VA Community Care

Rancho Recovery – Rancho Cucamonga

13684 Jeremy Court, Rancho Cucamonga, California, 91739

5.0★★★★★64

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidAccepts TRICARE+2

Co-occurring DisordersMATTrauma-informed+8

Spanish spokenDeaf and HoH

Rancho Recovery – Rancho Cucamonga is based on 13684 Jeremy Court in Rancho Cucamonga, San Bernardino County. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management, drug withdrawal management, polysubstance detox and opioid withdrawal management. Care is provided on both a residential and outpatient basis. This location is registered for both substance use and mental health treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance Abuse…

6.7 miBonita Falls7.6 miOntario International AirportServes4 towns

Substances treated

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +67 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Contingency Management · Counseling and Therapy · Couples Counseling · +10 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Detox · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Hepatitis Support Services · HIV and Hepatitis Care · +46 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · +8 more

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab · Spanish Speaking Rehab

Insurance accepted

Medicaid · TRICARE

Rosewood Recovery – Newtown

140 Terry Drive, Newtown, PA, 18940

5.0★★★★★95

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICARESliding Scale+2

MATYoung adultsWomen+3

Rosewood Recovery operates from 140 Terry Drive in Newtown, Pennsylvania. It is recorded as offering intensive outpatient and outpatient care. Medication for opioid use disorder is offered here alongside talking treatment. This is outpatient provision, so daily life continues around the appointments. Remote appointments appear on the record, useful where travel is difficult. The listing notes provision for veterans and serving personnel. The provider appears in the federal treatment register, with state licensing through the…

4.5 miScudders Falls6.6 miTrenton Mercer AirportServes47 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · +7 more

Mental health

Groups served

Support services

Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · Transportation to Rehab

Insurance accepted

Geisinger Health Plan · Independence Blue Cross · Keystone Health Plan East · TRICARE

Ascendant New York – New York (210 East 58th Street)

210 East 58th Street, New York, NY, 10022

5.0★★★★★84

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

MATTrauma-informedYoung adults+4

210 East 58th Street in New York, New York is the address held for this provider. The facility is listed for intensive outpatient and outpatient care. Medication-assisted treatment is part of what is listed, which for opioid dependence means buprenorphine, methadone or naltrexone alongside counseling. Provision is outpatient, so no overnight stay is involved. Remote appointments appear on the record, useful where travel is difficult. The listing notes provision for veterans and serving personnel. Registration…

2.1 miManhattan5.0 miLaGuardia AirportServes108 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +2 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Rehab for Domestic Violence Survivors · Trauma Informed Rehab · +4 more

Support services

Case Management · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · TRICARE · UnitedHealthcare (UHC)

South Shore Recovery Center – Plymouth

182 Standish Avenue, Plymouth, Massachusetts, 2360

5.0★★★★★76

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

MATSeniorsYoung adults+5

Deaf and HoH

South Shore Recovery Center is at 182 Standish Avenue in Plymouth. North Plymouth is 0.5 miles away and Kingston 2.6. Anyone within about 7 miles can reach it without a major journey, which takes in South Duxbury, Duxbury, Green Harbor and The Pinehills. Plymouth County is the relevant authority here, which matters for anyone using state-funded care. South Shore Recovery Center offers partial hospitalization, intensive outpatient and outpatient care. Medication for opioid dependence is available…

0.8 miNelson Beach25 miNew Bedford Regional AirportServes18 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +9 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Legal Advocacy Support · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · +15 more

Support services

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Harvard Pilgrim Health Care · Humana · Medicaid · Optum · TRICARE · Tufts Health Plan

Ocean State Recovery Center – Johnston

1524 Atwood Avenue, Johnston, RI 02919

4.9★★★★★~~365~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

Ocean State Recovery Center operates from 1524 Atwood Avenue in Johnston. The site sits in Providence County, which shapes which public funding routes apply. Nearby communities include Cranston and Greenville. Rhode Island draws people across long distances for treatment, so travel time is worth weighing against waiting time. Partial hospitalization, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on…

3.6 miSlacks Pond Beach8.1 miRhode Island T. F. Green International AirportServes35 towns

