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Medically Supervised Opioid Tapering

Medically Supervised Opioid Tapering Programs

Tapering means coming off methadone or buprenorphine gradually, under medical supervision, after a period of stability on the medication. SAMHSA records it as a maintenance service with medically supervised withdrawal, and it is a slower process than detox, measured in months rather than days.

Not everyone tapers, and evidence links stopping medication with higher overdose risk, so the decision belongs with you and your prescriber. Programs listed here support tapering when someone chooses it. Ask how dose reductions are paced, and compare what the providers below offer.

Rehab Centers Near You

Top 12 Drug and Alcohol Rehab Centers Offering Medically Supervised Opioid Tapering

Detox12 photos

Jintara Rehab Thailand, Chiang Mai

76 Moo 5, Pa Dat, Sanphakwan, San Phak Wan, Hang Dong District, Chiang Mai, 50100, Thailand

4.9★★★★★30

State licensed

DetoxInpatientResidential+1

Self-Pay

Co-occurring DisordersMethadoneTrauma-informed+5

Arabic spoken

Roughly 20 minutes from the center of Chiang Mai and its airport, Jintara Rehab Thailand is a small private residential rehab at Pa Daet and San Phak Wan. It takes no more than ten adults at a time and treats alcohol, opioid, stimulant, sedative and prescription drug problems. Medical detoxification runs on site under psychiatrist oversight with 24-hour awake nursing, and anxiety, depression, trauma and mood problems are addressed alongside substance use. Cognitive behavioral therapy…

4.7 miChiang Mai Night Safari3.8 miChiang Mai International Airport

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 · +48 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Aftercare and Continuing Care · Continuing Care · Detox Centers · Discharge Planning · +7 more

Therapies

Activity Therapy · Addiction Counseling · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · +3 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Mental Health Conditions · PTSD Treatment · Serious Mental Illness Treatment · Trauma Treatment

Groups served

Active Duty Military Rehab · Adult Rehab · DUI and DWI Programs · Men's Rehab · Military Family Rehab · Rehab for Domestic Violence Survivors · Rehab for Pregnant Women · Rehab for Sexual Abuse Survivors · Trauma Informed Rehab · Trauma Survivor Programs · +2 more

Support services

Case Management · Health Education · Nutrition and Fitness Counseling · Peer Support · Recovery Coaching · Self Help Groups · Transportation to Rehab

Languages

Arabic Speaking Rehab · Thai Speaking Rehab

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

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

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 · +5 more

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)

Recovery Team – Newton Upper Falls

233 Needham Street, Newton Upper Falls, Massachusetts, 2464

5.0★★★★★~~118~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

Co-occurring DisordersMATTrauma-informed+8

Recovery Team operates from 233 Needham Street in Newton Upper Falls, close enough to Newton and Needham to serve both. That radius takes in Wellesley, Brookline, Watertown and Dedham, all within 5 miles. Newton Upper Falls sits in Middlesex County, and the county's own provision is limited enough that this site draws from a wide area. The facility runs partial hospitalization, intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the approach…

2.1 miHarvey Beach11 miBoston Logan International AirportServes61 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +36 more

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 · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · +12 more

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 · +5 more

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 · Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · +49 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · +11 more

Insurance accepted

TRICARE

Sophros Recovery Tampa – Tampa

10500 University Center Drive, Tampa, FL, 33612

5.0★★★★★~~105~~

CARF accredited

DetoxPHPIOP+4

Accepts InsuranceAccepts TRICAREAccepts State Insurance+3

Co-occurring DisordersMATTrauma-informed+8

Sophros Recovery Tampa occupies 10500 University Center Drive in Tampa, Florida. The services listed are intensive outpatient and outpatient care. Medication-assisted treatment appears on the record, pairing approved medication with counseling and review. Care is provided on an outpatient basis, so people continue living at home. Telehealth is listed, so some contact can happen without traveling in. Support for veterans appears on the record. Registration is federal, through SAMHSA; licensing is held with the Florida…

