Naltrexone telehealth for alcohol use in Nebraska.
Confidential video visits with a board-certified psychiatric provider, licensed in Nebraska. Oral naltrexone delivered to your local pharmacy. No 30-day program. You do not need to stop drinking before your first visit. whether you live in Omaha, Lincoln, Bellevue, Grand Island, or anywhere else in the state.
Alcohol use in Nebraska — by the numbers
Nebraska consistently reports one of the higher binge-drinking rates in the country — roughly 21% of adults in the past month, per CDC BRFSS data.
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 Nebraska 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 Nebraska
- Book an evaluation. 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 Nebraska — CVS, Walgreens, Publix, Walmart, independent pharmacies, all welcome. Most Nebraska 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 Nebraska
Is telehealth naltrexone legal in Nebraska?
Nebraska permits telehealth prescribing of non-scheduled medications by licensed APRNs. Naltrexone is non-scheduled, so treatment can begin entirely by video visit.
About our provider
EnnHealth Psychiatry holds an active APRN license from the Nebraska Board of Nursing. You'll see Dr. Nageley Michel, DNP, PMHNP, FNP — board-certified in psychiatric mental health and family medicine, with active licenses in Nebraska and 25+ other states.
Cities we serve in Nebraska
Telehealth means we serve every ZIP code in the state — but here are some of the cities our patients commonly come from:
- Omaha
- Lincoln
- Bellevue
- Grand Island
- Kearney
Common questions — Nebraska edition
Can I get naltrexone in rural Nebraska?
Yes. Most Nebraska counties outside Omaha and Lincoln have no local behavioral-health prescriber, and residents of the Sandhills and Panhandle often drive hours to reach one. Telehealth removes that trip, and it offers privacy in small communities where a visible clinic visit can itself be a deterrent.
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 Nebraska?
Cash-pay from $149/month for the provider visit. The medication itself (generic naltrexone) typically runs $15–60/month at most Nebraska pharmacies. Pharmacy cost depends on your plan’s formulary, which we check during benefit verification. Most major insurance accepted: Aetna, BlueCross BlueShield, Cigna, UnitedHealthcare, Humana, Oscar, Ambetter, Medicare, Tricare, VA CCN, and Carelon. Benefit verification is required before your first visit.
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.