Substances treated

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · +12 more

Languages

Spanish Speaking Rehab

Insurance accepted

Medicaid · Medicare · TRICARE

Detox4 photos

Buckeye Recovery Network – Huntington Beach

19322 Beach Boulevard, Huntington Beach, California, 92648

4.9★★★★★~~149~~

CARF accredited

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICAREState Funded+2

Co-occurring DisordersMATTrauma-informed+7

Buckeye Recovery Network – Huntington Beach is based on 19322 Beach Boulevard in Huntington Beach, Orange County. The facility offers partial hospitalization program (PHP), intensive outpatient program (IOP), outpatient services (OP), medication-assisted treatment (MAT), virtual outpatient (telehealth) and dual diagnosis treatment. Care is provided on an outpatient basis, so people continue living at home. This location is registered for both substance use and mental health treatment. Details on this page are drawn from the federal…

2.0 miHuntington City Beach6.8 miJohn Wayne Orange County International AirportServes6 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Acupuncture · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +8 more

Mental health

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +46 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Housing and Employment Support · Housing Assistance · Intervention Services · Nutrition and Fitness Counseling · Peer Support · +8 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · GEHA · Magellan Health · MultiPlan / PHCS · TRICARE · UMR · UnitedHealthcare (UHC)

Avenues Recovery Center at Lake Ariel – Lake Ariel

50 Industrial Park Road, Lake Ariel, PA, 18436

4.8★★★★★~~411~~

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICARESliding Scale+1

Co-occurring DisordersMATTrauma-informed+7

Records place Avenues Recovery Center at Lake Ariel at 50 Industrial Park Road, Lake Ariel, Pennsylvania. Provision here is recorded as detox, residential treatment and intensive outpatient. Medication for opioid use disorder is offered here alongside talking treatment. Care is delivered on an inpatient basis, with people living on site for the length of the stay. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Veterans and military families…

7.8 miWest Fork Lehigh River18 miWilkes-Barre/Scranton International AirportServes12 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Trauma Treatment

Groups served

Support services

Case Management · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Practical Support · PrEP Services · +5 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Capital District Physicians' Health Plan (CDPHP) · Carelon Behavioral Health · Emblem Health · First Health · Geisinger Health Plan · Highmark Health · Humana · PA Health & Wellness · +3 more

Gateway Treatment Facility – Pineville

210 Laurel Street, Pineville, Louisiana, 71360

5.0★★★★★36

CARF accredited

DetoxResidentialPHP+3

Accepts InsuranceAccepts MedicaidAccepts State Insurance+2

MATVeteransSeniors+6

Gateway Treatment Facility operates from 210 Laurel Street in Pineville, close enough to Ball and Alexandria to serve both. People travelling from Ball, Alexandria, Creola and Prospect are all inside 10 miles. Rapides County is the relevant authority here, which matters for anyone using state-funded care. Gateway Treatment Facility offers detox, residential treatment, partial hospitalization and sober living. Federal registration is held through SAMHSA and licensing through the Louisiana Department of Health. Buprenorphine, methadone or…

4.2 miLake Buhlow10 miAlexandria International AirportServes2 towns

Substances treated

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Serious Mental Illness Treatment · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Rehab · Men's Residential Rehab · Men's Telehealth · +20 more

Support services

Case Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Intervention Services · +7 more

Insurance accepted

Medicaid · TRICARE

More Addiction Rehabs Offering Sublocade Rehab That Takes Insurance 13–80 of 3,585

Coastal Detox Inc – Stuart

1131 SE Indian Street, Stuart, FL, 34997

4.8★~~(290)~~

DetoxHospital detoxInpatient+5Accepts InsuranceAccepts Medicaid+5

Comprehensive Wellness Centers – Lake Worth

660 South Dixie Highway, Lake Worth, FL, 33462

4.8★~~(201)~~

DetoxInpatientResidential+6Accepts InsuranceAccepts Medicaid+4

Royal AZ LLC – Prescott (655 West Gurley Street)

655 West Gurley Street, Prescott, Arizona, 86305

4.9★~~(68)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Northpoint Recovery – Seattle

2111 North Northgate Way, Seattle, WA, 98133

4.8★~~(368)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Renaissance Recovery – Fountain Valley

10175 Slater Avenue Suite 200, Fountain Valley, California, 92708

4.8★~~(334)~~

DetoxPHPIOP+3Accepts InsuranceSelf-Pay

Crystal Cove Recovery – Laguna Beach

540 Park Avenue, Laguna Beach, California, 92651

4.9★~~(131)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts TRICARE+3

FourPoints Health – Saint George

1449 North 1400 West, Saint George, Utah, 84770

4.9★~~(213)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+6

Victory Recovery Partners – Shirley

2 Coraci Boulevard, Shirley, NY, 11967

4.9★~~(212)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Pomarri Outpatient Services – Orem