1.2 miCopeland Park8.4 miTampa 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 · Codeine Rehab · Concerta Rehab · +33 more

Levels of care

Therapies

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

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · +2 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · DUI and DWI Programs · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Sober Living · +22 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 · Intervention Services · Nutrition and Fitness Counseling · +10 more

Insurance accepted

Aetna · Carelon Behavioral Health · Cigna Healthcare · GuideWell (Florida Blue) · TRICARE · UnitedHealthcare (UHC)

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

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

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 · +72 more

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

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

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 Telehealth · +21 more

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

Coastal Detox Inc – Stuart

1131 SE Indian Street, Stuart, FL, 34997

4.8★★★★★~~290~~

Joint Commission

DetoxHospital detoxInpatient+5

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATMethadone+10

Spanish spoken

The address on record is 1131 SE Indian Street in Stuart, Florida. It is recorded as offering residential treatment, partial hospitalization and intensive outpatient. This is recorded as treating co-occurring conditions rather than one in isolation. Care runs on site, with accommodation included for the duration. Family involvement is listed as part of the provision. Federal registration is held through SAMHSA, and licensing sits with the Florida Department of Children and Families.

3.0 miSouth Fork Saint Lucie River34 miPresident Donald J. Trump International AirportServes7 towns

Substances treated

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training · +1 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +78 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · +5 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Avmed · CarePlus Health Plans · Cigna Healthcare · ComPsych · Emblem Health · First Health · Golden Rule Insurance Company · +10 more

Royal AZ LLC – Prescott (655 West Gurley Street)

655 West Gurley Street, Prescott, Arizona, 86305

4.9★★★★★68

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

Co-occurring DisordersMATTrauma-informed+8

Deaf and HoH

You will find Royal AZ LLC on West Gurley Street, within Downtown Prescott, the courthouse square district, with Whiskey Row on its western side. Levels of care recorded for this provider include medication-assisted detox, partial hospitalization program (PHP) and PHP (day treatment program), with 8 others listed. Care is provided on an outpatient basis, so people continue living at home. The program holds accreditation from The Joint Commission.Treatment addresses substance use alongside co-occurring mental health…

4.6 miSierra Prieta8.4 miPrescott Regional Airport - Ernest A. Love FieldServes4 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Group Therapy · +6 more

Mental health

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

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 · Court Ordered Dual Diagnosis Rehab · +64 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Nutrition and Fitness Counseling · Practical Support · +6 more

Languages

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

Insurance accepted

BCBS (Blue Cross Blue Shield) · CareFirst · Cigna Healthcare · ComPsych · Optum · TRICARE · TriWest Healthcare Alliance · UnitedHealthcare (UHC) · VA Community Care · Wellpoint (formerly Amerigroup)

More Addiction Rehabs Offering Medically Supervised Opioid Tapering 13–80 of 3,708

Northpoint Recovery – Seattle

2111 North Northgate Way, Seattle, WA, 98133

4.8★~~(368)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

The Recovery Team – East Falmouth

279 Brick Kiln Road, East Falmouth, Massachusetts, 2536

4.8★~~(292)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

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

Holdfast Recovery – Prescott

1385 West Iron Springs Road, Prescott, Arizona, 86305

5.0★~~(98)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts TRICARE+3

Palms Recovery Florida LLC – Lake Worth

3444 South Congress Avenue, Lake Worth, FL, 33461

4.8★~~(141)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+4

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

Recovery First Treatment Center – Hollywood

4110 Davie Road Extension, Hollywood, FL, 33024

4.7★~~(1,264)~~

ResidentialPHPIOP+3Accepts InsuranceAccepts TRICARE+3

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

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

Journey Hillside Tarzana LLC – Tarzana

4706 Viviana Drive, Tarzana, California, 91356

5.0★~~(53)~~

DetoxResidentialTelehealth+1Accepts InsuranceSliding Scale+1

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

Nashville Addiction Clinic – Nashville

5515 Edmondson Pike Unit 118, Nashville, TN 37211, United States

4.9★~~(301)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Avenues Recovery Center at Norfolk – Norfolk

