Last Updated on August 2, 2026

The best online naltrexone program depends on the level of support you want after receiving a prescription. While several telehealth providers prescribe naltrexone, the strongest programs also include clinical follow-up, coaching, drink tracking, and behavioral support to help you stay on treatment and reduce your drinking. This guide compares the leading online naltrexone programs, including the best: Sunnyside Med.

You’ve decided you want to drink less, and naltrexone keeps coming up. Maybe you found it on Reddit or heard about it on a podcast, or maybe your doctor mentioned it as an option. Now you’re trying to figure out which online naltrexone program is actually worth it.

At first glance, many of the options look similar. Most offer some kind of online assessment, a licensed clinician, and—if you’re eligible—a prescription delivered to your door. But once you look a little closer, the differences are much more meaningful.

Some programs are designed primarily to make medication easy to access. Others combine naltrexone with coaching, drink tracking, behavioral tools, or ongoing clinical support. The best choice depends on your goals, whether you want to cut back on drinking or quit altogether, and how much support you want after you start taking the medication.

In this guide, we’ll compare today’s leading online naltrexone programs, explain what each one offers, and walk through the factors that matter most when choosing a provider.

What to Look for in an Online Naltrexone Program

Every telehealth provider can prescribe the same medication. What varies among providers? Everything that comes after. As you compare online naltrexone programs, here are the factors that matter most:

• Ongoing clinical care: Will you have access to a licensed clinician after your initial consultation if you have questions, need to adjust your treatment, or experience naltrexone side effects?
• Behavioral support: Does the program include coaching, educational resources, or other tools to help you build new habits alongside the medication?
• Drink tracking and progress monitoring: Do you have tools to measure how your drinking changes over time, or are you left to figure that out on your own?
• Treatment philosophy: Does the program support your goals?
• Cost and convenience: Consider the total cost, including medication, membership fees, shipping, and whether the program accepts insurance or HSA/FSA funds.
• Privacy: If discretion is important to you, check whether the program bills insurance, how medication is shipped, and what information is shared with your primary care provider.

The Best Programs Offer More Than a Prescription

Naltrexone is one of the most well-studied medications for alcohol use disorder. While the medication itself is effective, research suggests people often do better when treatment includes ongoing behavioral support alongside the prescription. That’s one reason the best online naltrexone programs now pair medication with coaching, drink tracking, education, or regular clinical follow-up.

As you compare providers, don’t just ask whether they’ll prescribe naltrexone. Ask what support you’ll receive after your medication arrives. That can make the difference between starting treatment and sticking with it long enough to see meaningful change.

How the Major Online Naltrexone Programs Compare

Several telehealth providers now prescribe naltrexone online. While they all offer access to the same medication, they differ in pricing, clinical support, coaching, treatment philosophy, and the overall experience after you receive your prescription.

Here’s how five of the best-known programs compare.

Sunnyside Med: Best Overall for Cutting Back With Ongoing Support

Sunnyside Med combines naltrexone with one of the most comprehensive behavior change programs available for people who want to drink less. Membership costs $99 per month when billed quarterly, plus a one-time $50 intake fee. If you’re clinically eligible, a licensed provider will prescribe compounded naltrexone with vitamin B6, which will be shipped discreetly to your home.

What sets Sunnyside Med apart, though, is everything beyond the prescription. Members receive unlimited access to licensed clinical support, a drink-tracking app with personalized insights, human coaching seven days a week, weekly group Zoom sessions, a private community, and educational coursework designed to help people understand how naltrexone works and what to expect during treatment.

The program is built around moderation as a legitimate treatment goal, making it a strong fit for people who want to cut back rather than quit drinking altogether. It’s also HSA/FSA eligible and doesn’t require insurance.

Internal outcomes suggest the combination of medication and behavioral support helps members stay engaged. Among Sunnyside members with at least 50% app engagement, those using Med are three times more likely to renew their prescription at four months than less-engaged members (28.7% versus 9.75%). 

Within the same engaged population, members average a 46% reduction in drinks by week 12, and 78% report a meaningful decrease within the first two weeks.

(These findings are based on Sunnyside’s observational member data among active members and have not been confirmed in randomized clinical trials. Individual results vary.)

Best for: People who want medication plus structured support to help them consistently drink less over time.

Here’s a sneak peek into the Sunnyside Med onboarding process:

Oar Health: For Simple Medication Access

Oar Health focuses specifically on easy access to naltrexone online. As of the time of writing, pricing starts at $99 per month when billed quarterly. Membership includes a clinician evaluation, medication (if prescribed), coaching check-ins, and access to a member community.

Compared with more comprehensive programs, Oar places less emphasis on long-term behavioral change tools. People looking for extensive drink tracking, regular live programming, or ongoing coaching may find the experience lacking.

Best for: People whose primary goal is straightforward access to naltrexone with only light-touch support.

Ria Health: For a More Clinical Treatment Model

Ria Health combines medication with coaching and medical care in a program that often works with insurance. Out-of-pocket costs vary depending on your coverage. Self-pay pricing isn’t published on its website, making it more difficult to compare costs directly with programs that list transparent monthly pricing.