1472 East 820 North, Orem, Utah, 84097

4.8★~~(205)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Warner Park Recovery Center – Woodland Hills

22011 Ventura Boulevard Suites 150 and 210, Woodland Hills, California, 91364

5.0★~~(328)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts TRICARE+3

Garden Recovery and Wellness LLC – Cherry Hill

523 Hollywood Avenue, Cherry Hill, NJ, 8002

4.9★~~(55)~~

DetoxPHPIOP+3Accepts InsuranceSelf-Pay

Milestone Addiction Treatment LLC – Merchantville

1 South Centre Street, Merchantville, NJ, 8109

4.8★~~(180)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Olympic Behavioral Health LLC – Lake Worth

3618 Lantana Road, Lake Worth, FL, 33462

4.8★~~(177)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+2

Found Recovery – Agoura Hills

27489 Agoura Road Suite 205, Agoura Hills, California, 91301

5.0★~~(30)~~

DetoxPHPIOP+3Accepts InsuranceSelf-Pay

Cirque Lodge Studio – Orem

777 North Palisade Drive, Orem, Utah, 84097

4.8★~~(92)~~

DetoxResidentialPHP+3Accepts InsuranceSelf-Pay

Park Mental Health Treatment of San Diego

2859 El Cajon Blvd, San Diego, CA 92104, United States

4.9★~~(117)~~

DetoxPHPIOP+2Accepts InsuranceAccepts TRICARE+1

Good Life Treatment Center – North Palm Beach

741 U.S. Highway 1, North Palm Beach, FL, 33408

4.8★~~(125)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Sober Life Recovery Solutions LLC – San Diego

3930 4th Avenue Suite 300, San Diego, California, 92103

4.9★~~(48)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicare+4

Pacific Crest Trail Detox – Portland

10600 SE McLoughlin Boulevard, Suite 207, Portland, Oregon, 97222

4.8★~~(75)~~

DetoxHospital detoxInpatient+4Accepts InsuranceAccepts Medicaid+3

Acworth Outpatient Detox – Acworth

6060 Lake Acworth Drive, Suite H, Acworth, Georgia, 30101

4.9★~~(244)~~

DetoxResidentialOutpatient+1Accepts InsuranceAccepts TRICARE+2

Boardwalk Recovery Center – San Diego

1940 Garnet Avenue Suite 120, San Diego, California, 92109

4.8★~~(90)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+2

Provive Wellness of Brentwood – Brentwood

210 Jamestown Park Road, Brentwood, Tennessee, 37027

4.8★~~(81)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+3

Clearbrook Treatment Center – Wilkes Barre

1100 East Northampton Street, Wilkes Barre, PA, 18706

4.7★~~(447)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+3

Breakaway Health Corporation – Costa Mesa

3151 Airway Avenue Suite D-1, Costa Mesa, California, 92626

4.8★~~(78)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+3

East Coast Recovery – Cohasset

215 Chief Justice Cushing Highway, Cohasset, Massachusetts, 2025

4.8★~~(73)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+3

Resilience Recovery Center – Fair Lawn

22-10 Route 208, Fair Lawn, NJ, 7410

5.0★~~(36)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Royal AZ LLC – Prescott (831 Gail Gardner Way)

831 Gail Gardner Way, Prescott, Arizona, 86305

4.9★~~(149)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

SaVida Health – West Springfield

50 Union Street, West Springfield, Massachusetts, 1089

4.9★~~(387)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

STR Behavioral Health – Levittown

1400 Veterans Highway, Levittown, PA, 19056

4.8★~~(316)~~

DetoxPHPIOP+2Accepts InsuranceAccepts Medicare+3

Avenues Recovery Center at Norfolk – Norfolk

1516 Harmon Street, Norfolk, Virginia, 23518

4.7★~~(226)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

SaVida Health – Pittsfield

184 North Street, Pittsfield, Massachusetts, 1201

4.9★~~(156)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

SaVida Health – North Adams

77 Hospital Avenue, North Adams, Massachusetts, 1247

4.9★~~(140)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Northpoint Recovery – Edmonds

7416 212th Street SW, Edmonds, WA, 98026

4.8★~~(1,418)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

STR Behavioral Health – Mahanoy City

5 White Owl Drive, Mahanoy City, PA, 17948

4.8★~~(457)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

Boca Recovery Center – Absecon

30 West Jimmie Leeds Road, Absecon, NJ, 8205

4.9★~~(518)~~

DetoxResidentialAftercareAccepts InsuranceAccepts Medicaid+3

Ascendant New York – New York (113 East 60th Street)

