Opioid Treatment and MAT in Martinsburg, WV
Fentanyl is the leading drug found in Berkeley County overdose deaths, and the county has both a heavy toll and a recent, steep improvement to show for it. Medications for opioid use disorder are the most effective treatment available, and they are reachable from Martinsburg. This page covers what those medications are, how overdose response works, and how to start care.
Medications for opioid use disorder
Opioid use disorder is a chronic but treatable condition. According to the National Institute on Drug Abuse, there are three FDA-approved medications that help people stop or reduce opioid use and lower the risk of overdose death:
- Methadone - a long-acting medication dispensed at a federally certified opioid treatment program (OTP). Outpatients generally must receive it in person.
- Buprenorphine - a partial agonist that can be prescribed in office-based settings, often combined with naloxone; it can be taken at home.
- Naltrexone - an opioid blocker available as a daily pill or a monthly injection. It requires a full opioid-free period (typically 7 to 10 days) before the first dose.
A fourth medication, lofexidine, helps ease the acute symptoms of opioid withdrawal. Medications work best alongside counseling or behavioral therapy, and they are not a substitute for emergency care during an overdose.
What the Berkeley County data shows
The West Virginia Office of Drug Control Policy's Berkeley County At-A-Glance 2025 profile records:
- 33 overdose fatalities in Berkeley County in 2024, down from 71 in 2023.
- Fentanyl present in 61% of the 2024 overdose deaths, cocaine in 64%, other drugs in 39%, and other opioids, benzodiazepines, and alcohol in 27% each.
- Opioid prescription dispensing in Berkeley County fell 52% between 2014 and 2024.
Earlier in the decade the county was among the hardest hit in the state: a 2025 study in the Harm Reduction Journal notes that in 2020 Berkeley County recorded 94 fatal drug overdoses per 100,000 residents - more than triple the national rate that year - before deaths fell. The same paper describes naloxone distribution boxes placed in Berkeley County to widen low-barrier access to the overdose-reversal medication.
Responding to an opioid overdose
Per SAMHSA, an opioid overdose is life-threatening and needs immediate attention. Signs include:
- The person does not wake or respond to touch or voice
- Breathing is not normal, very slow, or has stopped
- Pinpoint-sized pupils
- Bluish lips and nose
If you suspect an overdose: call 911, give naloxone if it is available, and support the person's breathing until help arrives. Naloxone reverses an opioid overdose but does not work on benzodiazepine or stimulant overdoses. Its effect wears off in about 30 to 90 minutes, so medical care is still essential. Naloxone nasal spray is available over the counter at many pharmacies and through community programs.
Where to start in Martinsburg
East Ridge Health Systems is Berkeley County's designated Comprehensive Behavioral Health Center and provides behavioral health and substance use services in the Martinsburg area, stating that it serves people regardless of ability to pay. Berkeley County is not currently served by a state-certified Community Behavioral Health Clinic (CCBHC), so ask providers directly about sliding-scale fees and medication availability. The Martinsburg Initiative, launched in 2017 with federal public health and drug enforcement support, links police, schools, and health services to address substance use in the county.
Within 30 miles of Martinsburg, the SAMHSA locator lists 40 substance use treatment facilities (ZIP 25401), including 6 offering detoxification, 8 residential, and 36 outpatient. For methadone, look for a facility listed as an opioid treatment program.
Paying for treatment
West Virginia Medicaid covers substance use disorder treatment, including medication for opioid use disorder, for members who meet medical necessity criteria, with most members served through Mountain Health Trust managed care (WV Bureau for Medical Services). Martinsburg's median household income is about $59,555, and roughly 9.1% of residents under 65 are uninsured, so cost is often the deciding factor. HELP4WV, the state's free 24/7 line at 1-844-435-7498, can help with enrollment, no-cost options, and transportation.
How to start today
- If this is a medical emergency, call 911. 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 from ZIP code 25401 and filter by "opioid treatment program" or "medication for opioid use disorder."
- If you use opioids, ask a pharmacy or local program how to get free naloxone and keep it with you.
Opioid use disorder is treatable, and the medications that make the biggest difference are available near Martinsburg. The first step is a single conversation.