Naltrexone telehealth for alcohol use in Montana.
Confidential video visits with a board-certified psychiatric provider, licensed in Montana. Oral naltrexone delivered to your local pharmacy. No detox required. No 30-day program. whether you live in Billings, Missoula, Bozeman, Great Falls, or anywhere else in the state.
Book a private consult →Alcohol use in Montana — by the numbers
About 21% of Montana adults report binge drinking in the past month, per CDC BRFSS data — well above the national average.
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 Montana 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 Montana
- 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 Montana — CVS, Walgreens, Publix, Walmart, independent pharmacies, all welcome. Most Montana 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 Montana
Is telehealth naltrexone legal in Montana?
Montana permits APRNs full prescriptive authority for non-scheduled medications via telehealth. Naltrexone is non-scheduled.
About our provider
EnnHealth Psychiatry holds an active APRN license from the Montana Board of Nursing with a Family focus and full prescriptive authority. You'll see Dr. Nageley Michel, DNP, PMHNP, FNP — board-certified in psychiatric mental health and family medicine, with active licenses in Montana and 25+ other states.
Cities we serve in Montana
Telehealth means we serve every ZIP code in the state — but here are some of the cities our patients commonly come from:
- Billings
- Missoula
- Great Falls
- Bozeman
- Helena
Common questions — Montana edition
I live hours from the nearest town in Montana — does this still work?
Yes. Telehealth is built for exactly this situation. All you need is enough internet for a video call (or audio-only if connectivity is poor). Your prescription is sent to whatever pharmacy you can reach — many Montanans use the pharmacy in the nearest town with weekly trips.
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 Montana?
Cash-pay from $149/month for the provider visit. The medication itself (generic naltrexone) typically runs $30–$60/month at most Montana 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 →