113 East 60th Street, New York, NY, 10022

4.8★~~(307)~~

DetoxResidentialTelehealth+1Accepts InsuranceSelf-Pay

South Coast Behavioral Health – Costa Mesa

Costa Mesa, California, 92626

4.9★~~(391)~~

DetoxResidentialAftercareAccepts InsuranceAccepts TRICARE+1

Spinal Interventions – Provo

280 West River Park Drive, Provo, Utah, 84604

4.8★~~(1,292)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicare+2

Harbor Wellness and Recovery Ctr LLC – Holmdel

2139 Highway 35 North, Holmdel, NJ, 7733

4.9★~~(54)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Recovery Centers of America – Earleville

314 Grove Neck Road, Earleville, MD, 21919

4.7★~~(445)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts TRICARE+2

MATClinics – Annapolis

107 Ridgely Avenue, Annapolis, MD, 21401

4.9★~~(37)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+2

Spero Health – Madisonville

436 North Main Street, Madisonville, Kentucky, 42431

4.9★~~(67)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

Social Recovery Center – Springfield

841 Mountain Avenue, Springfield, NJ, 7081

4.9★~~(49)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Royal WA Lacey – Olympia

8645 Martin Way East, Olympia, WA, 98516

4.7★~~(101)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Spero Health – Seymour

11618 Chapman Highway, Seymour, Tennessee, 37865

5.0★~~(34)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

A Brighter Start Health and Wellness – New Bern

1414 McCarthy Boulevard, New Bern, North Carolina, 28562

4.8★~~(38)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+6

Asana Recovery – Fountain Valley

18101 Magnolia Street, Fountain Valley, California, 92708

4.8★~~(38)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+2

Eagle Healthworks – Thornville

14882 State Route 13, Thornville, OH, 43076

4.9★~~(59)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

Compassionate Recovery Care – Hermitage

4777 Andrew Jackson Parkway, Hermitage, Tennessee, 37076

4.9★~~(57)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

Milton Palm Beach Recovery – North Palm Beach

521 Northlake Blvd, North Palm Beach, FL, 33408

4.7★~~(86)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+3

SaVida Health – Wilmington

3403 Lancaster Pike, Wilmington, DE 19805

5.0★~~(32)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Victory Recovery Partners – Farmingville

100 Granny Road, Farmingville, NY, 11738

4.7★~~(367)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Pacific Sands Recovery Center – Santa Ana

1909 West Carlton Place, Santa Ana, California, 92704

4.9★~~(80)~~

DetoxResidentialAftercareAccepts InsuranceAccepts TRICARE+2

Elevate Point – Brooklyn

203 Jay Street, Brooklyn, NY, 11201

5.0★~~(24)~~

PHPIOPOutpatient+2Accepts InsuranceSliding Scale+1

Michaels House – Palm Springs

515 North Palm Canyon Drive Building H, Palm Springs, California, 92262

4.7★~~(67)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+3

Beachway Therapy Center LLC – West Palm Beach

1700 North Dixie Highway, West Palm Beach, FL, 33407

4.6★~~(297)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts TRICARE+1

MCAT LLC – Cohasset

1 Chief Justice Cushing Highway, Cohasset, Massachusetts, 2025

4.8★~~(73)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+3

Alchemy Addiction Recovery – Slidell

115 Christian Lane, Slidell, Louisiana, 70458

5.0★~~(20)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+2

Align Recovery Centers – Sonoma

Sonoma, California, 95476

4.7★~~(48)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts TRICARE+1

Trailhead Treatment Center – Salem

103 Stiles Road, Salem, NH 03079

5.0★~~(22)~~

PHPIOPOutpatient+2Accepts InsuranceSelf-Pay

California Prime Recovery – Fountain Valley

17330 Newhope Street Unit A, Fountain Valley, California, 92708

4.7★~~(307)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Compassion Behavioral Health – Fort Lauderdale

1425 West Cypress Creek Road, Fort Lauderdale, FL, 33309

4.6★~~(425)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+3

Opus Health LLC – Costa Mesa

Costa Mesa, California, 92626

4.8★~~(196)~~

DetoxResidentialAftercareAccepts InsuranceSelf-Pay

Renova Recovery LLC – Brick

35 Beaverson Boulevard, Brick, NJ, 8723

5.0★~~(19)~~

DetoxPHPIOP+2Accepts InsuranceSelf-Pay

SaVida Health – Saint Albans

17 Catherine Street, Saint Albans, VT 05478

4.8★~~(74)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Liberty Bay Recovery Center – Portland

343 Forest Avenue, Portland, ME 04101

4.6★~~(154)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+4

New Horizons Medical – Quincy

500 Congress Street, Quincy, Massachusetts, 2169

4.8★~~(69)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+5

Lamprey Health Care – Nashua

22 Prospect Street, Nashua, NH 03060

4.7★~~(758)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+6

Why Trust RehabSeekers.com?

