Opioid Treatment and MAT in New York City, NY
New York City has methadone clinics in every borough, office-based buprenorphine, and state-certified programs that take Medicaid. Opioid care here should start with medication and naloxone.
How bad the opioid problem is here
The NYC Health Department reports 2,192 unintentional drug overdose deaths in 2024, down 28% from 3,056 in 2023, with the citywide rate falling from 44.5 to 31.7 per 100,000. The Bronx still has the highest overdose death rate of the five boroughs. Fentanyl remains involved in most overdose deaths, frequently alongside cocaine, alcohol, or benzodiazepines.
Medication options near New York City
Within 30 miles of Lower Manhattan (ZIP 10007), the SAMHSA treatment locator currently lists:
- 77 federally certified opioid treatment programs (OTPs)
- 315 facilities that prescribe buprenorphine
- 298 offering outpatient methadone, buprenorphine, or naltrexone treatment
- 98 facilities offering detoxification and 452 substance use facilities overall
The 30-mile radius also reaches parts of northern New Jersey and Westchester.
The New York State HOPEline (1-877-846-7369, or text 467369), run by the Office of Addiction Services and Supports (OASAS), can help with assessment and placement. Counts change as programs open and close.
Why medication matters for opioid use disorder
Medications for opioid use disorder (methadone, buprenorphine, and naltrexone when clinically appropriate) reduce overdose risk and support retention in care. Opioid withdrawal is miserable and dehydrating, but the bigger danger is losing tolerance and overdosing after a pause. Do not try to "tough out" fentanyl withdrawal without a plan for medication and naloxone.
If someone is overdosing - slow or stopped breathing, blue lips, unresponsive - call 911 and give naloxone if you have it. For a mental health or substance use crisis, call or text 988.
Paying for opioid treatment in New York City
New York Medicaid covers medically necessary MOUD for eligible members, including methadone at OASAS-certified OTPs and office-based buprenorphine. Ask about same-day induction, injectable options, and prior authorization. If you are uninsured, the HOPEline can point you to programs with sliding-fee or state-funded slots.
How to start today
- If someone is overdosing, call 911 and give naloxone. For a crisis, call or text 988.
- Call or text (800) 653-9376 to speak 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 10007 and filter for opioid treatment programs or buprenorphine.
- Ask any program whether same-week medication induction is available and whether they help with naloxone.
Opioid use disorder is treatable with medication and support. The first call is usually harder than the clinical start.