Naltrexone telehealth for alcohol use in District of Columbia.
Confidential video visits with a board-certified psychiatric provider, licensed in District of Columbia. Oral naltrexone delivered to your local pharmacy. No detox required. No 30-day program. whether you live or work in DC.
Book a private consult →Alcohol use in District of Columbia — by the numbers
About 21% of DC adults report binge drinking in the past month, per CDC BRFSS data — among the highest rates in the country.
Heavy drinking is one of the most treatable conditions in primary care — and one of the least treated. Roughly 1 in 7 adults nationally meets criteria for alcohol use disorder at some point, yet fewer than 1 in 10 ever receive medication for it. Naltrexone, an FDA-approved opioid antagonist used for AUD since 1994, is one of the most effective tools we have. It reduces cravings and the rewarding effect of alcohol — so drinking feels less compulsive, often within weeks.
If you live in District of Columbia and have wondered whether your drinking has become a problem, you don't need to wait until it's a crisis. You don't need to call yourself an alcoholic. You don't need to commit to lifelong sobriety to start. A 30-minute video visit is enough to get evaluated and, if appropriate, get a prescription sent to your local pharmacy this week.
How it works in District of Columbia
- Book a private consult. 60-second form. We'll reach out within one business day to schedule your video visit at a time that works for you.
- 30-minute evaluation. Secure HIPAA-compliant video with Dr. Nageley Michel, DNP, PMHNP, FNP. She'll review your drinking patterns, medical history, and goals — abstinence or moderation, your choice.
- Prescription to your local pharmacy. If naltrexone is right for you, your prescription is sent electronically to any pharmacy in District of Columbia — CVS, Walgreens, Publix, Walmart, independent pharmacies, all welcome. Most District of Columbia pharmacies have generic naltrexone in stock or can order it within 24 hours.
- Monthly check-ins. Brief video visits to track progress, adjust as needed, and renew the prescription. We're here through the whole journey, not just the first month.
Legal & licensing in District of Columbia
Is telehealth naltrexone legal in District of Columbia?
The District of Columbia permits Nurse Practitioners to prescribe non-scheduled medications via telehealth. Naltrexone is non-scheduled.
About our provider
EnnHealth Psychiatry holds an active Nurse Practitioner license from the DC Department of Health, Board of Medicine. You'll see Dr. Nageley Michel, DNP, PMHNP, FNP — board-certified in psychiatric mental health and family medicine, with active licenses in District of Columbia and 25+ other states.
Cities we serve in District of Columbia
Telehealth means we serve every ZIP code in the state — but here are some of the cities our patients commonly come from:
- Washington
- Capitol Hill
- Dupont Circle
- Georgetown
- Anacostia
Common questions — District of Columbia edition
Is this confidential enough for security-clearance holders?
Yes. Care is protected under HIPAA and 42 CFR Part 2 — the federal confidentiality law specifically for substance use disorder treatment records. Cash-pay keeps care entirely off insurance records, which some clearance holders prefer.
Do I have to stop drinking before starting naltrexone?
No. Naltrexone can be started while you're still drinking. Many patients reduce gradually as the medication takes effect. The exception: if you're physically dependent (severe daily drinking, withdrawal symptoms), you may need a brief medical taper first — your provider will assess this at your consult.
How much does this cost in District of Columbia?
Cash-pay from $149/month for the provider visit. The medication itself (generic naltrexone) typically runs $30–$60/month at most District of Columbia pharmacies — sometimes covered fully by insurance. Most major insurance accepted: Aetna, BlueCross BlueShield, Cigna, UnitedHealthcare, Humana, Oscar, Ambetter, Medicare, Tricare, Molina.
Is this confidential?
Yes. Care is protected by HIPAA and 42 CFR Part 2 — the federal law that provides extra confidentiality protections specifically for substance use disorder treatment records. Your treatment information cannot be shared without your explicit written consent. Video visits are encrypted end-to-end.
Ready when you are.
One short conversation can change your relationship with alcohol. Same-week appointments typical.
Book a private consult →