Opioid Treatment and MAT in San Antonio, TX
San Antonio has methadone OTPs, office-based buprenorphine, and a public crisis door that can point to detox and MOUD. Opioid care here should start with medication access, not a marketing tour.
What opioid treatment looks like in San Antonio
Within 30 miles of downtown San Antonio (ZIP 78205), the SAMHSA locator lists:
- 26 substance use treatment facilities overall
- 7 offering detoxification
- 7 federally certified opioid treatment programs (OTP markers in locator services)
- Dozens of facilities reporting buprenorphine prescribing
Confirm current OTP and buprenorphine openings by phone. Same-day induction capacity changes.
Overdose picture
Provisional CDC figures shared by San Antonio Metro Health show 179 opioid-related deaths in Bexar County in 2024 (down from a 269 high in 2022) and 208 stimulant-related deaths in 2024. Fentanyl and other opioids remain major drivers in local toxicology alongside stimulants in many metros. Keep naloxone at home and know how to use it.
Paying for MOUD in San Antonio
Texas Medicaid (HHSC) can cover MOUD when medically necessary through participating providers, if you meet eligibility rules. The state has not expanded Medicaid under the ACA, so many adults without children do not qualify.
How to start today
- If this is an overdose, call 911 and give naloxone. For a crisis, call or text 988.
- Call or text (800) 653-9376 to find OTP or buprenorphine openings, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Contact The Center for Health Care Services (CHCS) 24-hour crisis/substance-use helpline 210-223-SAFE (7233) / 800-316-9241, or search findtreatment.gov with ZIP code 78205.