Reduce cravings
Naltrexone can help reduce the urge or desire to drink.
FDA-Approved Medication
Naltrexone treatment to help you drink less or quit
Prescription naltrexone treatment from licensed physicians who understand alcohol use. Complete your evaluation online in just minutes and have your medication delivered discreetly to your door.
$34
$49
Save 30%
Private doctor evaluation fee.
2-Minute Online Assessment
No commitment
100% private
Mayo Clinic-TrainedDoctors
50mg TabletsShipped Free & Discreetly
Available inAll 50 States
100% Private& Confidential
LegitScriptVerified healthcare merchant
4.5 ★★★★★300+ Trustpilot reviews
Get Started Online
Naltrexone treatment, made simple.
From evaluation to delivery, treatment happens from home.
Step 1
Complete your assessment
Answer questions about your drinking, health history, medications and goals in our short online assessment.
Step 2
Case is reviewed by a doctor
A licensed physician evaluates your information and determines whether naltrexone is appropriate for you.
Step 3
Medication delivered discreetly
If prescribed, your medication is shipped directly to your door in discreet packaging.
★★★★★
“Initially I would have my wine earlier in the day so I could have that little buzz, but still took the pill at night. Even though I was still drinking, it was greatly reduced. Wine used to be my sedative. I used to think I would never give up my wine, but it has lost its allure. I am very grateful.”
Jean Sanders · Verified Trustpilot review · March 2025
Understanding naltrexone
Less reward from alcohol.More control over what happens next.
Naltrexone is an FDA-approved prescription medication used in the treatment of alcohol dependence. It works by blocking opioid receptors involved in alcohol’s rewarding effects.
For some people, that can make alcohol feel less rewarding, reduce cravings and make it easier to change established drinking patterns.
Drink less
It can support people whose goal is to reduce how much or how often they drink.
Quit drinking
Naltrexone can also be part of a treatment plan for people whose goal is to stop drinking completely.
You don’t have to decide your entire journey today.
See if Naltrexone Is Right for Me
Your Choose Your Horizon physician will evaluate whether naltrexone is appropriate for you and help you start with a treatment plan that fits your goals.
What changes
Progress you can measure, not all or nothing.
In a 90-day Choose Your Horizon cohort, mostly on naltrexone, drinking patterns shifted across several measures: fewer heavy-drinking days, more alcohol-free days, and change that was visible within the first week.*
- Day 050%chance of a heavy-drinking day
- Week 123%chance of a heavy-drinking day
- Day 3012%chance of a heavy-drinking day
- Day 908%chance of a heavy-drinking day
75%+lower likelihood of a heavy-drinking dayBy Day 30
Before
After 30 days
Heavy-drinking dayOther day
Alcohol-free days
More alcohol-free days, and change that was visible within the first week.
Members were 2×+ as likely to have an alcohol-free day within the first 7 days, and 3×+ as likely by Day 30.*
See what members say →*Based on an observational analysis of 386 Choose Your Horizon patients with 33,692 daily drinking observations and approximately 90 days of follow-up. Outcomes shown are statistical model estimates of self-reported drinking patterns over time and do not establish that treatment caused the observed changes. The analyzed cohort had a high rate of follow-up and logging, and results may not represent all Choose Your Horizon patients. No untreated control group. Individual results vary.
The physicians behind your care
Expert physicians. Actually involved in your care.
Our medical leaders don’t sit on the sidelines. They develop our programs, see patients and help oversee care across Choose Your Horizon.
Daniel Montville, MD
Practicing Psychiatrist · Chief Medical Officer
Mayo Clinic-trained
Psychiatry
Addiction medicine
Mayo Clinic-trained psychiatrist specialising in addiction medicine and behavioral health.
Emill Levasseur, MD
Practicing Physician · Senior Medical Advisor
Cornell-trained
Internal & Obesity Medicine
Internal & Obesity Medicine
Internal medicine
Obesity medicine
Cornell-trained physician with over a decade of experience in internal medicine and behavioral science.
Jessica Sanchez, MD
Practicing Addiction Physician · Medical Advisor
University of Minnesota-trained
Addiction medicine
Behavioral health
University of Minnesota-trained physician specialising in addiction medicine and patient-centred care.
More than medication
Naltrexone can be the beginning, not the whole plan.
Medication can address an important part of drinking behavior. But changing your relationship with alcohol can involve much more than taking a tablet. That’s why Choose Your Horizon lets your care evolve around you.
