Virginia and opioid use disorder
A state with a significant access gap — especially outside the cities.
Virginia has significant geographic disparities in opioid-related harm. The challenge is concentrated in Southwest Virginia — Buchanan County, Wise County, Lee County, and surrounding rural Appalachian communities have had some of the highest opioid overdose fatality rates in the state and among the highest in the country. These are also the areas with the fewest in-person treatment providers.
Telehealth removes that geographic barrier entirely. A patient in Dickenson County or Buchanan County has the same access to physician-led care as a patient in Arlington — as long as they have a phone.
What we treat
Opioid Use Disorder — and the conditions that often come with it.
Opioid Use Disorder (often called opioid addiction)
Buprenorphine (Suboxone / Subutex) prescribed via telehealth. FDA-approved, evidence-based. Same physician every visit. Prescription sent to your Virginia pharmacy same day if appropriate.
Depression & anxiety
Medication management alongside buprenorphine for established patients with a previous diagnosis.
ADHD
Present in 1 in 5 people with OUD. Medication management for established patients with a previous diagnosis.
Alcohol use disorder
FDA-approved medications for established patients with alcohol use disorder alongside OUD.
Insurance and cost
Self-pay buprenorphine treatment in Virginia.
MyStreetHealth is a self-pay practice — $200 a month for most patients, seen once a month once stable. No insurance required, no prior authorization, no delays. The cost of your buprenorphine prescription at your Virginia pharmacy is separate — most generic buprenorphine is available at low cost.
If cost is a barrier, ask about our pay-what-you-can option.
Pay-what-you-can available for patients already on buprenorphine who face an urgent gap in care. Ask your physician.
How it works
Simple to start. Continuous from there.
Call or text from anywhere in Virginia
Same-day visits often available. No referral needed. Transferring from another provider? Same-day transfers accepted.
Meet your physician via telehealth
Video visit from your phone, tablet, or computer. A real evaluation — your history, your situation.
Prescription sent to your Virginia pharmacy
If buprenorphine is appropriate, sent same day to the pharmacy of your choice anywhere in Virginia.
Ongoing care
Same doctor, same relationship, for as long as you need treatment.
Virginia-specific question
I live in rural Southwest Virginia. Are there really no providers near me?
In much of Southwest Virginia — including Lee, Scott, Wise, Dickenson, Buchanan, and surrounding counties — in-person buprenorphine providers are extremely limited. The SAMHSA provider locator often shows wait times of weeks, or no providers at all within a reasonable distance. This is exactly the gap MyStreetHealth was built to address. If you have a phone and a private space to talk, we can see you today.
About this practice
A real physician. Not a platform.
MyStreetHealth is an independent physician-led practice — not a staffing platform or venture-backed app. You see the same doctor every visit, in Virginia or any of our other states.
Opioid use disorder is a condition, not a failing. You are met with respect and care without judgment.