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Common questions

Answered from what is listed here.

Does insurance cover Sublocade?

Yes, private health plans commonly cover Sublocade for moderate to severe opioid use disorder when their criteria are met. Aetna and UnitedHealthcare both publish coverage policies for the monthly buprenorphine injection, and every Marketplace plan must cover substance use disorder treatment as an essential health benefit.

Coverage rules still differ plan by plan, so the diagnosis, the dose and whether prior authorization is needed all get checked before the first injection.

Sublocadehttps://rehabseekers.com/medications/mat/buprenorphine/sublocade/

Does Sublocade need prior authorization with private insurance?

Often yes. Indivior tells practices that some insurers require prior authorization for Sublocade, and both Aetna and UnitedHealthcare publish criteria a request must meet. A 2025 review found 22 states had some prohibition on prior authorization for opioid use disorder medications in private plans by 2023.

If prior authorization is denied the injection can still be given, but the member is then responsible for the full cost of the medication.

Suboxone and Buprenorphine Rehab That Takes Insurancehttps://rehabseekers.com/medications/mat/suboxone-and-buprenorphine-insurance/

Does UnitedHealthcare cover Sublocade?

Yes. UnitedHealthcare's commercial policy effective October 1, 2026 covers Sublocade or Brixadi when the patient tolerated a buprenorphine test dose or is already taking buprenorphine and the dosing follows the FDA label. Initial authorization runs up to 12 months at a time.

For continuation the plan asks for a documented positive clinical response and label dosing, again with authorization of no more than 12 months.

Medication Assisted Treatment (MAT)https://rehabseekers.com/medications/mat/

Does Aetna cover Sublocade?

Yes. Aetna Clinical Policy Bulletin 0910 considers Sublocade medically necessary for moderate to severe opioid use disorder in members who have started a transmucosal buprenorphine product and been on a stable dose for at least seven days. Coverage is tied to use within a complete treatment program.

That program must include drug testing, counseling and psychosocial support. Aetna lists a next review of October 8, 2026, so criteria can change during a plan year.

Addiction Counselinghttps://rehabseekers.com/therapies/counseling-and-therapy/addiction-counseling/

Do I need 7 days of Suboxone before Sublocade?

It depends on the plan, not the label. The current FDA label allows a first injection after a single transmucosal buprenorphine dose and a one-hour observation period. Aetna, however, asks for at least seven days on a stable transmucosal dose, which is stricter than the label.

Guidance from these differing rules means a program should confirm which standard the member's plan applies before scheduling the first shot.

Suboxonehttps://rehabseekers.com/medications/mat/buprenorphine/suboxone/

Is Sublocade covered under the medical benefit or the pharmacy benefit?

Both routes exist. With a specialty pharmacy the pharmacy bills the insurer for the drug and ships it to match the appointment, and the practice bills only for the medical service. With buy and bill, the practice orders from a specialty distributor, stores the drug and bills the insurer after the injection.

Sublocade is billed with HCPCS code Q9991 for 100 mg or less and Q9992 for more than 100 mg.

Outpatient MAT Clinichttps://rehabseekers.com/programs/outpatient/mat/

Is there a copay card for Sublocade?

Yes, but only for private insurance. The Sublocade Copay Assistance Program is valid for members with private coverage who use the medication for an on-label purpose. It excludes anyone with government insurance, including Medicare, Medicaid, Medigap, VA, DoD, TRICARE and CHAMPVA.

The program applies to the drug itself, so ask your plan separately about the office visit where the injection is given.

Payment Assistance Availablehttps://rehabseekers.com/payment/payment-assistance-available/

How much is Sublocade without insurance?

Indivior reports a list price of $2,202.03 per monthly dose for either syringe size as of January 1, 2026, and notes that most individuals will not pay that amount. The list price is the figure a private plan negotiates down from, not what a covered member owes.

