Is Suboxone Covered By Insurance?

Is Suboxone Covered By Insurance

Suboxone is a prescription medication used to treat opioid addiction. It contains buprenorphine, naloxone, and acetaminophen.

The cover for different addiction treatments and medical care varies with each insurer, but would an insurance company cover Suboxone treatment?

Read on to find out!

What’s Suboxone?

Opioid abuse has become a major public health problem in recent years. A large number of people suffer from opioid overdose and opioid abuse every year.

The Centers for Disease Control and Prevention (CDC) reports that opioids are now involved in more deaths than heroin or cocaine combined.

“Suboxone” was developed by Reckitt Benckiser Pharmaceuticals to address this issue. Suboxone is a combination drug containing buprenorphine and naloxone.

Buprenorphine is a partial agonist at mu receptors, while naloxone blocks the effects of opioids. This combination helps patients who struggle with opioid withdrawal symptoms.

Buprenorphine is considered a Schedule III controlled substance under federal law. As such, it cannot be prescribed without a doctor’s order. 

How Does Suboxone Work?

The FDA approved Suboxone as a medication to help people stop using opioids. Suboxone works when taken along with counseling and other support services.

Suboxone can also be used to prevent relapse after someone stops taking opioids.

When taken as directed, Suboxone relieves cravings for opioids and reduces withdrawal symptoms.

Your doctor may prescribe a dose of Suboxone that lasts anywhere from one month to three months.

Do Insurance Companies Cover Suboxone?

Yes, they do! Most insurance companies cover the cost of Suboxone as long as you have been diagnosed with opioid dependence.

Some insurance plans may require your physician to submit documentation showing that you have been treated for opioid abuse. You will need to check with your provider to see if he/she can provide this information.

How Much Does Suboxone Cost Without Insurance?

The price varies depending on where you live and how much you need.

In some states, you can get a monthly supply of Suboxone at a relatively high price, if you do not have a health insurance policy.

If you don’t have insurance coverage, you might want to consider using either discount vouchers or payment assistance plans.

Some pharmacies, doctors, or clinics also provide saving cards or other savings options for your opioid abuse treatment.

If you use these services, you could save a lot of money on your prescription costs.

Does Medicaid Cover Suboxone?

Medicaid is a government program that provides medical care for low-income individuals and families.

Many people qualify for Medicaid because their income is too low to pay for private health insurance.

Medicaid does cover Suboxone. However, there are certain restrictions.

You must meet specific eligibility requirements to receive Medicaid benefits.

Some of these include being uninsured for a period of time, having no income, being pregnant, or being enrolled in another state’s Medicaid plan.

In addition, you must be approved for Medicaid before receiving Suboxone.

You must also be able to prove that you have tried other treatments before receiving Suboxone. If you are unable to show proof of previous attempts, you may be denied coverage.

Can All Doctors Prescribe Suboxone?

Can All Doctors Prescribe Suboxone?

No, all physicians are not allowed to prescribe Suboxone. Only licensed prescribers are permitted to write prescriptions for Suboxone.

This means that only those who have completed training and passed certification exams are qualified to prescribe Suboxone to patients.

In addition, it can be difficult to find a doctor who prescribes Suboxone because there are certain rules and regulations on how many patients a doctor is allowed to treat with certain addictions.

It’s best to check with your insurance company for the nearest qualified doctor who can prescribe Suboxone for your addiction treatment.

Will All Doctors Accept Suboxone Insurance Cover?

Not necessarily. Some doctors and private clinics refuse to accept Suboxone as part of your treatment plan.

In addition, they may only accept cash as a form of payment for medication. This means that they may refuse Insurance cover payments for Suboxone.

The exact payment method, and whether Suboxone insurance cover is accepted, does depend on the doctor or the clinic.

This is the reason why it is essential to your research well in advance before starting with your addiction treatment.

Barriers To Receiving Suboxone Treatment

Although a whole range of addiction treatment programs is available to a large number of people, there are still certain factors that limit access to Suboxone treatment.

Not Enough Doctors Who Can Prescribe Suboxone

One of the biggest barriers to getting Suboxone prescribed is a lack of trained doctors who know about this drug, and who are qualified to prescribe it.

Only a small percentage of doctors are qualified to prescribe Suboxone. Some states require that doctors complete additional education before prescribing Suboxone.

If you live in one of these states, you will need to do thorough research on the list of certified doctors who can prescribe this medication.

Alternatively, you can also speak to your local doctor or insurance company who will be able to recommend the nearest medical professional who is qualified.

Insurance Billing

Another barrier to accessing Suboxone treatment is the cost of the medication.

Many insurance companies charge high copayments for medications such as Suboxone. The amount charged depends on the type of insurance policy you hold, and where you live.

You should contact your insurance provider to see what their policies are regarding Suboxone.

Limited Access To Treatment Centers

Some areas of the country are more accessible than others when it comes to finding an addiction treatment center.

Suboxone treatment centers are often located in major cities. However, if you live in rural areas, it may not be possible to easily access a Suboxone treatment center.

There are several reasons why Suboxone treatment centers might not be available in your area. For example, the cost of living in certain regions makes it expensive to run a rehab facility.


When looking for a Suboxone treatment program, make sure that you choose a reputable Suboxone treatment center that offers evidence-based treatments.

Ryan Ascroft