Quick answer
Oxycodone was present in 84 deaths in the Miami medical examiner district in 2024 and caused 28, the third-highest district total in Florida. Medication for opioid use disorder is the proven treatment, and within 30 miles of downtown Miami, 8 certified opioid treatment programs and 39 buprenorphine prescribers are listed.
Oxycodone is a real pain medicine and a real opioid, and the trouble usually starts quietly: the prescription runs out, the body does not agree, and it stops being obvious what to do next. That is not a character problem. Physical dependence on a Schedule II opioid is a predictable effect of the drug, and it is one of the most treatable forms of addiction there is. Miami-Dade has one of the largest treatment networks in Florida, and this page walks through what is available and how to start.
If someone on oxycodone is unresponsive or breathing slowly, call 911 and give naloxone if you have it. For a mental health or substance use crisis, call or text 988.
How do you treat oxycodone addiction in Miami?
It depends on how long you have been taking it and what else is in the mix. If oxycodone is your main drug and you are physically dependent, medication for opioid use disorder - buprenorphine or methadone - with counseling is the evidence-based path, and buprenorphine can often be started through a prescriber's office rather than a daily clinic. If you also drink heavily or take benzodiazepines, do not stop anything suddenly on your own; a supervised medical detox is the safer first step. If the pattern is recent and occasional, a prescriber conversation may be enough. Either way the fastest move is one call to a program that can assess you this week.
Oxycodone in the local data
The Florida Medical Examiners Commission 2024 report counted 84 deaths with oxycodone present in District 11, which is Miami-Dade County, and oxycodone caused 28 of them - the third-highest district total in Florida, behind St. Petersburg and Tampa. Just one of those deaths involved oxycodone alone. Statewide, the same report found oxycodone present in 868 deaths and the cause in 342, a 14.5 percent drop in occurrences and a 24 percent drop in deaths from 2023.
Provisional CDC county data show 333 drug overdose deaths among Miami-Dade County residents in 2024. Fentanyl remains the leading killer here, but prescription opioids are frequently where dependence begins, and the treatment for oxycodone is the same as for any other opioid.
Miami has about 487,014 residents and Miami-Dade County about 2,838,461 (U.S. Census Bureau estimates, as of July 2024).
What medication for opioid use disorder does
Medication for opioid use disorder - also called MAT or MOUD - pairs one of three FDA-approved medications with counseling. According to the National Institute on Drug Abuse:
- Buprenorphine is a partial agonist that reduces cravings and withdrawal and can be prescribed in an office; it is the active ingredient in Suboxone.
- Methadone is a full agonist dispensed through a certified opioid treatment program; it relieves withdrawal and cravings.
- Naltrexone blocks opioid receptors so opioids stop producing a high; it is started only after opioids have cleared the body.
People treated with methadone or buprenorphine are less likely to die of an overdose than people who receive no medication for opioid use disorder. Oxycodone is a Schedule II opioid, per the DEA drug fact sheet, and the current OxyContin label carries a boxed warning for addiction, abuse, respiratory depression, and withdrawal in newborns.
Oxycodone treatment around Miami
Within 30 miles of downtown Miami (ZIP 33130), the SAMHSA locator lists, in a mid-October 2026 pull:
- 8 federally certified opioid treatment programs
- 39 facilities that prescribe buprenorphine
- 45 facilities that prescribe naltrexone
- 42 offering outpatient methadone, buprenorphine, or naltrexone treatment
That circle reaches Hialeah, Coral Gables, Miami Beach, and Doral, so there is usually more than one option a short drive or train ride away. Not every program offers methadone on site, so ask directly: Do you provide buprenorphine or methadone, and how soon can I be seen? Miami-Dade Transit runs Metrobus, Metrorail, and Metromover across the county if you will be attending several visits a week without a car.
Naloxone and emergencies
Naloxone reverses an opioid overdose, including one involving oxycodone, and it will not harm someone who is not overdosing. Florida issues a statewide standing order that lets pharmacists dispense naloxone without an individual prescription, and it is widely available at pharmacies and through local harm-reduction partners. If someone is unresponsive, has pinpoint pupils, or is breathing slowly, call 911 and give naloxone if you have it. One safety note matters after a stretch of stopping: tolerance drops quickly, so returning to an old dose can cause a fatal overdose.