Start simple. Add support when you need it.
Your goals can change. Your treatment can change with them.
- 01
Naltrexone
Physician-managed medication designed to help reduce alcohol cravings and reward.
You’re here
- 02
Coaching
One-on-one support to help you work on habits, triggers, accountability and the life around your drinking.
Explore coaching →
- 03
Health monitoring
Simple health monitoring can help you and your care team understand what’s happening beyond drinking alone.
Explore health monitoring →
- 04
Other treatment options
Naltrexone isn’t the only treatment available. Add GLP-1 to tackle cravings alongside naltrexone.
Explore combination treatment →
Why Choose Your Horizon
Naltrexone is widely available. The care around it isn’t always the same.
Getting a prescription is only one part of treatment. Choose Your Horizon combines convenient online access with physician-led care and support that can evolve as your needs change.
| Features that matter |  |
Typical medication-only care |
|---|---|---|
| Medical evaluation | ✓ | Varies |
| Ongoing clinical support | ✓ | Varies |
| 1:1 coaching available | ✓ | Rare |
| Health monitoring(at-home blood testing) | ✓ | Varies |
| Multiple treatment options | ✓ | Varies |
| Treatment can evolve with you | ✓ | Varies |
| Drink less or quit, you choose | ✓ | Varies |
| Online from home | ✓ | Often |
Why people choose Choose Your Horizon
Instead of stopping at a prescription, we combine physician-led medical care, naltrexone when appropriate, and coaching and health monitoring you can add over time. Some people begin with medication alone. Others benefit from more support as they go. Your physician helps determine the right level based on your goals.
30,000+people supported
4.5 ★on Trustpilot · 300+ reviews
From real members
Trusted by people like you.
★★★★★
4.5 out of 5
Based on 300+ verified Trustpilot reviews.
Read more member reviews →
★★★★★
“My goal was to reduce my drinking to one or two drinks per day, and I’ve reached that goal over the past two months. That’s a significant reduction. The CYH program interacts with me daily, keeping me on target, encouraging me, and offering skilled live counseling. If you want to reduce—or quit—drinking, this program will help if you stick with it.”
Dr. Bill CreasyVerified Trustpilot review · September 2026
★★★★★
“This program has really helped me quit drinking with no desire to relapse. I would definitely recommend it to anyone that wants to quit drinking and better your life, health and happiness.”
John MalarkeyVerified Trustpilot review · August 2026
★★★★★
“The meds you sent me are helping to squash the cravings. Even in Vegas for a week and stayed sober! I do think about alcohol sometimes... but remember how my 90 days of sobriety has played out. I’m PRESENT!! If I can do it anyone can. I promise you life will change. Relationships will change... for the very best. I promise!”
DebbieVerified Trustpilot review · March 2026
★★★★★
“I’m genuinely glad I decided to try Choose Your Horizon. The entire experience was smooth and stress-free — from signing up, to the quick virtual appointment with the doctor, to receiving my prescription right at my door. Everything was straightforward, fast, and professional.”
Satisfied CustomerVerified Trustpilot review · February 2026
★★★★★
“In my case my physician was very attentive, listened to what my goals were and the timeline I was working with, and made recommendation based on that. Regular follow-up was also great! The support team was also very attentive, and extremely quick at resolving any issues/questions I had.”
RASVerified Trustpilot review · July 2026
★★★★★
“Absolutely an amazing experience, very informative when or if you have any questions. I recommend the program to anyone and everyone I can. It’s life changing.”
C DVerified Trustpilot review · January 2025
Pricing
Simple, transparent pricing
Includes medication, free shipping, and discreet delivery.
Naltrexone 50mg
$34$49physician evaluation
Then $267 quarterly after medication approval.
Includes
- ✓Medical evaluation by a licensed provider
- ✓Naltrexone prescription when appropriate
- ✓90-day medication supply
- ✓Ongoing message-based support
- ✓Free shipping
- ✓Discreet packaging
Want coaching and health testing too? Explore the Complete Solution →
★★★★★
“The naltrexone is kicking in and I’m starting to cut back after two weeks. The free support groups are nice.”
Adams · Verified Trustpilot review · September 2025
Delivery
Shipping & delivery
Free Shipping
All medication orders ship free of charge. No hidden fees.
2-3 Business Days
Your medication ships quickly and arrives within 2-3 business days after approval.