1516 Harmon Street, Norfolk, Virginia, 23518

4.7★~~(226)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

Decision Point LLC – Prescott

505 Whipple Street, Prescott, Arizona, 86301

4.7★~~(173)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+2

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

AISOL LLC – West Palm Beach

4461 Medical Center Way, West Palm Beach, FL, 33407

4.8★~~(320)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

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

Mayflower Recovery Center – Wilmington

362 Middlesex Avenue, Wilmington, Massachusetts, 1887

4.8★~~(180)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

Retreat of Broward Inc – Pompano Beach

100 NW 17th Avenue, Pompano Beach, FL, 33069

4.8★~~(188)~~

DetoxHospital detoxInpatient+2Accepts InsuranceAccepts TRICARE+1

National Addiction Specialists – Brentwood

5511 Virginia Way, Brentwood, Tennessee, 37027

4.8★~~(264)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Royal WA Lacey – Olympia

8645 Martin Way East, Olympia, WA, 98516

4.7★~~(101)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

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

Lake Hughes Recovery – Gorman

49713 Gorman Post Road, Gorman, California, 93243

4.9★~~(48)~~

DetoxHospital detoxInpatient+2Accepts MedicaidAccepts State Insurance+1

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

Hotel California by the Sea – Huntington Beach (19240 Beach Boulevard)

19240 Beach Boulevard, Huntington Beach, California, 92648

5.0★~~(17)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

Michaels House – Palm Springs

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

4.7★~~(67)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+3

Recovery Care of Columbia – Brentwood

343 Franklin Road, Brentwood, Tennessee, 37027

4.8★~~(133)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Symetria Recovery – Chicago

3934 North Lincoln Avenue, Chicago, Illinois, 60613

4.9★~~(29)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicare+3

Amity Palm Beach – West Palm Beach

2901 Broadway Avenue, West Palm Beach, FL, 33407

4.8★~~(79)~~

DetoxResidentialTelehealth+1Accepts InsuranceState Funded+1

MCAT LLC – Cohasset

1 Chief Justice Cushing Highway, Cohasset, Massachusetts, 2025

4.8★~~(73)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+3

Align Recovery Centers – Sonoma

Sonoma, California, 95476

4.7★~~(48)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts TRICARE+1

Haven Detox – West Palm Beach

1325 Haverhill Road, West Palm Beach, FL, 33417

4.7★~~(425)~~

DetoxResidentialTelehealth+2Accepts InsuranceAccepts TRICARE+2

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

Archstone Behavioral Health – Lake Worth

501 West Perry Street, Lake Worth, FL, 33462

4.6★~~(170)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts TRICARE+1

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

Amazing Care Mental Health/SUD Servs – Gwynn Oak (5512 Wesley Avenue)

