100% online appointments
Medication often filled same-day
Most insurance accepted
RX Only: See important safety information about Suboxone
SUBOXONE is indicated for the treatment of opioid dependence in adults. SUBOXONE should not be taken by individuals who have been shown to be hypersensitive to buprenorphine or naloxone as serious adverse reactions, including anaphylactic shock, have been reported. Taking SUBOXONE with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants can cause breathing problems that can lead to coma and death. Other side-effects may include headaches, nausea, vomiting, constipation, insomnia, pain, increased sweating, sleepiness, dizziness, coordination problems, physical dependence or abuse, and liver problems. For more information about SUBOXONE, see Suboxone.com, the full Prescribing Information, and Medication Guide or talk to your healthcare provider. You are encouraged to report negative side effects of drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Self-pay also available. See Pricing. Don’t see your provider? Schedule a free call to check your coverage.
Step 1
A Quick, Free Call
We’ll chat with you about your situation to make sure our program right for you and answer any questions you have.
Step 2
Your First Appointment
You’ll meet your medical provider and receive your full treatment plan to help with opioid dependance.
Step 3
Suboxone, the Same Day
If you and your provider decide Suboxone is a good fit, pick up your prescription same-day at a nearby pharmacy.
Enrollment Hours
6:00am - 7:00pm PST
Meet Your Care Team
Therapy Team
Enrollment Team
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Peer Support Team
1.
Convenience
2.
Privacy
Your virtual treatment, which is offered through our secure app, is 100% private and confidential.
3.
Flexibility
We offer flexibility in both your schedule and treatment plan, allowing you to schedule appointments when it works for you.
4.
Less Wait Times
Unlike many in-office Suboxone doctors, you can get seen by a provider almost right away.
5.
Robust Suppport
Our online support groups provide you with peer encouragement and guidance and increase your chances of sustained recovery.
6.
Top Doctors
7.
Insurance Coverage
We accept most major insurance providers and work directly with them to ensure you get the most out of your coverage.
8.
Lower Cost
9.
Same-Day Prescriptions
Over 95% of our prescriptions are filled the same day, allowing you to get the care you need quickly.
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DR. JEN SMITH ON WORKING AT BICYCLE HEALTH
“I don't have to wake up every morning, drive to a clinic, wait in line or worry about missing work for appointments.”
The Portland metro area, particularly Multnomah County, is facing a severe opioid crisis, with significant increases in overdose rates and deaths in recent years. In the final week of 2023, Portland recorded three fatal overdoses.
Multnomah County experienced a 533% increase in synthetic opioid overdose deaths from 2018 to 2022. This surge represents a rapid change in local drug supplies, with fentanyl becoming increasingly prevalent since 2019.
Multnomah County and its partners are working to address the complex challenges posed by the fentanyl crisis through a comprehensive approach that combines emergency response measures, harm reduction strategies, community engagement, and expanded treatment options. This approach aims to save lives, reduce harm, and provide pathways to recovery for those affected by opioid use disorder.
Key Statistics on Opioid Use in Portland
- In the final week of 2023 alone, Portland recorded 20 overdoses.
- The monthly fentanyl fatality rate in Multnomah County increased from 2 deaths in 2018-2019 to 22 deaths in 2022.
- The risk of dying from a drug overdose is 37 times higher for homeless individuals compared to the general population in Multnomah County.
- The situation in Portland metro remains critical, with synthetic opioids, particularly fentanyl, posing the greatest threat. Ongoing efforts to combat this crisis are essential for the health and safety of the community.
Opioid Overdose Statistics in Portland
- Preliminary data from 2021 showed a 35% increase in total opioid overdose deaths compared to 2020 (from 685 to 924 deaths).
- In 2021, more than 60% of Multnomah County’s 271 opioid overdoses involved fentanyl.
- Total overdoses in Portland increased by 62% from November to December 2023, compared to a 12.5% increase in the same period of 2022.
- Preliminary data shows at least 322 fentanyl overdose deaths in Portland in 2023, averaging nearly 36 deaths per month.
Demographic Data & Insights
- Fentanyl overdoses increased across all age groups in 2021 and 2022, with the highest numbers occurring in people aged 35 to 54. The potency of fentanyl (50 to 100 times stronger than morphine) significantly increases the risk of fatal overdoses.
- In 2022, at least 315 homeless individuals died in the Portland area, with nearly 40% (123) of these deaths resulting from drug overdoses.