Paying for oxycodone treatment in Miami
Florida Medicaid is administered by the Agency for Health Care Administration (AHCA) and covers medically necessary substance use disorder treatment, including medications for opioid use disorder, for eligible members through Statewide Medicaid Managed Care plans such as Sunshine Health, Simply Healthcare, Humana Medical Plan, Aetna Better Health of Florida, UnitedHealthcare, Molina Healthcare of Florida, and AmeriHealth Caritas Florida. Florida has not expanded Medicaid, so many low-income adults fall into a coverage gap and rely on DCF-funded slots. Thriving Mind South Florida (South Florida Behavioral Health Network), the DCF Managing Entity for Miami-Dade, coordinates publicly funded treatment with sliding-fee options. Private and Marketplace plans must cover substance use care under federal parity rules.
How to start today
- If this is a medical emergency, call 911 and give naloxone if you have it. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through your options with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Search findtreatment.gov with ZIP code 33130 and filter for opioid treatment programs or buprenorphine.
- Uninsured residents can also ask Thriving Mind South Florida about publicly funded slots.
Oxycodone use disorder is treatable, and Miami-Dade has the treatment depth to start this week. The barrier is usually finding an opening and confirming payment - not whether treatment exists here.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Other Oxycodone treatment in Florida: Oxycodone treatment in Daytona Beach, Florida, Oxycodone treatment in Fort Lauderdale, Florida, Oxycodone treatment in Fort Myers, Florida, Oxycodone treatment in Gainesville, Florida, Oxycodone treatment in Jacksonville, Florida, Oxycodone treatment in Lakeland, Florida, Oxycodone treatment in Ocala, Florida, Oxycodone treatment in Orlando, Florida, Oxycodone treatment in Pensacola, Florida, Oxycodone treatment in Sarasota, Florida, Oxycodone treatment in St Petersburg, Florida, Oxycodone treatment in Tallahassee, Florida.
Last updated: Wed Oct 21 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
How big is the oxycodone problem in Miami-Dade County?
The Florida Medical Examiners Commission 2024 report counted 84 deaths with oxycodone present in District 11, which is Miami-Dade County, and oxycodone caused 28 of them - the third-highest district total in the state. Statewide, oxycodone was present in 868 deaths and caused 342, down about 14.5 percent in occurrences from 2023.
What medications treat oxycodone use disorder?
Three are FDA-approved: buprenorphine, methadone, and naltrexone. The National Institute on Drug Abuse notes that methadone and buprenorphine relieve withdrawal and cravings, while naltrexone blocks opioid receptors so opioids stop producing a high. People treated with methadone or buprenorphine are less likely to die of an overdose than people who get no medication.
How many treatment programs near Miami offer opioid medication?
Within 30 miles of downtown Miami (ZIP 33130), the SAMHSA FindTreatment.gov locator lists 8 federally certified opioid treatment programs, 39 facilities that prescribe buprenorphine, 45 that prescribe naltrexone, and 42 offering outpatient methadone, buprenorphine, or naltrexone treatment, in a mid-October 2026 pull. Counts change as programs open and close.
Does Florida Medicaid cover medications for opioid use disorder?
Florida Medicaid (AHCA) covers medically necessary substance use disorder treatment for eligible members through Statewide Medicaid Managed Care plans such as Sunshine Health, Simply Healthcare, Humana, Aetna Better Health, UnitedHealthcare, Molina, and AmeriHealth Caritas Florida. Florida has not expanded Medicaid, so many adults do not qualify - Managing Entity-funded care may still be available.
Where can I get naloxone in Miami?
Florida's statewide standing order lets pharmacists dispense naloxone without an individual prescription, and it is widely available at pharmacies and through local health and harm-reduction partners. In an overdose, call 911 and give naloxone if you have it - it will not harm someone who is not overdosing.
Who can help me start treatment today in Miami-Dade?
Thriving Mind South Florida (South Florida Behavioral Health Network) is the DCF Managing Entity that coordinates publicly funded behavioral health care in Miami-Dade County. You can also call or text (800) 653-9376 to reach a treatment specialist. In an emergency call 911; for a crisis call or text 988.