NC · Madison County

Virtual Opioid Treatment
in Madison County

Project VBOT delivers licensed, evidence-based medication-assisted treatment directly to residents of Madison County — no travel, no waiting rooms, no barriers.

The Need in Madison County

By the Numbers

The county records approximately 13 opioid overdose deaths annually — real lives in Madison County that evidence-based treatment can help protect. There is 1 in-person provider listed in Madison County — but for many residents, geography, scheduling, or privacy make in-person treatment difficult or impossible to maintain.

22,261
Residents of Madison County
13
Annual opioid overdose deaths in the county
$420,358.06
Opioid settlement funds allocated to Madison County ('24–'25)
90.9%
30-day retention rate — highest-risk dropout window in MAT
What's Included

Services Available in Madison County

Everything needed for structured, clinician-led recovery — delivered entirely through secure telehealth, directly to Madison County residents.

MOUD Prescriptions

Our addiction-specialized providers prescribe the appropriate FDA-approved medication for your needs and insurance — Suboxone, Sublocade, Vivitrol, or Buprenorphine/Naloxone.

Counseling — Combined with Your Visit

Therapy is built into every telehealth visit alongside your prescription — so you get both in a single appointment. No separate trips, no scheduling two providers.

Case Management & Peer Support

Beyond your regular visits, our team stays connected to your recovery and helps with the broader life circumstances that affect it — housing, employment, family, and more.

At-Home Urine Drug Screening

Collect and mail your sample from home using our kit — no lab visits required. Results are reviewed by your clinical team and factored into your ongoing care plan.

Why VBOT for Madison County

Treatment Without the Barriers

Accessing consistent treatment in Madison County means dealing with distance, scheduling, and the very real concern of being seen at a clinic in a community where everyone knows each other. VBOT was built to remove all of that.

  • No travel — treatment from home, work, or anywhere
  • No waiting rooms — completely private telehealth
  • Counseling and prescribing combined in one visit
  • Maintenance visits just twice per month
  • Accepts Medicaid, Medicare, and most commercial plans
  • Hardship grants available for those who qualify
Get Started in Madison County

A confidential assessment is the first step — no pressure, no commitment required. Our team will listen to your situation and help you understand your options.

Request a Confidential Assessment Call (838) 438-8268
Local Resources

Other Treatment Providers in Madison County

We believe in making it easy to find care — whatever form that takes. The providers below offer in-person and telehealth services in or near Madison County. If virtual-first care from home fits your situation better, we're here.

Madison County Health Department

493 Medical Park Drive, Marshall, NC, 28753
Outpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Medicaid, Medicare, Commercial
Populations: Pregnant Women, Women, Men

The Hardest Part Is Starting.
We've Made That Part Easy.

You don't have to have everything figured out before you call.

Confidential. Judgment-free. On your schedule.

Support is available today.

Project VBOT provides virtual substance use treatment services through licensed clinicians using secure telehealth platforms. Services are provided only to individuals located in states where Project VBOT and its clinicians are authorized to practice. This site is not intended for emergency use — if you or someone else is in immediate danger, call 911. For mental health or substance-related crisis support, contact the 988 Suicide & Crisis Lifeline by calling or texting 988.