5512 Wesley Avenue, Gwynn Oak, MD, 21207

4.9★~~(17)~~

DetoxInpatientResidential+4Accepts InsuranceAccepts Medicaid+4

Hotel California by the Sea – Newport Beach

4504 Seashore Drive, Newport Beach, California, 92663

4.7★~~(211)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+1

Novara Recovery Center – Fairfax

2815 Old Lee Highway, Floor 2, Fairfax, Virginia, 22031

4.8★~~(59)~~

DetoxPHPOutpatient+1Accepts InsuranceAccepts TRICARE+1

I Am Recovery LLC – Pleasant Grove

3784 West Valley View Drive, Pleasant Grove, Utah, 84062

4.6★~~(110)~~

DetoxResidentialPHP+5Accepts InsuranceAccepts Medicaid+3

Windham Falls Recovery LLC – West Kill

2774 Route 42, West Kill, NY, 12492

4.9★~~(28)~~

DetoxResidentialTelehealth+1Accepts InsuranceSelf-Pay

Kodiak Community Health Center – Kodiak

1911 Rezanof Drive, Kodiak, AK 99615

4.8★~~(52)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+7

Prescott House Inc – Prescott

214 North Arizona Avenue, Prescott, Arizona, 86301

4.6★~~(88)~~

DetoxResidentialPHP+3Accepts InsuranceAccepts TRICARE+1

A Brighter Start – Wilmington

5710 Oleander Drive, Suite 100, Wilmington, North Carolina, 28403

4.6★~~(107)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+6

Royal Life Centers – Olympia

8649 Martin Way East, Olympia, WA, 98516

4.7★~~(101)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

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Common questions

Answered from what is listed here.

What is medically supervised opioid tapering?

Medically supervised opioid tapering is a clinician-led, gradual reduction of an opioid dose over time so the body can adjust. CDC's tapering training defines tapering this way, noting that a deliberate, gradual reduction lowers the likelihood of withdrawal symptoms and other consequences of stopping abruptly.

It applies to prescribed pain medicine and, separately, to methadone or buprenorphine reductions paced by a prescriber over months rather than days.

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

How long does an opioid taper take?

Tapers after long-term opioid use can run several months to years depending on the dose, according to CDC, which adds that longer prior therapy might require a longer taper. After one week to under a month of use, the daily dose might instead be reduced by roughly 20% every two days.

No average duration for a supervised outpatient taper is published; the pace is set case by case with the prescriber.

Medically Supervised Opioid Tapering Rehab That Takes Insurancehttps://rehabseekers.com/medications/mat/opioid-tapering-insurance/

How fast should an opioid taper go?

After a year or more on opioids, CDC says tapers of 10% per month or slower are likely to be better tolerated than faster ones. FDA's 2019 safety communication puts the increment at no more than 10% to 25% every two to four weeks, and the Oregon Medical Board calls 5 to 20 percent per month a helpful general guide.

The VA Opioid Taper Decision Tool calls 5% to 20% every four weeks, with pauses as needed, the most common taper.

Opioid Detoxhttps://rehabseekers.com/addictions/opioid/opioid-detox/

Why did the FDA warn about stopping opioid pain medicine suddenly?

On April 9, 2019 FDA said it had received reports of serious harm in physically dependent patients whose opioid pain medicine was suddenly stopped or rapidly reduced, including serious withdrawal symptoms, uncontrolled pain, psychological distress and suicide. It required expanded label guidance on safely decreasing the dose.

FDA also warned that rapid discontinuation can push someone to seek other sources, including heroin and other illicit opioids, to treat pain or withdrawal.

Illicit Opioidshttps://rehabseekers.com/addictions/opioid/illicit-opioids/

Can my doctor force me to taper my opioids?

No, in most situations. Guidance restating FDA's warning states that not everyone taking opioids requires tapering and that tapering should be voluntary. CDC says that when clinician and patient cannot agree, the clinician should acknowledge the disagreement, express empathy and make patient-centered changes while avoiding abandonment.

Faster reductions can still be needed for safety, such as after an overdose on the current dose or when confusion, sedation or slurred speech appear.

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

What withdrawal symptoms happen during an opioid taper?

Restlessness, sweating, eye tearing, chills, runny nose, muscle aches and yawning can occur even when a dose is lowered gradually, according to FDA. HHS notes symptoms can begin a few hours to a few days after the last dose, depending on how long the opioid acts.

The VA groups withdrawal into early symptoms over hours to days, late symptoms over days to weeks, and prolonged irritability, fatigue, craving and insomnia over weeks to months.

Opioid Detox Programhttps://rehabseekers.com/programs/detox-centers/detox-by-substance/opioid-detox/

What medicines help with withdrawal during a taper?