Common Opioids & Prescribing Trends
- Oregon leads the nation in the estimated rate of nonmedical use of prescription opioids (6.4% compared to the national average of 4.6%).
- From 2018 to 2021, Multnomah County experienced a 533% increase in fatal overdoses from synthetic opioids.
- In 2023, 79% of confirmed overdose cases involved fentanyl, up from 65% in the previous year.
- While fentanyl has taken center stage, heroin remains a significant concern in the Portland metro area. The shift from prescription opioids to heroin has been notable, particularly in urban areas.
- The availability of heroin in Oregon has increased dramatically, with law enforcement reporting a 900% increase in seizures since 2007. This abundance has led to 75% of Oregon’s law enforcement officials stating that heroin is “readily available” in their jurisdictions.
- About 60% of overdose deaths in 2022 involved more than one substance, up from 22% in 2020.
- From 2020 to 2021, overdose deaths involving methamphetamine increased 34%, while those involving cocaine rose 81%.
State Funds & Resource Allocation
- Portland, Multnomah County, and the State of Oregon have launched a unified 90-day state of emergency to address the fentanyl crisis in Portland’s central city. The emergency declaration allows for streamlined resource allocation and coordination across city, county, and state levels.
- Multnomah County has significantly increased naloxone availability. Over 960 doses were delivered to emergency shelters in a single day.
- The public health response includes efforts to increase access to treatment, including implementation of out-of-hospital treatment for opioid use disorder and providing rapid access to buprenorphine after an overdose. Also included are an expansion of medication-assisted treatment availability and the creation of a network of community-based subcontracted agencies to provide treatment and support services throughout Multnomah County.
- The Portland Police Bureau has partnered with the Oregon State Police to conduct joint patrols targeting fentanyl sales in downtown areas. This collaboration aims to hold drug dealers accountable while also providing opportunities for intervention with users. Law enforcement officers now offer citation dismissal cards that list 24-hour treatment hotlines, encouraging individuals to seek help rather than face punitive measures.
- Oregon’s approach to drug policy has been in flux, particularly regarding Measure 110, which decriminalized small amounts of illicit drugs in 2020. While initially supported by a majority of voters, public sentiment has shifted.
Resources & Support Groups in Portland
- Multnomah County Behavioral Health
- Offers referrals to local treatment providers
- Phone: 503-988-4888
- Website: https://www.multco.us/behavioral-health
- Oregon Health and Science University Avel Gordly Center for Healing
- Offers outpatient mental health and addiction treatment
- Phone: 503-494-4745
- Allied Health Services of Portland
- Offers outpatient MAT for adults 18+ who have been opioid-dependent for at least a year
- Phone: 503-226-2203
- Address: 324 NW Davis St., Portland, OR 97209
- Crestview Recovery
- Offers customized treatment plans that may include MAT
- Phone: 866-262-0531
- Address: 6025 SE Belmont St., Portland, OR 97215
Frequently Asked Questions
The cost of buprenorphine/naloxone (Suboxone) varies based on your insurance. Most Medicare and private insurance companies DO cover generic buprenorphine/naloxone (Suboxone), though may specify the formulation (film vs tab) and set dose limits. The best way to find out is to contact your insurance company.
If you do not have insurance, the cost can vary based on the prescribed dose. Patients unable to afford buprenorphine/naloxone (Suboxone) (regardless of insurance coverage) can apply for cost-assistance. The company that makes Suboxone offers this type of program to help reduce out-of-pocket expenses. To learn more, go to: inSupport program.
You can also get discounted buprenorphine/naloxone (Suboxone) using pharmacy coupons or cash prizes. If you go to the GoodRx website (goodrx.com), you can enter in your zip code and find coupons and discounts at your pharmacy of choice. (On average, if you use GoodRx coupons/discounts, you can slash the typical price of generic Suboxone film from $395 to $118).
If you do not have insurance, the cost can vary based on the prescribed dose. Patients unable to afford buprenorphine/naloxone (Suboxone) (regardless of insurance coverage) can apply for cost-assistance. The company that makes Suboxone offers this type of program to help reduce out-of-pocket expenses. To learn more, go to: inSupport program.
