Quick answer
Fentanyl is a potent synthetic opioid, and medication - buprenorphine or methadone - lowers the risk of dying from it. CDC provisional data count 48 overdose deaths in Lackawanna County in the 12 months ending December 2025. Here is what is available within 30 miles of Scranton and how to start.
Fentanyl has reset the risk math for everyone who uses opioids in Scranton, whether they meant to take it or not. The encouraging part is unchanged: medication works, and this region has more of it than most people assume. The hard part is usually the first call. This page lays out what the local numbers say, where medication is available within 30 miles, and the fastest route to a start.
How is fentanyl affecting Lackawanna County?
The trend line is finally bending. CDC's provisional county-level data count 48 drug overdose deaths in Lackawanna County in the 12 months ending December 2025, down from 55 the year before, on data through early October 2026. Statewide, the Pennsylvania Department of Health's 2024 overdose brief reports 3,341 fatal overdoses in 2024, a 29.2% decrease from 2023.
Two things keep the risk high even as counts fall:
- Fentanyl contributed to 67% of Pennsylvania's 2024 fatal overdoses — it remains the dominant drug in state deaths.
- Xylazine, the veterinary sedative known as "tranq," contributed to 790 of 3,271 statewide overdose deaths in 2024 (24.2%). Naloxone does not reverse xylazine sedation, which is one more reason to call 911 even after a dose goes in.
What medication is available near Scranton?
Fentanyl responds to the same treatment as any opioid use disorder. According to the National Institute on Drug Abuse, buprenorphine and methadone cut withdrawal and craving and reduce overdose deaths; naltrexone blocks opioid effects once opioids have left the body. Within 30 miles of Scranton, a SAMHSA locator pull on October 20, 2026 lists:
- 6 federally certified opioid treatment programs
- 15 facilities using or prescribing buprenorphine
- 15 facilities using naltrexone (including extended-release injections)
- 8 facilities offering detoxification services
- 13 facilities reporting contingency management and 35 offering outpatient care
Counts change as programs open and close, so confirm current openings on FindTreatment.gov or by phone. Publicly funded assessment runs through the Lackawanna and Susquehanna County Office of Drug and Alcohol Programs at 570-963-6820.
Naloxone: carry it, tell people where it is
Pennsylvania pharmacies dispense naloxone without a personal prescription, and the Lackawanna Recovery Coalition distributes free Narcan. Fentanyl's potency means an overdose can move fast — slow breathing, blue or gray lips, unresponsiveness, pinpoint pupils. Call 911, give naloxone, and stay with the person. A second dose after 2 to 3 minutes is appropriate if there is no response.
Paying for treatment in Scranton
Pennsylvania expanded Medicaid, and Medical Assistance covers medication for opioid use disorder when medically necessary. Northeast-region Physical HealthChoices plans include AmeriHealth Caritas Northeast, Geisinger Health Plan, Jefferson Health Plans EverWell, and UPMC for You; Community Care Behavioral Health manages Lackawanna County's behavioral health benefits. The statewide PA Get Help Now line at 1-800-662-4357 helps navigate county-funded options if you are uninsured.
How to start today
- If someone is overdosing, call 911 and give naloxone. For a crisis, call or text 988, or the Scranton Counseling Center crisis line at 570-348-6100.
- Call or text (800) 653-9376 to talk through medication 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 a Scranton ZIP code and filter for opioid treatment programs or buprenorphine.
- Ask each program two questions: "Can I start medication this week?" and "What do you need from my insurance?" The answers decide your next step.
Fentanyl narrowed the margin for error; medication widens it again. The treatment Scranton needs is already listed within 30 miles — the work is reaching it.
Last updated: Tue Oct 20 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
What medication treats fentanyl dependence?
The same medications used for other opioid use disorder work against fentanyl: methadone and buprenorphine ease withdrawal and cravings, and naltrexone blocks opioid effects after opioids clear the body. Within 30 miles of Scranton, a FindTreatment.gov pull on October 20, 2026 lists 6 federally certified opioid treatment programs, 15 facilities using buprenorphine, and 15 using naltrexone.
How bad is fentanyl in Lackawanna County right now?
CDC's provisional county data count 48 drug overdose deaths in Lackawanna County in the 12 months ending December 2025, down from 55 in the year-earlier window. Statewide, Pennsylvania's Department of Health 2024 overdose brief reports 3,341 overdose deaths, a 29.2% drop from 2023 - with fentanyl contributing to 67% of them.
Where can I get naloxone in Scranton?
Pennsylvania pharmacies dispense naloxone (Narcan) without a personal prescription under the statewide standing order, and the Lackawanna Recovery Coalition runs a free Narcan distribution program. The county Office of Drug and Alcohol Programs (570-963-6820) can point you to kits. In an overdose, call 911 and give naloxone - it cannot harm someone who is not overdosing.
Why does fentanyl require extra caution with naloxone?
Fentanyl is far more potent than heroin, so overdoses can progress faster and may need more than one dose of naloxone. NIDA notes fentanyl analogs keep appearing in the drug supply. Give naloxone, call 911, stay with the person, and give another dose after 2 to 3 minutes if they do not respond.
Does Pennsylvania Medical Assistance cover fentanyl treatment?
Yes, for eligible members. Medical Assistance covers medication for opioid use disorder as medically necessary care. Physical HealthChoices plans in the Northeast region include AmeriHealth Caritas Northeast, Geisinger Health Plan, Jefferson Health Plans EverWell, and UPMC for You, and Community Care Behavioral Health manages Lackawanna County behavioral health benefits.