In crisis? Call or text 988 (Suicide & Crisis Lifeline) · Overdose emergency? Call 911
Start by asking

Suboxone treatment in North Carolina without insurance

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 — often without realizing it. Virtual Addiction Medicine can check your eligibility, help you start enrollment, and in many cases get care moving while that is in process. Most North Carolina Medicaid members pay nothing out of pocket for treatment.

  • 100% virtual — no office visit
  • Same-day appointments available
  • NC Medicaid accepted

Check availability

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

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

Can I get Suboxone treatment without insurance in North Carolina?

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 — often without realizing it. Virtual Addiction Medicine can check your eligibility, help you start enrollment, and in many cases get care moving while that is in process. Most North Carolina Medicaid members pay nothing out of pocket for treatment.

The most common mistake is not checking

The single most frequent reason people tell us they delayed treatment is that they assumed they couldn't afford it and never asked. Many of them turned out to qualify for North Carolina Medicaid.

Medicaid expansion changed the eligibility math substantially for working adults without dependent children — the group that was most likely to fall through the gap before. If you last checked years ago, or if someone told you years ago that you didn't qualify, that information may simply be out of date.

Checking costs nothing and takes very little time.

What Medicaid covers if you do qualify

The visit — your evaluation and every follow-up appointment.

The medication — buprenorphine/naloxone through your pharmacy benefit.

Ongoing management — refills, dose adjustments, and monitoring for as long as you need treatment.

For most members that is $0 out of pocket. We are in-network with all five Standard Plans and all four Behavioral Health Tailored Plans, so the plan you end up on is not a barrier.

Bringing down the pharmacy cost

The prescription is billed to your pharmacy benefit separately from the visit. Generic buprenorphine/naloxone is widely available and is generally the lowest-cost option.

If you hit a number at the pharmacy counter that doesn't work, tell us rather than walking away without the medication. There is usually something that can be done — a different formulation, a different pharmacy, or a manufacturer program.

If you genuinely don't qualify

Say so and we will be straightforward with you about what treatment costs and what the options are. What we won't do is start care and then surprise you with a number afterward — benefits are verified before your first visit either way.

It is also worth knowing that North Carolina has federally funded and grant-funded programs for opioid use disorder treatment. SAMHSA's free helpline at 1-800-662-HELP (4357) can point you to options anywhere in the state, including ones we are not part of.

Getting started

Three steps

1 · Reach out

Request a time online. Same-day appointments are available. Tell us your insurance — we verify it before you owe anything.

2 · Meet by video

A private, 100% virtual visit with a licensed physician — from home, your car, anywhere. You'll talk through your history and goals and build a plan together.

3 · Start and stay supported

When treatment is appropriate, your prescription is sent electronically to your pharmacy. Follow-ups keep you steady.

Common questions

Start by checking whether you qualify for North Carolina Medicaid — since expansion, many working adults do. We check eligibility and help with enrollment, and most NC Medicaid members pay $0 out of pocket.

Send an appointment request and ask. It is a short conversation and it costs nothing to find out.

In many cases yes. Tell us where you are in the process and we will work with it.

We will tell you plainly what treatment costs rather than starting care and surprising you later. SAMHSA's free helpline (1-800-662-HELP) can also point you to grant-funded options across North Carolina.

Related

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.

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

Request an appointment