CDC lists the alpha-2 agonists clonidine and lofexidine for autonomic signs such as sweating and fast heart rate, NSAIDs or acetaminophen for muscle aches, trazodone for sleep, ondansetron, promethazine or prochlorperazine for nausea, dicyclomine for cramping, and loperamide or bismuth subsalicylate for diarrhea.

The VA tool and Oregon's guidelines both say withdrawal during a taper should not be treated with another opioid or a benzodiazepine.

Clonidine and Lofexidine Detoxhttps://rehabseekers.com/programs/detox-centers/detox-by-substance/non-opioid-detox-medication/

Can I pause or slow my opioid taper?

Yes. CDC says the first response to withdrawal symptoms during a taper should generally be to consider slowing or pausing it, and that pauses are something the patient helps decide. The Oregon Medical Board states the most common cause of failed tapers is trying to taper too rapidly.

FDA adds that with increased pain or serious withdrawal, the dose may be returned to the previous level and the taper resumed more gradually once the person is stable.

Lofexidine (Lucemyra)https://rehabseekers.com/medications/mat/lofexidine/

What if my pain gets worse during an opioid taper?

Worsening pain is a frequent symptom of opioid withdrawal and tends to diminish over time, CDC says, and increased pain can relate to hyperalgesia or withdrawal itself. For someone struggling to tolerate a taper, clinicians should maximize nonopioid pain treatment and address behavioral distress.

FDA tells patients to contact their prescriber about increased pain, withdrawal symptoms, mood changes or thoughts of suicide during a taper.

Chronic Pain and Substance Usehttps://rehabseekers.com/addictions/pain-and-addiction/chronic-pain/

How often will I see my doctor during an opioid taper?

At least monthly, according to CDC, which adds that nurses, pharmacists and behavioral health professionals can support the taper by telephone, telehealth or in person. The VA tool sets follow-up one to four weeks after a slow taper begins, then monthly before each reduction.

Faster tapers call for weekly checks before each reduction, and rapid tapers for daily contact or inpatient admission.

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

Do I need to taper in a hospital or detox center?

Not usually. ASAM's guideline says opioid withdrawal management may take place in inpatient or outpatient settings, that inpatient care has higher completion rates, and that it may be preferred when physical or mental health issues are significant or unstable.

MedlinePlus lists home with medicines and a strong support system, detox facilities, and a regular hospital for severe symptoms as the possible settings.

Outpatient Detoxhttps://rehabseekers.com/programs/detox-centers/outpatient-detox/

When is an opioid taper not recommended?

HHS says clinicians should avoid insisting on tapering when opioid use may be warranted, such as cancer pain, pain at the end of life, or other cases where benefits outweigh risks. Oregon's guidelines add that a stable patient with minimal side effects, good pain control, function and quality of life may not need a taper.

CDC also says cautionary thresholds such as 90 morphine milligram equivalents a day are not mandates to reduce a dose.

Opioids for Pain Managementhttps://rehabseekers.com/addictions/pain-and-addiction/pain-management/

What happens if I cannot taper off opioids?

CDC says someone who cannot make progress on a taper despite opioid-related harm should be assessed for opioid use disorder using DSM-5 criteria and offered medication treatment and naloxone if criteria are met. Those without the disorder might benefit from transitioning to buprenorphine, which also treats pain.

For anyone staying on a high-dose regimen, CDC advises close monitoring plus overdose education and naloxone.

Suboxone and Buprenorphinehttps://rehabseekers.com/medications/mat/buprenorphine/

How long should I wait to start buprenorphine after my last opioid?

At least 8 to 12 hours after a short-acting full agonist and at least 12 to 24 hours after an extended-release or long-acting opioid, with longer waits after methadone, CDC says. The person should be in mild to moderate withdrawal before the first buprenorphine dose.

ASAM similarly says withdrawal management with buprenorphine should not start until objective signs of withdrawal appear, beginning at 2 to 4 mg.