Discreet Packaging
All orders arrive in plain, unmarked packaging with no indication of contents.
Quality Assured
All medications are FDA-approved and dispensed through verified US pharmacies.
Questions
Frequently asked questions
What is naltrexone and how does it help with drinking?
Naltrexone is an FDA-approved prescription medication used to treat alcohol dependence. It works by blocking opioid receptors involved in alcohol’s rewarding effects, which can help reduce cravings and make drinking feel less rewarding for some people.
Choose Your Horizon offers physician-led online naltrexone treatment for people who want to drink less or quit drinking.
Do I have to quit drinking before starting naltrexone?
Not necessarily. Naltrexone can be used by people who want to reduce their drinking as well as those who want to stop drinking completely.
Unlike some alcohol-treatment medications, naltrexone does not cause an alcohol-aversive reaction if you drink. Your clinician will provide instructions based on your health, drinking patterns and goals.
Can I use naltrexone if I only want to drink less?
Yes. Naltrexone can be part of a treatment plan focused on reducing alcohol consumption rather than complete abstinence.
Choose Your Horizon doesn’t require every patient to have the same goal. Whether you want to drink less or quit completely, a licensed medical provider can determine whether naltrexone is appropriate for you.
How quickly does naltrexone start working?
Naltrexone begins affecting opioid receptors relatively quickly, but the treatment experience varies from person to person. Some people notice changes in cravings or their relationship with alcohol early in treatment, while for others progress develops over time.
Results can depend on your drinking patterns, treatment adherence, goals and the additional support you use alongside medication.
What dose of naltrexone does Choose Your Horizon prescribe?
A commonly used dose of oral naltrexone for alcohol use is 50 mg once daily. Your Choose Your Horizon clinician will determine the appropriate dose and instructions for you.
Some patients may be instructed to start at a lower dose before increasing to 50 mg. Always follow the instructions provided by your prescriber.
Do you offer health testing with naltrexone treatment?
Yes. Choose Your Horizon offers optional at-home liver health testing for patients who want additional insight into their health while in treatment.
The test measures key liver health markers, including ALT, AST, ALP, GGT and bilirubin, helping you and your care team monitor liver health over time.
To include liver health testing with your naltrexone treatment, select the Enhanced Plan when you enroll.
What are the side effects of naltrexone?
Naltrexone is generally well tolerated, but side effects can occur. Commonly reported side effects include nausea, headache, dizziness, fatigue, difficulty sleeping and gastrointestinal symptoms.
Your clinician can discuss what to expect, how to manage potential side effects and when you should seek medical attention.
Who should not take naltrexone?
Naltrexone isn’t appropriate for everyone. It generally should not be used by people currently using opioid medications, who are physically dependent on opioids, or who are experiencing opioid withdrawal. Certain liver conditions and other medical circumstances can also affect whether treatment is appropriate.
Your clinician will review your health history and current medications before prescribing naltrexone.
How does Choose Your Horizon’s online naltrexone treatment work?
Getting started involves three simple steps: complete a short online health and alcohol-use assessment, have your information evaluated by a licensed medical provider, and, if prescribed, receive your medication through discreet home delivery.
Your care doesn’t have to stop at medication. Additional support, including coaching and health monitoring, is also available depending on your needs and treatment plan.
How much does Choose Your Horizon’s naltrexone treatment cost?
The medical evaluation is $34. If approved for treatment, the naltrexone program is $267 for 90 days and includes medication, ongoing support, free shipping and discreet delivery.
Is Choose Your Horizon private, and where is treatment available?
Choose Your Horizon provides private online alcohol treatment from home. Clinical care is handled through secure systems, and prescribed medication is delivered in discreet packaging.
Treatment is available across the United States, although consultation requirements and available services can vary by state.
★★★★★
“It was really easy to get started, I liked that there was no judgement, it was private, professional and I could choose the level of help I needed without disrupting my life.”
Neil · Verified Trustpilot review · January 2026
Ready to see if naltrexone is right for you?
Start your quick online evaluation. A Mayo Clinic-trained doctor will review your case and prescribe naltrexone if clinically appropriate.
100% discreetFDA-approved medication
Free shipping
You’re in good hands.
- Physician-led care, licensed in all 50 states
- FDA-approved naltrexone, prescribed when appropriate
- 90-day supply delivered free and discreetly
- Message-based support between consultations
Cancel any time