Ria’s model is more clinically oriented than many competitors, with a stronger emphasis on medical supervision and treatment. That may appeal to people seeking a comprehensive clinical program, particularly those with more severe alcohol use or those planning to use insurance.

For people who simply want help cutting back without entering a more treatment-focused environment, the experience may feel more intensive than they’re looking for.

Best for: People seeking a medically oriented program with insurance options.

Reframe Med+: For Existing Reframe Users

Reframe began as a neuroscience-based alcohol reduction app before adding medication through Reframe Med+. The program combines the company’s existing app with clinician-prescribed compounded naltrexone and vitamin B6.

For people already using Reframe, adding medication is a natural extension of a platform they already know. Pricing for Med+ isn’t fully transparent online, however, making it more difficult to compare overall costs before enrolling.

Best for: Current Reframe users who want to add naltrexone without switching platforms.

Choose Your Horizon: Budget Option

The telehealth platform Choose Your Horizon is an affordable option for naltrexone, listing prices between $66 and $89 per month at the time of writing. The psychiatrist-led practice offers several subscription options, with pricing starting at about $49 per month (when billed annually), plus a one-time clinician evaluation fee. Quarterly and shorter-term plans cost more.

The program focuses primarily on medication access rather than ongoing behavior change services. People who already have outside support—or who simply want an affordable prescription—may find that approach sufficient, while those seeking more comprehensive scaffolding may want to look elsewhere.

Best for: Budget-conscious patients who primarily want access to naltrexone.

The Biggest Factor: What Happens After You Get the Prescription

Every provider in this guide can help eligible patients access naltrexone. The biggest differences appear after your prescription is written.

As you compare online naltrexone programs, ask yourself a few practical questions:

• Will you have ongoing access to a licensed clinician if you have questions or experience side effects?
• Can you track whether your drinking is actually changing over time?
• Does the program include coaching, education, or other tools to help you build new habits?
• Does the treatment philosophy align with your goals, whether you want to cut back or quit drinking?

If your priority is simply getting a prescription, several programs can meet that need. If you’re looking for ongoing guidance, accountability, and behavioral support, a program like Sunnyside Med is likely the best option for you.

The Privacy Question: Why Many People Choose To Pay Out Of Pocket

For many people, privacy is one of the biggest reasons to choose telehealth in the first place. They don’t necessarily want to discuss their drinking with their primary care doctor, navigate insurance requirements, or create additional administrative hurdles if they decide medication is the right fit.

Many online naltrexone programs operate on a direct-pay model rather than billing insurance. For some people, paying out of pocket is a disadvantage. For others, it’s a benefit. It can mean no prior authorization, fewer insurance-related delays, and greater control over who is involved in their care.

If cost is your biggest concern, compare the total price of each program, not just the monthly membership fee. Consider what’s included, such as medication, shipping, follow-up care, coaching, and clinician access. It’s also worth checking whether the program accepts HSA or FSA funds. For example, Sunnyside Med is HSA/FSA eligible, allowing many members to use pre-tax dollars to help cover the cost.

Why Sunnyside Med Is the Best Online Naltrexone Program for Most People

Sunnyside Med is the best naltrexone program for most people because it pairs naltrexone with one of the most comprehensive support systems available for people who want to drink less.

The program combines medication with:

• Clinical care
• Seven-day-a-week human coaching
• Drink tracking
• Weekly group sessions
• A private and supportive member community
• A moderation-first philosophy

Rather than treating the prescription alone as the solution, Sunnyside is designed to help people stay engaged with their goals while they build a healthier relationship with alcohol.

That approach reflects the desires of many gray-area drinkers. They’re not necessarily looking for lifelong abstinence. They want to cut back, feel better, and regain a sense of control without waiting until drinking becomes a crisis.

Naltrexone helps reduce alcohol’s rewarding effects, while the coaching, tracking tools, and community support address the routines, triggers, and habits that medication alone can’t change.

“The medication alone has been shown to reduce bounce-back behavior, but especially when coupled with behavior change, that’s when you get the most effective results for the long term,” said Sunnyside co-founder and CEO Nick Allen.

The mission is also personal. Co-founder Ian Andersen has spoken publicly about losing his mother and three grandparents to alcohol-related illness. Sunnyside Med was built to make evidence-based alcohol treatment more approachable, particularly for people who want help before their drinking reaches a breaking point.

“I’m on my ninth dry day, and I feel incredible,” said one member. “I was averaging about 35 drinks a week. I haven’t felt this good in years. Not having that constant ‘itch’ is an unbelievable feeling!”

Among engaged members, Sunnyside reports an average 46% reduction in drinks by week 12, while 78% report a meaningful reduction within the first two weeks. Individual results vary.

If you’re looking for an online naltrexone program that combines medication with long-term support, you can learn more about Sunnyside Med and see whether you’re eligible by taking a short online assessment.