Buprenorphine-Assisted Detoxhttps://rehabseekers.com/programs/detox-centers/detox-by-substance/buprenorphine-detox/

How is a methadone taper done?

TIP 63 describes one approach as decreasing the methadone dose gradually by 5 to 10 percent every one to two weeks for stable patients who choose to stop, alongside added psychosocial and recovery supports and the option to pause or return to treatment.

Craving can rise around 20 mg to 40 mg, and some individuals switch to buprenorphine for a period to finish the reduction.

Methadone Maintenancehttps://rehabseekers.com/medications/mat/methadone/methadone-maintenance/

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Medically supervised opioid tapering is a clinician-led, gradual reduction of an opioid dose, with scheduled follow-up and symptom management until the dose is lower or stopped. It may apply to prescribed pain medicine, or to methadone or buprenorphine after a stable period on the medication.

For anyone taking opioids daily, the point of a taper is that the reduction is planned and watched rather than abrupt. The CDC describes tapering as the deliberate and gradual reduction of a dosage over time so the body can adjust, which lowers the likelihood of withdrawal symptoms and other consequences of sudden cessation.

This guide covers what a taper involves, how fast federal and VA guidance says it should go, how long it takes, what a taper costs and who pays, which medicines are used for withdrawal symptoms, how tapering from methadone or buprenorphine differs, and how to find a prescriber or program that handles supervised tapering.

What Is Medically Supervised Opioid Tapering?

It is a planned dose reduction run by the prescribing clinician, with an agreed schedule, follow-up visits and treatment for withdrawal symptoms. CDC guidance on tapering is written for long-term opioid therapy for subacute or chronic pain, and the CDC says many of the same principles apply when opioids taken for shorter periods are stopped.

The CDC lists situations in which a clinician should consider a taper and discuss it first: a patient request for a lower dosage, improved pain, opioids that have not meaningfully reduced pain or function, higher dosages without added benefit, side effects that diminish quality of life, evidence of misuse, or an overdose or other serious event. The decision is shared. The CDC says patient agreement and interest is likely to be a key component, and that patients should be included in choices about how quickly the reduction happens, when pauses are warranted and which medicine is lowered first.

When a taper is not the answer. HHS says clinicians should avoid insisting on tapering when opioid use may be warranted, such as cancer pain or pain at the end of life, and that cautionary dosage thresholds like 90 morphine milligram equivalents per day are not mandates for dose reduction. The Oregon Medical Board’s guidelines say a patient on a stable dose with minimal side effects, good pain control and function may not require a taper. The CDC says patients who are not taking the opioids prescribed to them do not require tapers.

How Fast Should an Opioid Taper Go?

After a year or more of opioid use, the CDC says tapers of 10% per month or slower are likely to be better tolerated than faster ones. The FDA’s 2019 safety communication puts the range at no more than 10% to 25% every 2 to 4 weeks for patients who are physically dependent. The FDA also states that no standard schedule suits all patients and calls for a patient-specific plan with ongoing monitoring and support.

Shorter exposure allows faster reduction. For opioids taken for weeks to months, the CDC describes a decrease of 10% of the original dose per week or slower until roughly 30% of the original dose is reached, then about 10% of the remaining dose weekly. After continuous use of 1 week to under 1 month, it suggests about 20% every 2 days; after more than 3 days but less than a week, reducing to 50% for 2 days when discontinuing. Once the smallest available dose is reached, the interval between doses can be stretched and the opioid stopped when it is taken less often than once a day.

The VA Taper Tiers

The VA Opioid Taper Decision Tool sets out four speeds: 2% to 10% every 4 to 8 weeks with pauses for patients on high doses of long-acting opioids for many years; 5% to 20% every 4 weeks, which it calls the most common taper; 10% to 20% every week for a faster taper over weeks; and, for a rapid taper over days, a first reduction of 20% to 50% then 10% to 20% daily, with adjunctive medicines and possible inpatient admission. The Oregon Medical Board offers 5 to 20 percent per month as a general guide and notes that the most common cause of failed tapers is going too fast.

