Last Updated on July 9, 2026

Naltrexone telehealth costs vary depending on whether you’re paying for medication alone, a one-time virtual consultation, or a full program. Generic naltrexone may cost less than $50 per month with prescription discounts, while comprehensive telehealth programs can cost $50 to $299 per month and include clinical care, coaching, tracking tools, and other behavioral support. Sunnyside Med costs $99 per month, billed quarterly, plus a one-time $50 intake fee.

You’ve looked into naltrexone telehealth costs and found numbers all over the map. Ten dollars. Thirty-five. Ninety-nine. Three hundred a month. So which one is real?

A lot of the confusion here comes from conflating two different things: the price of a pill and the price of a pill plus the program built around it. Understanding naltrexone telehealth costs starts with separating the two. Because if you’re someone who simply wants to drink less, the question isn’t just how cheaply you can get a prescription. It’s what you’re getting alongside that prescription, and whether that support actually helps you make the change you want. That’s where Sunnyside Med fits in.

How Much Does Naltrexone Cost With and Without Telehealth?

At retail, generic naltrexone can cost about $25 to $108 per month—and prescription discount programs like GoodRx can bring the price down considerably. But that’s just the medication itself, with no clinical care or ongoing support included.

A one-time telehealth consultation is the next step up. Some services, such as Sesame, offer virtual medical appointments starting at around $34, although prices vary by provider and appointment type. If a clinician determines that naltrexone is appropriate, the prescription may be sent to a pharmacy, where you’ll pay for the medication separately. (If you’re weighing your options, our guide to getting naltrexone online walks through the different ways to access it.)

A full telehealth program is a different category. Depending on the provider, these programs can cost anywhere from $50 to $299 per month and may include ongoing clinical care, prescription management, coaching, tracking tools, or other forms of support.

So how do you know what tools you’re actually paying for? Let’s break it down.

What Are You Actually Paying for with Naltrexone Telehealth?

Generic naltrexone is cheap. Telehealth programs tend to be different: They aren’t just providing you the pill; they’re providing some kind of supplementary system, too.

What that support looks like varies considerably. Some providers focus primarily on prescribing and medication management. Others add coaching, therapy, or more intensive clinical care. The important thing is to look beyond the monthly price and ask what you’re actually getting for it.

Sunnyside Med costs $99 per month, billed quarterly at $297, plus a one-time $50 intake fee. (The program is also HSA/FSA eligible.) That price includes:

• Compounded naltrexone with vitamin B6, shipped to your door
• Unlimited 1:1 clinical care
• A behavior-change app with drink tracking and progress analytics
• Human coaching via text, seven days a week
• A private, supportive community of people who are on the same journey
• Weekly group Zoom calls
• A founder-led education series

The question here isn’t really whether a telehealth program costs more than generic naltrexone alone. Of course it does! It’s whether that program helps you stay engaged with naltrexone long enough to see results. More than half of naltrexone prescriptions are never refilled (Kranzler et al, 2008), underscoring one of the biggest challenges with the medication: it only works if people continue taking it. 

Sunnyside Med has a great track record when it comes to naltrexone adherence. According to Sunnyside Med’s internal data, active members with at least 50% app engagement are three times more likely to refill their medication at month four than members using medication alone. (Individual results vary.) That approach is supported by research, too: Research from 2018 by Dermody et al. suggests that monitoring and behavioral support can improve medication adherence.

Does Insurance Cover Naltrexone Via Telehealth?

Generic oral naltrexone is covered by many insurance plans, including most state Medicaid programs. Your actual cost depends on your plan, pharmacy, and whether prior authorization or other requirements apply.

The catch is that insurance coverage for the medication doesn’t necessarily extend to the full telehealth program. Many naltrexone telehealth programs bundle clinical care, coaching, tracking tools, and other behavioral support into a membership that isn’t covered by insurance. You pay the membership fee out of pocket, although with some services, the prescription itself may still be covered if you fill it separately at a pharmacy.

Some people choose to pay out of pocket for greater privacy and convenience. There’s no insurance claim for the program itself, no prior authorization process, and no need to start the conversation with a primary care doctor. 

As one Redditor put it, “I am HUGE on not having this sort of thing run through my insurance… so going to a doctor wasn’t an option for me.”

If you’d rather use insurance, a lower-cost path may be getting generic naltrexone through an in-network clinician and filling the prescription using either your insurance benefits or a prescription discount program, whichever offers the lower price. Your exact cost will depend on your health plan and pharmacy.

A Cost You May Not Have Considered: What You’re Spending on Alcohol

There’s a cost most comparisons skip entirely: the money you’re already spending on alcohol. The average U.S. household spends over $600 a year on alcoholic beverages, according to the Bureau of Labor Statistics, and people who drink more can spend considerably more.

