Nearly 40 percent of adults receiving substance use treatment rely on Medicaid coverage (Kaiser Family Foundation). If you’re looking for Brixadi injections covered by Medicaid, you’ll want a provider that makes access simple, offers same-day starts, and wraps you in long-term support. At Metro Rehab you can receive Medicaid-accepted Brixadi injections—plus counseling, case management, and peer support—all under one roof.
Key takeaway: Metro Rehab accepts Medicaid for your Brixadi injections, fast-tracks insurance verification, and combines medication-assisted treatment with proven therapy options.
Understanding Brixadi injections
Buprenorphine extended-release injection
Brixadi is an FDA-approved, extended-release buprenorphine injection for moderate to severe opioid use disorder. Instead of taking a daily pill, you receive a weekly or monthly shot that delivers a steady dose of medication. Good news, this steady delivery can reduce cravings and the risk of diversion (when pills get misplaced or misused).
What is Brixadi?
A 2020 clinical policy document noted that Brixadi succeeded its predecessor, a transmucosal buprenorphine product, by offering a long-lasting formulation.1 Once you transition from sublingual (under-the-tongue) buprenorphine, injections maintain stable blood levels without daily dosing.
How Brixadi works
Each injection creates a thin depot under your skin that slowly releases buprenorphine. You can choose:
- Weekly injections (4 mg or 8 mg) for the first month
- Monthly injections (16 mg, 24 mg, or 32 mg) thereafter
Your provider tailors the schedule based on your withdrawal signs and treatment response.
Who benefits most
You may prefer Brixadi if you:
- Struggle with daily pill routines
- Worry about medication diversion in your household
- Have experienced setbacks due to missed doses
Clinical trials show extended-release injections can boost treatment adherence and lower illicit opioid use compared to daily sublingual dosing.
Checking Medicaid coverage
Metro Rehab works closely with Medicaid to keep your out-of-pocket costs low. While the official copay savings program excludes Medicaid recipients [1], state Medicaid plans typically cover FDA-approved medications for opioid use disorder under their pharmacy or medical benefits.
Medicaid acceptance at Metro Rehab
We bill directly to your Medicaid plan. You’ll bring your card to your first appointment. Our intake team:
- Verifies your Medicaid eligibility
- Checks any required prior authorization
- Estimates your co-pay or coinsurance (often $0)
Good news, many state plans set buprenorphine injections as preferred medications, so your share can be minimal.
Insurance verification and cost
Navigating insurance jargon can feel overwhelming. Our staff partners with Braeburn ByYourSide for extra support. They assist with coverage investigations and explain the prior authorization process [2]. You’ll know exactly what to expect before your first shot.
Potential state variations
Medicaid benefits can differ by state. For example, one plan may require a brief telehealth evaluation before approving Brixadi, while another may not. If you move or switch plans, our team updates your authorization quickly to avoid treatment gaps.
Navigating your admission
Getting started is straightforward. Here’s what to expect:
- Schedule a phone intake with our admissions coordinator
- Attend an initial assessment (in-person or via telehealth)
- Provide your Medicaid card and photo ID
- Complete a brief medical exam (vitals, withdrawal signs)
- Sign consent forms and review treatment plan
- Receive your first Brixadi injection (often same-day)
Good news, if you meet clinical criteria you can often get your first shot within hours of your assessment. We keep our intake slots open for Medicaid clients seeking same-day starts.
Exploring support services
Brixadi injections are one piece of a comprehensive recovery journey. You’ll find a full spectrum of Medicaid-accepting services at Metro Rehab, all coordinated to boost your success.
- Individual addiction counseling that accepts Medicaid (/individual-addiction-counseling-that-accepts-medicaid)
- Group substance use therapy that accepts Medicaid (/group-substance-use-therapy-that-accepts-medicaid)
- Relapse prevention planning that accepts Medicaid (/relapse-prevention-planning-that-accepts-medicaid)
- Trauma counseling that accepts Medicaid (/trauma-counseling-that-accepts-medicaid)
- Case management services that accept Medicaid (/case-management-services-that-accept-medicaid)
- Peer support programs that accept Medicaid (/peer-support-programs-that-accept-medicaid)
- Telehealth addiction counseling that accepts Medicaid (/telehealth-addiction-counseling-that-accepts-medicaid)
- Medication management therapy that accepts Medicaid (/medication-management-therapy-that-accepts-medicaid)
Each service is staffed by licensed professionals who specialize in opioid use disorder. You’ll follow a personalized plan that blends injections with therapy, life-skills coaching, and community resources.
Planning your next steps
You’ve learned how Brixadi injections work, how Medicaid coverage applies, and how Metro Rehab streamlines admissions. Now it’s time to reach out.
- Call Metro Rehab’s admissions line or submit a web form
- Have your Medicaid card and ID ready
- Ask about same-day Brixadi starter slots
- Explore counseling and peer support options
Good news, you don’t have to do this alone. Our team handles insurance details, schedules your injection, and guides you to therapy that fits your needs. You’re taking a crucial step toward stability and wellness, and Metro Rehab is here to support you at every injection, every counseling session, and every milestone.
1 CN224639, Ambetter Health clinical policy document, created September 15, 2020.