Why Abrupt Stopping Is Treated Differently

On April 9, 2019 the FDA said it had received reports of serious harm in physically dependent patients whose opioid pain medicine was suddenly stopped or rapidly reduced, including serious withdrawal symptoms, uncontrolled pain, psychological distress and suicide, and that rapid discontinuation can lead patients toward illicit opioids such as heroin. It required expanded label guidance on safely decreasing the dose. Faster reductions still have a place: the CDC says more rapid tapers may be needed for safety after an overdose on the current dosage, and lists confusion, sedation and slurred speech as warning signs.

How Long Does a Taper Take and Who Supervises It?

The CDC says tapers after long-term use can be completed over several months to years depending on the dosage, and that longer prior therapy might require a longer taper. No average duration is published; the rate sets the length. Pauses are built in, and the FDA says that if pain or withdrawal becomes serious it may be necessary to pause, return to the previous dose, and proceed more gradually once stable.

The prescribing clinician leads the taper. The CDC says follow-up should happen at least monthly, and that nurses, pharmacists and behavioral health professionals can support by telephone, telehealth or in person. The VA tool sets follow-up 1 to 4 weeks after a slow taper starts and then monthly before each reduction, weekly before each reduction on faster tapers, and daily or inpatient care for rapid ones. Depressive symptoms predict dropout, so mental health conditions should be screened for and treated alongside the reduction.

Setting varies. ASAM says opioid withdrawal management may take place in inpatient or outpatient settings, that inpatient care has higher completion rates, and that it may be preferred where physical or mental health issues are significant or unstable. MedlinePlus lists at-home withdrawal with medicines and a strong support system, detox centers and a regular hospital for severe symptoms. HHS says clinicians should avoid dismissing patients from care during a taper; Oregon’s guidelines define abandonment as ending an established relationship before necessary treatment has ended without arranging continuing care.

How Much Does Medically Supervised Opioid Tapering Cost?

A taper is delivered through prescriber visits and prescriptions rather than as a priced program, so the cost is the cost of those visits and fills. Outpatient care runs about $1,200 to $5,500 a month nationally, or roughly $40 to $180 a day, and where a taper is handled during an inpatient admission or inside an outpatient MAT clinic the program’s own rate applies.

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

On the payer side, CMS says Part D opioid safety edits are not prescribing limits or a substitute for clinical judgment, and expects exemptions for long-term care residents, hospice or palliative care, sickle cell disease and cancer-related pain. A coverage determination is due within 72 hours, or 24 hours if expedited. Colorado’s Health First Colorado preferred drug list effective January 1, 2026 caps cumulative opioids at 200 morphine milligram equivalents and requires prior authorization above that, stating authorization will be granted to allow for tapering, with a 6-month authorization available for providers tapering members on large short-acting quantities. Self pay, sliding scale and state funded routes exist where coverage does not; because a taper runs across months, ask how any arrangement holds over that length of time.

What Medicines Help With Withdrawal During a Taper?

The CDC says the first response to withdrawal symptoms during a taper is generally to slow or pause it. Where medicine is used, the CDC lists the alpha-2 agonists clonidine and lofexidine for autonomic signs such as sweating and fast heart rate, NSAIDs or acetaminophen for muscle aches, trazodone for sleep, prochlorperazine, promethazine or ondansetron for nausea, dicyclomine for cramping, and loperamide or bismuth subsalicylate for diarrhea.