A direct-pay route usually exists even after a denial, since nearly every site giving the injection records a self pay rate.

Self Pay Rehabhttps://rehabseekers.com/payment/self-pay/

Does insurance cover Sublocade for pain?

No. UnitedHealthcare calls buprenorphine extended-release injection unproven and not medically necessary for pain management, so the plan covers it for opioid use disorder only. Aetna likewise calls once-monthly buprenorphine injectables experimental and investigational outside the indications its bulletin lists.

Aetna ties payment to opioid related disorder diagnosis codes F11.10 through F11.99, which is how insurers confirm the indication.

Pain and Addiction Treatmenthttps://rehabseekers.com/addictions/pain-and-addiction/

What if my insurance denies Sublocade?

An insurer that refuses to pay a claim must tell you why and explain how to dispute the decision. There are two routes: an internal appeal to the insurer, which must be sped up when the case is urgent, and an external review by an independent third party.

The insurer is required by law to accept the external reviewer's decision, so it no longer has the final say.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

How long do I have to file an external review?

Four months. HealthCare.gov says a written request for external review must be filed within 4 months after you receive the insurer's denial notice. Missing that window generally closes the independent review route, leaving only whatever internal options the plan still offers.

File the internal appeal promptly too, since external review usually follows the insurer's own decision on the claim.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

Does the parity law apply to Sublocade coverage?

Yes. The federal parity law generally bars a plan from making copays, coinsurance or visit limits on substance use disorder benefits more restrictive than those on medical and surgical benefits in the same category. Medical management, step therapy and pre-authorization count as nonquantitative treatment limits under the same rule.

A plan may apply those limits only through a process comparable to and no more stringent than the one used for medical and surgical benefits.

Co-Occurring Disorder Treatment That Takes Insurancehttps://rehabseekers.com/dual-diagnosis/co-occurring-disorder-insurance/

Do Marketplace plans cover opioid use disorder treatment?

Yes. Every Marketplace plan must cover mental health and substance use disorder services as essential health benefits, including psychotherapy and counseling, inpatient behavioral health services and substance use disorder treatment. Plans cannot deny coverage or charge more because of a pre-existing condition such as a substance use disorder.

Coverage for that condition begins the day the plan starts, with no waiting period attached to the diagnosis.

Opioid Rehabhttps://rehabseekers.com/addictions/opioid/

Can a rehab that takes insurance give me the Sublocade shot?

Yes, if the program has a provider who administers the injection and a way to obtain the drug through a REMS-certified setting or specialty pharmacy. The label allows only a healthcare provider to prepare and give Sublocade, so the drug and the visit are both part of the coverage question.

Ask whether the program injects on site or refers you to an additional site of care for the appointment.

Buprenorphine Maintenance Rehab That Takes Insurancehttps://rehabseekers.com/medications/mat/buprenorphine/maintenance-insurance/

Can I take Sublocade at home if my insurance approves it?

No. The FDA label states Sublocade is for healthcare provider preparation and administration only, and the REMS bars certified settings and pharmacies from dispensing it to a patient. Approval by a plan does not change how the medication must be given.

Because of that rule the injection cannot be done by video visit or self-injection, though other parts of care may be delivered remotely.

Online Rehab and Telehealthhttps://rehabseekers.com/programs/online-rehab-and-telehealth/

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A Sublocade rehab that takes insurance is a treatment program that gives the once-monthly buprenorphine extended-release injection and bills a private health plan for it rather than asking for cash up front. The injection is prepared and given by a healthcare provider, so the program needs both a clinician who can inject it and a route to obtain the drug.

The coverage question splits into two parts that are easy to confuse. One is whether the plan pays for the medication, which usually runs through prior authorization and a published policy. The other is whether the plan pays for the appointment where the injection is given, which is billed separately when a specialty pharmacy supplies the drug.

This guide covers what Sublocade is and who it is labeled for, what happens at a monthly injection visit, how long treatment runs, what it costs and what private plans pay, how Aetna and UnitedHealthcare write their criteria, what to do with a denial, and how to find a program near you that injects it and bills insurance.

What Is Sublocade Rehab That Takes Insurance?

It is a program that administers Sublocade, the brand of buprenorphine extended-release injection made by Indivior, and bills a private health plan for the drug, the visit or both. Sublocade is a Schedule III product injected under the skin, where the liquid forms a solid depot that releases buprenorphine across the month.