What Sunnyside Med Members Say About the Program

Reviews and testimonials can’t predict your individual experience, but they can offer insight into what members value most. Across member stories, a few themes come up repeatedly: fewer cravings, greater awareness of drinking patterns, and a judgment-free approach to changing habits. Here are three testimonials from three different Sunnyside Med members:

• “I just feel so much better not drinking all the time. Somehow my brain feels different! It really is a game changer for me. Huge.”
• “Tracking my drinks and starting the medication has been a game changer. This is the first time in many years I’m starting to take control.”
• “Wish I knew about it years ago! Went from daily multiple drinks per day to 5 dry days and maybe 3 drinks a week.”

One sentiment appears again and again from members describing their progress: They just don’t think about alcohol so much anymore.

With Sunnyside, You’re In Good Hands

Starting medication to change your drinking can feel like a big step. Knowing who’s behind a program—and what kind of support you’ll receive—can make that decision easier.

Sunnyside Med combines experienced clinical oversight with ongoing support throughout treatment. Members have access to licensed clinicians after their initial consultation, along with coaching, educational resources, and a structured behavior change program designed to help them stay engaged over time.

The Sunnyside app has helped more than 600,000 people since 2020. The app also holds a 4.8-star rating in the Apple App Store, based on more than 2,300 ratings. The program is also guided by a Clinical Advisory Board that includes physicians affiliated with institutions including Hofstra, Brown, and UCLA Health.

If you’re curious whether naltrexone could be your next step, Sunnyside Med’s free online assessment can help you determine whether you may be eligible. If appropriate, you’ll be matched with a licensed clinician who can discuss your goals and whether naltrexone is right for you. Take the free 3-minute assessment to get started today.

Frequently Asked Questions (FAQ): Best Online Naltrexone Program

What is the best online naltrexone program?

The best online naltrexone program depends on your goals. If you’re primarily looking for a prescription, several telehealth providers can help. If you want medication paired with ongoing clinical care, coaching, drink tracking, and behavioral support, Sunnyside Med offers one of the most comprehensive programs available. It’s also designed for people who want to cut back as well as those who want to quit drinking.

Can I get naltrexone without going through my insurance?

Yes. Many online naltrexone programs operate on a direct-pay basis rather than billing insurance. Typically, you’ll complete a medical questionnaire, a licensed clinician will review your information, and, if you’re an appropriate candidate, your prescription will be shipped directly to your home. Some programs, including Sunnyside Med, are also HSA/FSA eligible.

Is telehealth for alcohol reduction as effective as in-person treatment?

The evidence is encouraging, but it’s still developing. Early studies suggest telehealth can be an effective way to deliver alcohol treatment, particularly when medication is combined with ongoing clinical support.

What is the difference between naltrexone and Antabuse?

These medications work very differently. Naltrexone reduces alcohol’s rewarding effects by blocking opioid receptors involved in the brain’s reward system, making it easier for many people to drink less. Antabuse (disulfiram) creates an unpleasant physical reaction if you drink alcohol, making it an abstinence-focused medication.

Can I use naltrexone if I want to cut back rather than quit entirely?

Yes. Many people take naltrexone specifically to reduce their drinking rather than stop completely. The medication doesn’t make you sick if you drink. Instead, it reduces alcohol’s rewarding effects, making moderation easier for many people. Whether it’s appropriate for you depends on your medical history, which a licensed clinician will review before prescribing.

The best online naltrexone program should help you stay engaged with treatment, understand your progress, and build lasting changes in your relationship with alcohol.

Naltrexone is a prescription medication. This content is for educational purposes only and is not a substitute for medical advice. A licensed clinician reviews every application before prescribing medication. Individual results vary.

Sunnyside Med Is the Perfect Companion for Your Naltrexone Journey

Sunnyside is the #1 mindful drinking app. Since 2020, we’ve been honing our harm-reduction approach and have helped over 400,000 people cut out 22 million drinks from their baseline habits. 96.7% of our members report success in drinking less, and in a third-party study, our approach reduced weekly drinking by 33% after 12 weeks. 

Think of Sunnyside as the front door for anyone who wants to change their relationship with alcohol. If you want to drink less, we can help you get there. If you want to eventually quit, but want to take a gradual approach, we can make that happen.

When you sign up for Sunnyside, you’ll take a quick 3-minute quiz, then hop into the app. It’s as simple and quick as that. 

We’ll give you weekly plans to gradually reach your drinking goals, and we’ll provide nudges, coaching, exercises, and advice to help you get there. 

We have daily tracking and journaling tools, including the option to chat with a real human coach at any time. And our state-of-the-art analytics help you track your progress over time. 

If you choose to stop taking naltrexone, the Sunnyside app remains a tool you can keep using to maintain your healthy habits. 

Everyone who signs up for Sunnyside gets a free 15-day trial. After that, the subscription is $8.25/month.

Whether you’re currently taking naltrexone or just doing some research on alcohol moderation, we’d love to have you sign up for our 15-day free trial today.