The FDA lists restlessness, sweating, eye tearing, chills, runny nose, muscle aches and yawning as symptoms that can occur even on a gradual reduction, and tells patients to contact their clinician about increased pain, withdrawal symptoms, mood changes or thoughts of suicide. The VA tool lists clonidine 0.1 to 0.2 mg every 6 to 8 hours as first-line for autonomic symptoms, with a blood pressure check an hour after a test dose and the dose held below 90/60, and says withdrawal during a taper should not be treated with an opioid or a benzodiazepine. Lofexidine’s label indication is mitigation of withdrawal symptoms to facilitate abrupt discontinuation in adults, up to 14 days, at three 0.18 mg tablets four times daily to a maximum of 2.88 mg per day, with warnings for low blood pressure, slow heart rate, fainting and QT prolongation.

Pain care comes first. The FDA says a multimodal pain plan, including mental health support where needed, should be in place before a taper starts for long-term or high-dose patients. The VA lists pain education groups using cognitive behavioral therapy or acceptance and commitment therapy, physical therapy, acupuncture, meditation, yoga and nonopioid pain medicines. The CDC says worsening pain is a frequent withdrawal symptom that tends to diminish over time.

What Is the Difference Between Tapering Pain Medicine and Tapering Methadone or Buprenorphine?

Tapering prescribed pain medicine reduces an analgesic; tapering methadone or buprenorphine reduces a medication for opioid use disorder, and ASAM states there is no recommended time limit on that treatment. TIP 63 describes decreasing methadone by 5 to 10 percent every 1 to 2 weeks for stable patients who choose to stop, notes craving can rise around 20 mg to 40 mg where some switch to buprenorphine to finish, and its expert panel calls arbitrary time limits on methadone medically unwarranted.

ASAM says buprenorphine tapering is generally accomplished over several months with close monitoring, that patients should be encouraged to stay in follow-up past discontinuation, and that evidence comparing taper rates is insufficient. The revised 42 CFR part 8 rule, effective April 2, 2024 with a compliance date of October 2, 2024, adds withdrawal management and terms for tapering from medication for opioid use disorder for individuals who seek it. For someone on pain medicine who cannot taper, the CDC says a transition to buprenorphine may help, waiting at least 8 to 12 hours after short-acting full agonists and 12 to 24 hours after long-acting ones so the patient is in mild to moderate withdrawal. Anyone unable to make progress despite opioid-related harm should be assessed for opioid use disorder and offered medication assisted treatment and naloxone if criteria are met.

How Do I Find Medically Supervised Opioid Tapering Near Me?

Start with the clinician who writes the prescription, since the taper plan belongs there and must be coordinated with every other prescriber of an opioid or benzodiazepine. Where it falls outside a clinic’s scope, Oregon’s guidelines list addiction medicine, behavioral health, peer support and pain specialists as referral routes; a methadone reduction runs through a licensed opioid treatment program.

Programs offering medically supervised opioid tapering are gathered on this page, with listings showing levels of care, accepted payments, licensing and accreditation, and distance to the nearest airport. Commercial plans are recorded at nearly all of them and Medicaid at the larger part, which matters across months of dosing. California leads the state list, with Ohio and New York close behind, then Florida and Maryland: see rehabs in California, Ohio, New York and Florida. Elsewhere the spread thins, and nearly all of these programs also record telehealth, alongside aftercare and continuing care at effectively every one.

References and Citations

Centers for Disease Control and Prevention — 2022 Clinical Practice Guideline for Prescribing Opioids for Pain and clinician tapering training.
U.S. Department of Health and Human Services — Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics, October 2019.
U.S. Food and Drug Administration — drug safety communication of April 9, 2019 on tapering opioid pain medicines, and the lofexidine prescribing information.
U.S. Department of Veterans Affairs — Opioid Taper Decision Tool and Veterans Health Library patient materials.
American Society of Addiction Medicine — National Practice Guideline for the Treatment of Opioid Use Disorder, 2020; TIP 63, Medications for Opioid Use Disorder.
Oregon Medical Board — opioid tapering guidelines, 2019; Centers for Medicare & Medicaid Services Part D opioid overutilization memo, July 3, 2025; Health First Colorado preferred drug list effective January 1, 2026; Health Net Centene clinical policy for lofexidine.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.