Now consider the other side of the equation. Among active Sunnyside Med members with at least 50% app engagement, average weekly alcohol consumption dropped from 23.0 to 12.5 drinks after 12 weeks. That’s about 10 fewer drinks per week. (Of course, individual results vary.)

Depending on what and where you drink, cutting 10 drinks per week could mean spending $30 to $120 less on alcohol. That’s $120 to $480 a month potentially back in your pocket, compared with Sunnyside Med’s $99 monthly cost.

Then there are the harder-to-calculate costs. Alcohol-related health conditions are associated with significantly higher healthcare spending, while more intensive forms of alcohol treatment can cost thousands of dollars. For people who want help drinking less before they reach the point of needing a higher level of care, a $99-per-month telehealth program offers a very different cost proposition.

As one Sunnyside Med member shared, “This medication has been a downright miracle for me. I have struggled for years and done every possible thing short of going to AA. Within a matter of days the medication took all my craving away.”

Medication Alone vs. Telehealth: Which Option Is Right for You?

If cost is your primary concern and you already have a clinician willing to prescribe naltrexone, generic medication may be the least expensive option. Depending on the pharmacy and available discounts, a month’s supply can cost considerably less than a full telehealth program. A one-time telehealth consultation offers another option for people who need access to a prescription but already have the support and structure they need to stay consistent with treatment.

But if you’ve tried cutting back and it hasn’t stuck, or you’ve tried naltrexone before and stopped taking it, the calculation changes. That’s where Sunnyside Med comes in. Instead of providing a prescription alone, the program pairs medication with clinical care, coaching, drink tracking, community, and other behavioral tools designed to support long-term change. It’s the difference between paying for a pill and paying for a plan.

Sunnyside Med costs $99 per month, billed quarterly at $297, plus a one-time $50 intake fee. The program includes compounded naltrexone with vitamin B6 shipped to your door and is HSA/FSA eligible. No insurance is required.

At $99 per month, Sunnyside Med may also cost less than what some members were already spending on the alcohol they want to cut back on. And among active members with at least 50% app engagement, 78% achieve a meaningful reduction in drinking over 12 weeks. Individual results vary.

Ultimately, the right option depends on what you need. If you simply need access to inexpensive generic naltrexone, medication alone may be enough. If you want clinical care and behavioral support built around the medication, you can take a short online assessment to see if you’re eligible for Sunnyside Med. Every application is reviewed by a licensed clinician.

Naltrexone is a prescription medication. This content is for educational purposes only and should not be taken as medical advice. A clinician reviews every Sunnyside Med application. Individual results vary.

Frequently Asked Questions (FAQ): Naltrexone Telehealth Cost

How much does naltrexone cost without insurance?

Generic naltrexone can cost about $25 to $108 per month at retail without insurance, depending on the pharmacy and location. Prescription discount programs like GoodRx may bring the cost down to around $10 to $32 at participating pharmacies. These prices cover the medication only, not the cost of a clinician visit, ongoing medical care, or behavioral support.

Does insurance cover naltrexone for alcohol?

Many insurance plans cover generic oral naltrexone, including most state Medicaid programs. Your actual cost depends on your plan, pharmacy, and any prior authorization or other requirements. Full telehealth memberships may not be covered by insurance, even when the medication itself is.

What is the cheapest way to get naltrexone online?

One of the lowest-cost options is getting a generic prescription from an in-network clinician or through a one-time telehealth consultation, then filling it at a pharmacy using either insurance or a prescription discount program. This approach can cost considerably less than a full telehealth program, but it typically doesn’t include ongoing coaching, tracking tools, or behavioral support.

Why do telehealth naltrexone programs cost more than just buying the pill?

Because you’re paying for the system around the medication, not just the medication itself. Depending on the provider, a full program may include ongoing clinical care, prescription management, coaching, tracking tools, and community support. These resources can help address a major challenge with naltrexone treatment: staying engaged and taking the medication consistently over time.

Is naltrexone telehealth worth the cost?

For some people, yes, especially if they’ve tried cutting back before or struggled to stay consistent with medication. Naltrexone can reduce alcohol’s rewarding effects, but medication doesn’t automatically change the routines, triggers, and habits built around drinking. A telehealth program may provide additional clinical care and behavioral tools to support those changes.

Can I use HSA or FSA funds to pay for naltrexone telehealth?

It depends on the provider and your plan. Sunnyside Med accepts HSA and FSA funds, which may allow eligible members to use pre-tax dollars toward the cost of the program. Eligibility and coverage rules vary, so check your specific account for details.

Sunnyside 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 was demonstrated to reduce 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. 

Sunnyside is a full-featured mindful drinking app. Naltrexone will actively help you reduce cravings around alcohol, and Sunnyside will help you understand your triggers and patterns, giving you a healthy system for habit change. 

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.