Medication-assisted treatment is the use of medications, often in combination with counseling, to provide a whole-patient, person-centered approach to treating substance use disorders. Medications used in MAT are approved by the Food and Drug Administration (FDA), and each treatment plan is tailored to the individual. MAT medications are safe to use for months, years, or even a lifetime, depending on your needs.
| Medication | Used to Treat | How It Helps | How It’s Taken |
| Naltrexone (e.g., Vivitrol) | Alcohol use disorder | Reduces cravings and blocks the rewarding effects of alcohol | Daily pill or monthly injection |
| Buprenorphine (e.g., Suboxone) | Opioid use disorder | Eases withdrawal and cravings without producing a high when taken as prescribed | Film or tablet dissolved under the tongue |
Long-term alcohol or opioid use changes how the brain’s reward and stress systems function. When you stop, those changes can cause intense cravings and withdrawal symptoms that make it hard to stay in recovery, even when you truly want to.
MAT medications work on those same brain systems:
With cravings and withdrawal under control, you have the stability and mental space to fully engage in counseling, rebuild routines, and develop the skills that support lasting recovery.
It’s important to know that after detox, or while taking naltrexone, your tolerance to opioids is lower than before. Using opioids during this time, especially in amounts you used previously, can lead to overdose. Your care team will talk with you about staying safe.
Every client starts with a comprehensive substance use assessment. We’ll talk about your substance use, health history, mental health, and what you hope to get out of treatment.
MAT may be a good fit if you:
It’s common to have questions about MAT, especially if you’ve heard it described as “trading one drug for another.” The research tells a different story.
The Substance Abuse and Mental Health Services Administration (SAMHSA) describes opioid use disorder as a chronic disease, much like diabetes or heart disease, and recognizes FDA-approved medication as an evidence-based part of treatment. According to the Centers for Disease Control and Prevention, medications for opioid use disorder help people reduce illegal opioid use, stay in treatment longer, and lower their risk of overdose.
Decades of research support MAT as one of the most effective approaches to treating opioid use disorder, and it’s recommended by major public health agencies. For many people, it’s the support that makes the rest of recovery possible.
Medication is one part of a larger treatment plan, not a standalone service. At Anuvia, MAT connects to the full continuum of care, so you can get the right level of support at every stage of recovery:
Because Anuvia treats both substance use and mental health, your care team can coordinate everything under one roof.
Those enrolled in the MAT program may also receive initial evaluations and ongoing psychiatric services through Anuvia’s medication management program for mental health.
If you’re currently on methadone maintenance or are seeking methadone treatment, we’re happy to refer you to a program that specializes in this service.
Cost shouldn’t stand between you and treatment. Anuvia accepts most forms of insurance, including Medicaid and Medicare, and most plans cover MAT medications and related counseling services. Coverage details vary by plan, and some medications, such as the Vivitrol injection, may require prior authorization from your insurance company. Our team can help you understand your benefits before you begin.
If you’re uninsured or underinsured, you may be eligible for reduced fees on a sliding scale or other financial assistance. Anuvia does not turn anyone away due to inability to pay for services. Learn more about payment options and insurance at Anuvia.
Getting started is simple. Call us at 704-376-7447 to schedule your assessment. When you come in, please bring:
During your first visit, you’ll meet with our team to talk through your history and goals, and we’ll recommend a treatment plan that fits your needs. You don’t need to have everything figured out. That’s what we’re here for.
Isn’t MAT just replacing one addiction with another?
No. When taken as prescribed, MAT medications do not produce a high. They help stabilize brain chemistry, reduce cravings, and ease withdrawal so you can function normally and focus on recovery. Using medication to treat a substance use disorder is similar to using medication to manage any other chronic health condition.
How long will I need to take MAT medication?
It depends on your individual needs. Some people take medication for several months, while others benefit from long-term use. MAT medications are safe for extended use, and any decision to taper or stop is made together with your provider.
Do I have to attend counseling to receive MAT?
Counseling is an important part of MAT at Anuvia. Medication helps manage the physical side of substance use, while individual and group therapy address the thoughts, behaviors, and life circumstances connected to it. Together, they give you the best chance at lasting recovery.
Can I start MAT if I’m still using?
Yes, in many cases. Your provider will let you know when it’s safe to take your first dose, which depends on the medication and your recent substance use. If you need help managing withdrawal first, Anuvia also offers detox services.
Does insurance cover medication-assisted treatment?
Most insurance plans, including Medicaid and Medicare, cover MAT medications and related services, though coverage varies by plan. Anuvia also offers sliding scale fees and financial assistance and does not turn anyone away due to inability to pay.
Can I continue working while in MAT?
Yes. Because MAT is provided on an outpatient basis, most people continue working, attending school, and caring for their families during treatment.