You can also get discounted buprenorphine/naloxone (Suboxone) using pharmacy coupons or cash prizes. If you go to the GoodRx website (goodrx.com), you can enter in your zip code and find coupons and discounts at your pharmacy of choice. (On average, if you use GoodRx coupons/discounts, you can slash the typical price of generic Suboxone film from $395 to $118).
Yes, because of COVID-19, our addiction medicine doctors can write Suboxone prescriptions online. Before COVID-19, doctors who prescribed buprenorphine/naloxone (Suboxone) were required to see each patient in person before writing that patient’s first Suboxone prescription. The in-person requirements were mandated by a law called the “Ryan Haight Act” which was passed by Congress in 2008. But because of the COVID-19 emergency, providers like the ones at Bicycle Health can write Suboxone prescriptions based on telehealth visits only. This eliminates the need for in-person visits for people who want to start treatment online with buprenorphine/naloxone (Suboxone). The ability for addiction medicine doctors to prescribe buprenorphine/naloxone (Suboxone) to patients who start treatment after the COVID-19 emergency eventually ends is still up in the air. We are currently waiting for guidance from the federal government about whether addiction medicine doctors will continue to be able to write Suboxone prescriptions to new patients without an in-person visit once the COVID-19 emergency ends.
Yes! As long as you are getting buprenorphine/naloxone (Suboxone) from a physician or physician assistant with a license to prescribe Suboxone, it is perfectly legal to get Suboxone prescription online. Providers who can prescribe buprenorphine/naloxone (Suboxone) have received extra training and obtained a waiver (known as an “x” license) from the DEA.
Before you are prescribed buprenorphine/naloxone (Suboxone), you will need to undergo an initial medical evaluation so that the doctor can ensure that it is an appropriate medication for you, though this does not require an in-person visit and can be done via telehealth (with video or telephone).
Once you have completed this assessment, the doctor will send a prescription to your preferred pharmacy. So, yes! You can find a licensed buprenorphine/naloxone (Suboxone) provider online and they can get you started on it via telehealth services without any in-person appointments.
Before you are prescribed buprenorphine/naloxone (Suboxone), you will need to undergo an initial medical evaluation so that the doctor can ensure that it is an appropriate medication for you, though this does not require an in-person visit and can be done via telehealth (with video or telephone).
Once you have completed this assessment, the doctor will send a prescription to your preferred pharmacy. So, yes! You can find a licensed buprenorphine/naloxone (Suboxone) provider online and they can get you started on it via telehealth services without any in-person appointments.
It’s easy to schedule an appointment with the addiction medicine doctors at Bicycle Health and our website will check your cost at the same time. To see if we are available in your area and to make your first appointment, visit our scheduling tool here.
If you would like more support around addiction or mental health, SAMHSA’s national helpline (1-800-662-HELP/4357) is available 24/7, 365 days a year. It is a free and confidential service that can direct individuals or families to further treatment options. For example, if you need a detox program, an inpatient program, a dual diagnosis program (that treats both addiction AND mental health), an intensive outpatient program, if you would like to find a methadone clinic, or find a buprenorphine/naloxone (Suboxone) provider based on your location, they can help direct you or your loved ones to the most appropriate next steps in treatment.
- Buprenorphine/naloxone (Subxone) which is available in outpatient clinics (at your primary care doctor’s office or a psychiatrist’s office)
- Naloxone (Vivitrol) which is available in outpatient clinics (at your primary care doctor’s office or a psychiatrist’s office)
- Methadone, which is available only through methadone clinics
If you are interested in Buprenorphine/naloxone (Suboxone) offered entirely through telehealth services, visit bicyclehealth.com. To get help on finding other treatment options and levels of care (such as inpatient programs, intensive outpatient programs/IOPs, residential programs, and methadone clinics), call the SAMHSA helpline at:
1-800-662-HELP (4357).
The short answer is, “yes, online addiction medicine doctors are legitimate.” The longer answer is that the online addiction medicine providers at Bicycle Health have at least as much training and experience as in-person addiction medicine doctors. And because Bicycle Health treats patients across the country, our online doctors meet the highest national standards. Our doctors have trained at some of the best medical residency programs and medical schools in the country including Harvard, Johns Hopkins, University of Pennsylvania, University of Arizona, University of Kentucky, and many others. Numerous studies have shown that online addiction medicine is at least as good as in-person clinics, and has even better results than in-person clinics for many patients.
Bicycle Health Suboxone Clinic
1050 SW 6th Avenue, Suite 1100, Portland, OR, 97204
