Does North Carolina Medicaid cover Suboxone?

Yes. Medication for opioid use disorder, including buprenorphine/naloxone, is a covered benefit under North Carolina Medicaid. Most members have no copay for the visit or the medication, though your pharmacy benefit determines which specific formulation is preferred.

Do I need a prior authorization?

Some plans require prior authorization for certain formulations or doses. That is our job, not yours — if a plan requires it, we submit it.

What if my Medicaid was recently terminated or I'm between plans?

Tell us. Coverage gaps are common and there are often options, including retroactive coverage. Send a request and we'll look at your actual situation.

Can I be turned away for having Medicaid?

Not here. A large share of this practice's patients are North Carolina Medicaid members, and we hold contracts with every plan in the state specifically so that isn't a barrier.

I have Medicaid and private insurance. Which one do you bill?

Medicaid is the payer of last resort, so private insurance is billed first and Medicaid second. You don't need to sort this out — just tell us about both cards.

NC Medicaid

Suboxone doctors that accept Medicaid in North Carolina

In-network with every North Carolina Medicaid plan — every Standard Plan and every Behavioral Health Tailored Plan. For most members, treatment costs nothing out of pocket. 100% virtual, same-day appointments available.

100% virtual — no office visit
Same-day appointments available
NC Medicaid accepted
Your doctor's real cell after your first visit

No copay for most NC Medicaid members
We handle prior authorizations, not you
Uninsured? We help check eligibility and enroll

Use your Medicaid benefits

Same-day appointments available. Request a time online and we'll confirm it with you. We verify your insurance before your first visit.

Request an appointment

Complete your intake forms first to expedite your visit.

Need to be seen urgently? (704) 396-5051Text or call · answered any hour

100% virtual · NC Medicaid accepted · New patients welcome.
Not for emergencies — call 911, or 988 for a crisis.

Yes — and you can start this week.

Finding a buprenorphine prescriber who takes Medicaid is the single most common obstacle patients describe. Virtual Addiction Medicine is contracted with every North Carolina Medicaid plan, so the answer to "do you take my plan?" is almost always yes. Request a time →

The plans we're in-network with

Standard Plans

UnitedHealthcare Community Plan
Healthy Blue
AmeriHealth Caritas NC
Carolina Complete Health (formerly WellCare of North Carolina)

Behavioral Health Tailored Plans (LME/MCOs)

Alliance Health
Vaya Partners
Trillium Health Resources
Vaya Partners

Tailored Plans are for members with more significant behavioral health, substance use, or intellectual/developmental disability needs, and are assigned by county. See the county map.

Check your specific plan

Each plan has its own page answering the question directly — what's covered, what it costs you, and whether prior authorization applies.

Healthy BlueStandard Plan · in-network UnitedHealthcare Community PlanStandard Plan · in-network Carolina Complete HealthStandard Plan · in-network AmeriHealth Caritas NCStandard Plan · in-network WellCare of North CarolinaNow Carolina Complete Health Alliance HealthTailored Plan · LME/MCO · in-network Vaya PartnersTailored Plan · LME/MCO · in-network Trillium Health ResourcesTailored Plan · LME/MCO · in-network Vaya PartnersTailored Plan · LME/MCO · in-network

What Medicaid covers for opioid use disorder treatment

The visit. Your evaluation and every follow-up appointment.
The medication. Buprenorphine/naloxone and related medications through your pharmacy benefit.
Ongoing management. Refills, dose adjustments, and monitoring for as long as you need treatment.

Specific coverage details, preferred formulations, and any authorization requirements vary by plan. We verify your benefits before your first visit and tell you what to expect.

What if I'm uninsured?

Ask before you assume the answer is no. North Carolina expanded Medicaid, and a large number of working adults who were ineligible before now qualify. We can check your eligibility, walk you through enrollment, and in many cases get care moving while your application is processing.

Ask before you rule it out

Checking your eligibility is free and quick, and it costs nothing to find out. Request an appointment and ask →

How to find out which plan you have

Look at the plan name printed on your Medicaid card.
If it names UnitedHealthcare, Healthy Blue, AmeriHealth Caritas, or Carolina Complete Health (including older WellCare cards) — you're on a Standard Plan.
If it names Alliance, Partners, Trillium, or Vaya — you're on a Behavioral Health Tailored Plan.
If you can't find your card or the name doesn't match either list, send a request and tell us. We can verify your active coverage directly.

Medicaid questions

If you need help right now

Overdose or medical emergency — call 911. Suicidal thoughts or a mental-health crisis — call or text 988. For free, confidential, 24/7 treatment referrals anywhere in the U.S., call SAMHSA at 1-800-662-HELP (4357). This website cannot respond to emergencies.

Ready when you are

Same-day appointments are available. Every visit is 100% virtual — one video call is all it takes to get started.

Request an appointment See how it works

Confidential · 100% virtual · NC Medicaid accepted · Serving all 100 North Carolina counties.