The FDA label limits Sublocade to moderate to severe opioid use disorder in individuals who have started with a single dose of a transmucosal buprenorphine product or are already being treated with buprenorphine. It is not appropriate for anyone opioid naive, safety and effectiveness have not been established in children, and the label does not recommend it in moderate to severe hepatic impairment. Private plans key their approvals to that labeled indication, which is why the diagnosis on the authorization request matters as much as the dose.

Because every Marketplace plan must cover mental health and substance use disorder services as essential health benefits, opioid use disorder care sits inside a covered category on these plans. HealthCare.gov also states that a Marketplace plan cannot deny coverage or charge more because of a pre-existing condition such as a substance use disorder, and that coverage for it begins the day the plan starts. The category being covered is not the same as a specific injection being authorized, which is the gap most of this page addresses. For the full picture of the medication family, see Suboxone and Buprenorphine.

How Does Insurance Pay for the Sublocade Injection?

Two routes exist, and which one a program uses changes how the bill reaches your plan. With a specialty pharmacy, the pharmacy bills the insurer for the drug and ships it timed to your appointment, and the clinic bills only for the medical service. With buy and bill, the practice orders Sublocade from a specialty distributor, stores it, and bills your insurer after giving the injection.

That split is the reason the injection can land under the pharmacy benefit at one program and the medical benefit at another, with different deductibles and different authorization forms behind each. Indivior tells practices that some insurers require prior authorization for Sublocade and that its specialty pharmacy passes on the insurer’s forms. Sublocade is billed with HCPCS code Q9991 for 100 mg or less and Q9992 for more than 100 mg, which is the detail a billing office will ask for.

Why the setting matters. Under the Sublocade REMS, settings and pharmacies that order the drug must be certified and may never dispense it to the patient. A clinic that keeps stock on hand must certify in the REMS; one that obtains a named-patient dose from a certified pharmacy for a scheduled appointment does not. Prescribers themselves are not required to be certified.

Who Gives the Injection

The label says Sublocade is for healthcare provider preparation and administration only, so it cannot be self-injected at home or handled by video visit. A prescriber can refer you to an additional site of care for the injection, where a DEA-registered practitioner authorized to administer controlled substances gives it while the prescriber keeps overall charge of treatment. That referral pattern is common at an Outpatient MAT Clinic.

Checking Benefits Before the First Dose

Indivior’s INSUPPORT program performs benefit investigations and passes on prior authorization requirements at 1-844-467-7778, though it does not decide coverage. Ask the admissions team to check prior authorization, preferred-drug status and any dose limits before the first injection is scheduled, since payer rules differ.

Does Sublocade Need Prior Authorization With Private Insurance?

Often yes. Aetna and UnitedHealthcare both publish criteria a request has to meet, and Indivior tells practices some insurers require it. Federal parity rules list medical management, step therapy and pre-authorization as nonquantitative treatment limits, and CMS says a plan may not apply one to substance use disorder benefits unless its process is comparable to and no more stringent than the one used for medical and surgical benefits.

State law can remove the requirement entirely. A 2025 review of state laws found the number of states prohibiting prior authorization for opioid use disorder medications in private insurance grew from 2 in 2015 to 22 in 2023. Massachusetts, Maryland, New Jersey, West Virginia, Illinois, Vermont and Kentucky had full prohibitions from the start, with New York, Arkansas, Colorado and Missouri moving to full prohibitions by the end of 2023. Eleven states kept partial prohibitions that can still allow authorization under conditions such as formulation, brand versus generic status or how often a request is made.

What Do Aetna and UnitedHealthcare Require?

Aetna Clinical Policy Bulletin 0910 considers Sublocade medically necessary for moderate-to-severe opioid use disorder in members who have started a transmucosal buprenorphine product and have been on a stable dose for at least seven days, and ties coverage to use within a complete treatment program that includes drug testing, counseling and psychosocial support. Aetna covers codes Q9991 and Q9992 when its selection criteria are met, tied to ICD-10 diagnosis codes F11.10 through F11.99 for opioid related disorders, and calls once-monthly injectables experimental and investigational outside the indications it lists.

UnitedHealthcare’s commercial policy effective October 1, 2026 covers Sublocade or Brixadi when the patient tolerated a buprenorphine test dose or is already on buprenorphine and dosing follows the label, with initial authorization of up to 12 months. For continuation it asks for a documented positive clinical response and label dosing, again with authorization of no more than 12 months at a time. Aetna covers Brixadi for individuals who started with a single transmucosal dose or are already on buprenorphine, with no seven-day stable-dose wording.

