Opioid Treatment & Methadone in Murfreesboro, TN

If opioids have a hold on your days, the treatment with the strongest evidence — methadone, buprenorphine, or naltrexone — is available in Murfreesboro right now, including at a federally certified opioid treatment program in the city. Rutherford County's overdose numbers have been falling sharply. This page walks through your medication options locally, what the data says, and how to start this week.

The three medications, briefly

NIDA's summary of the evidence is blunt: medication for opioid use disorder (MOUD) reduces overdose deaths and keeps people in care far better than detox alone or counseling with no medication. None of it is "trading one drug for another" — it is the standard of care.

• Methadone — dispensed daily at a certified opioid treatment program (OTP), with dose adjustments over weeks
• Buprenorphine — prescribed from a regular office visit; sublingual tablets and films, with or without naloxone
• Naltrexone (Vivitrol) — a monthly injection for people fully detoxed off opioids first

Where the care is in Murfreesboro

Per the SAMHSA treatment locator, 41 facilities operate within 30 miles of Murfreesboro. In the city itself, 5 facilities appear in the locator:

• 1 federally certified OTP — it uses both methadone and buprenorphine, offers outpatient opioid detoxification with medication, and holds SAMHSA OTP certification plus Joint Commission accreditation
• 2 outpatient providers that prescribe buprenorphine or naltrexone — one CARF-accredited nonprofit campus (which also runs detox for alcohol, benzos, cocaine, and meth) and one residential program that prescribes both medications
• 2 other outpatient programs, including an IOP that accepts clients using medication prescribed elsewhere

A few practical notes. The certified OTP requires regular in-person dosing, especially in the first weeks. One city facility restricts enrollment to opioid use disorder clients only — helpful to know before you drive across town. And several Smyrna, La Vergne, and Franklin providers also carry buprenorphine or naltrexone, which matters if you live closer to those commutes.

What the data shows

Provisional CDC counts record 81 drug overdose deaths among Rutherford County residents in the 12 months ending December 2025 — data through July 2026, with some cases still pending investigation. For context, Tennessee counted 2,499 drug overdose deaths statewide in 2024, down 31% from the year before. Fentanyl remains the dominant drug in fatal overdoses nationally, so naloxone still belongs in your glovebox even as counts fall.

Crisis lines and emergencies

• Unresponsiveness or slowed breathing — call 911 and administer naloxone if available
• 988 — call or text, the national suicide and crisis line
• Tennessee Statewide Crisis Line — 855-274-7471 (855-CRISIS-1), 24/7
• Volunteer Behavioral Health crisis hotline — 1-800-704-2651, serving Rutherford County
• TN REDLINE — 1-800-889-9789, call or text, 24/7 free treatment referrals

How to start today

1. Pick your medication path and call. Methadone OTP, office-based buprenorphine, or naltrexone — or call or text (800) 653-9376 and let someone walk you through the choice:

Calling is free; the referral service is paid for by treatment providers.

2. Uninsured? TennCare covers medically necessary MOUD for eligible members; TN REDLINE can locate state-funded options, and the county's public listing names providers that take TennCare or use a sliding scale.
3. Before your first appointment, confirm: Which medications do you offer? Do you treat pregnant patients? How quickly can I be seen — waitlists vary week to week?
4. Keep naloxone in reach. Several Murfreesboro providers list naloxone and overdose education among their discharge services — ask for a kit at intake.

This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.

Frequently asked questions