(917) 310-3371
Alcohol-dependence visits
Be ready to discuss recent drinking, whether abstinence has started, recent withdrawal symptoms, prior treatment attempts, and what support is already in place.
Before the first Vivitrol visit, patients should be ready to review recent opioid or alcohol use, detox or rehab history, prior naltrexone exposure, all current medications, pregnancy or breastfeeding questions, liver-disease history, and whether opioid pain medication may still be needed in the near future.
Many major insurance plans are accepted for addiction-medicine visits across the Nao network, including Medicaid, Medicare, Medicare Advantage, Healthfirst, MetroPlus, Fidelis, UnitedHealthcare, United Healthcare Community Plan, EmblemHealth, Aetna, Cigna, Blue Cross Blue Shield, and many commercial plans. Vivitrol coverage can still depend on the office visit, the medication benefit, prior authorization, and how the injection is supplied, so benefits are verified before the schedule is finalized.
Nao Medical offers Vivitrol evaluation, monthly injection scheduling, benefits review, and follow-up across NYC and Long Island for both alcohol-dependence treatment and relapse prevention after opioid detoxification.
Be ready to discuss recent drinking, whether abstinence has started, recent withdrawal symptoms, prior treatment attempts, and what support is already in place.
Be ready to discuss the last opioid use, detox timeline, fentanyl or long-acting opioid exposure, buprenorphine history, and what confirms that opioids are no longer in the body.
Patients should bring a current medication list and disclose liver-disease history, pregnancy or breastfeeding questions, allergy history, and whether opioid pain treatment may be needed soon.
Detox, rehab, hospital, lab, counseling, or addiction-treatment records can make the first visit more efficient when they are available.
For alcohol dependence, Vivitrol is used in patients who are able to abstain from alcohol in an outpatient setting before starting treatment. Patients should not be actively drinking at the time of the initial injection.
For opioid use disorder, Vivitrol is used to help prevent relapse after opioid detoxification. Patients usually need to be opioid-free for at least 7 to 14 days before the first injection, and the team confirms that opioids are no longer in the body before treatment starts.
Pretreatment with oral naltrexone is not required before using Vivitrol, but clinicians may still review naltrexone history, tolerance, or a staged plan before committing to the monthly injection. For patients with opioid-use history, the plan should also include overdose-risk counseling and discussion of naloxone access, because opioid sensitivity can change over time during and after treatment.
Every location adds the practical details: address, directions, booking context, and related options in the broader addiction-treatment program.
Bronx
932 E 174th St, Bronx, NY 10460
A Bronx location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in West Farms, Crotona Park East, and nearby Bronx neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Queens
37-15 23rd Ave, Astoria, NY 11105
A Queens location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Astoria, Ditmars, East Elmhurst, and nearby Queens neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Bronx
2063A Bartow Ave, Bronx, NY 10475
A Bronx location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Co-op City, Pelham Bay, Baychester, and nearby Bronx neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Brooklyn
341 Eastern Pkwy, Brooklyn, NY 11216
A Brooklyn location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Crown Heights, Prospect Heights, and nearby Brooklyn neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Long Island
232 W Old Country Rd, Hicksville, NY 11801
A Long Island location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Hicksville, Plainview, Bethpage, and nearby Nassau County communities who need care for alcohol dependence or opioid relapse prevention.
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Queens
80-10 Northern Blvd, Jackson Heights, NY 11372
A Queens location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Jackson Heights, Elmhurst, Corona, and nearby Queens neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Queens
90-18 Sutphin Blvd, Jamaica, NY 11435
A Queens location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Jamaica, Briarwood, Richmond Hill, and nearby Queens neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Queens
30-07 36th Ave, Astoria, NY 11106
A Queens location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Long Island City, Astoria, Sunnyside, and nearby Queens neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Long Island
135 Mineola Blvd, Mineola, NY 11501
A Long Island location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Mineola, Garden City, Westbury, and nearby Nassau County communities who need care for alcohol dependence or opioid relapse prevention.
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Manhattan
259 1st Ave, New York, NY 10003
A Manhattan location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in StuyTown, East Village, Gramercy, and nearby Manhattan neighborhoods who need care for alcohol dependence or opioid relapse prevention.
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Brooklyn
308 Graham Ave, Brooklyn, NY 11211
A Brooklyn location for monthly Vivitrol treatment planning, benefits review, and follow-up for patients in Williamsburg, Greenpoint, Bushwick, and nearby Brooklyn neighborhoods who need care for alcohol dependence or opioid relapse prevention.
View local Vivitrol care Get directionsWhat patients say about Nao Medical
Verified Patient
The team made the first visit feel less confusing.
Verified Patient
Alcohol and opioid readiness questions were separated clearly.
Verified Patient
The pre-visit checklist was clear and easy to act on.
Once the treatment question is clear, local clinic details handle the practical part: which clinic to use for monthly follow-up and what care options are available there.
See Vivitrol locationsNao Medical operates a New York State OASAS-certified outpatient addiction treatment program. The first visit can focus on the immediate clinical question and medication planning when relevant, or the care plan can include counseling, recovery support, and closer follow-up when that is wanted or clinically recommended.
Patients can request a private evaluation centered on the immediate concern, prescribing or injection planning when applicable, monitoring, and practical next steps. Medication is never automatic; eligibility and safety still require clinician review.
Patients who want more support can add counseling, relapse-prevention work, care coordination, and recovery follow-up through the outpatient addiction program.
After scheduling, complete the confidential addiction intake form when it is sent. It helps the team review current substance use, prior treatment, medications, insurance, and the safest visit type.
Nao Medical accepts Medicaid and many major insurance plans, including Medicare, Healthfirst, MetroPlus, Fidelis, UnitedHealthcare and UnitedHealthcare Community Plan, EmblemHealth, Aetna, Cigna, and Blue Cross Blue Shield. Coverage varies by visit, medication, pharmacy benefit, testing, counseling, and prior authorization. Review addiction-treatment insurance support.
Vivitrol is extended-release injectable naltrexone. Its FDA-approved uses include alcohol dependence in patients who can abstain before treatment and relapse prevention after opioid detoxification. The alcohol pathway can be medication-focused or combined with counseling and recovery support.
Vivitrol is administered every four weeks or once monthly by a healthcare provider after eligibility and safety review.
The visit reviews current drinking, withdrawal risk, liver history, opioid exposure, other medicines, treatment goals, and whether outpatient care is appropriate.
Counseling, relapse-prevention planning, and follow-up are available through Nao Medical's OASAS-certified outpatient program.
Compare alcohol-use-disorder medications, Vivitrol treatment, oral naltrexone, acamprosate, and disulfiram. Medication does not replace emergency care for dangerous alcohol withdrawal.
General information only. The information here is not medical advice and does not replace diagnosis, treatment, or guidance from a licensed clinician.
Content was updated August 2, 2026 from the cited sources and Nao Medical's current service information. Medical guidance, prescribing information, medication availability, and insurance rules can change. A licensed clinician must confirm current information and determine each patient's eligibility, testing, treatment, administration setting, and follow-up. Call 911 for a medical emergency. Contact Nao Medical with a question or correction.