Seven days, or one dose? Aetna asks for seven days on a stable transmucosal dose. The current FDA label allows a start after a single transmucosal dose and a one-hour observation. Ask the program to confirm which rule your plan applies before the induction plan is set, and note that Aetna lists a last review of December 30, 2025 and a next review of October 8, 2026, so criteria can shift during a plan year.

How Much Does Sublocade Cost With Insurance?

Your share depends on the plan’s deductible, copay and which benefit the injection falls under. Indivior reports the Sublocade list price at $2,202.03 per monthly dose for either syringe size as of January 1, 2026, and says most individuals will not pay that amount. The Sublocade Copay Assistance Program is open only to individuals with private insurance using the drug for an on-label purpose, and it excludes anyone with Medicare, Medicaid, Medigap, VA, DoD, TRICARE or CHAMPVA.

The copay program applies to the drug, not the office visit, so a member can have the medication largely paid for and still owe a visit charge. Where Sublocade is given during a wider course of treatment, the surrounding level of care carries its own price. Nationally, outpatient care runs roughly $1,200 to $5,500 a month, intensive outpatient $2,500 to $10,000, partial hospitalization $7,000 to $15,000, and residential $6,000 to $30,000.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

If prior authorization is denied the medication can still be given, but the patient is then responsible for all of its cost, which is why the authorization step is settled before the syringe is ordered. Where a claim fails or a program is out of network, a direct-pay route usually remains: almost every site administering extended-release injectable buprenorphine records a self pay rate, and sliding scale MAT billing appears at a sizable minority.

What If My Insurance Denies Sublocade?

An insurer that refuses to pay a claim must tell you why and explain how to dispute the decision. Two routes follow: an internal appeal to the insurer, and an external review by an independent third party. For an internal appeal the insurer must speed up its review when the case is urgent, which covers a member whose injection is due.

A written request for external review must be filed within 4 months after you receive the denial notice. The insurer is required by law to accept the external reviewer’s decision, so the plan does not have the final say. Parity protections apply across financial limits such as deductibles and copayments, treatment limits such as days or visits, and care management such as needing authorization before treatment, which gives an appeal a second line of argument where the plan’s substance use rules look stricter than its medical ones.

What Is the Difference Between Sublocade and Daily Buprenorphine?

Sublocade is a monthly injection given by a provider and never dispensed to the patient, while Suboxone and other transmucosal forms are taken daily and filled at a pharmacy. That difference moves the coverage question from a routine pharmacy fill to a medical or specialty authorization, and it is also why a plan may ask for a period of stable transmucosal dosing first. Labeled dosing for the injection is 300 mg to start, 300 mg for the second injection, then 100 mg monthly, with 300 mg monthly considered where response on 100 mg is not satisfactory, and the label sets no maximum duration of maintenance treatment.

How Do I Find Sublocade Rehab That Takes Insurance Near Me?

Start with your plan’s provider search for behavioral health or substance use treatment, then call the program and ask two things: whether a provider injects Sublocade on site or refers to an additional site of care, and whether the drug is obtained by buy and bill or through a specialty pharmacy. A state licensing lookup confirms the program’s license, and INSUPPORT can check benefits at 1-844-467-7778.

Programs offering Sublocade and billing private plans are gathered on this page, alongside Sublocade, Sublocade rehab that takes Medicaid and the wider Medication Assisted Treatment (MAT) listings, with state pages for New York, Ohio, Pennsylvania and California, which lead for injection providers recording private coverage. Each listing shows levels of care, accepted payments, licensing and accreditation, and distance to the nearest airport. Private coverage is recorded at effectively every program administering the injection, so filtering on insurance barely narrows the field and the billing question is the more useful one to ask. Aftercare and continuing care is recorded universally at these sites, and HIV and hepatitis care appears noticeably more often than average.

References and Citations

U.S. Food and Drug Administration — Sublocade (buprenorphine extended-release) prescribing information and REMS program materials.
Aetna — Clinical Policy Bulletin 0910, buprenorphine injectable and implant products.
UnitedHealthcare — commercial medical benefit drug policy for buprenorphine extended-release injection, effective October 1, 2026.
HealthCare.gov — mental health and substance use coverage, pre-existing conditions, and internal appeals and external review.
Centers for Medicare & Medicaid Services — mental health and substance use disorder parity guidance.
Indivior — Sublocade list price, INSUPPORT benefit investigation service and Copay Assistance Program terms.
Published review of state prior authorization laws for medications for opioid use disorder in private insurance, 2025.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.