Heroin Rehab Placement — New York City

Since 2017, NYC's heroin supply has been progressively replaced by fentanyl. OCME testing confirms the vast majority of bags sold as "heroin" now test positive for fentanyl, and increasingly for xylazine, medetomidine, or bromazolam. If you've been using what you call heroin in NYC, clinical assessment and detox approach is effectively the same as fentanyl use disorder. Placement advisors will route you to programs equipped for that reality — see /fentanyl-rehab/ for the full treatment picture.

Medical detox runs 5–7 days. Buprenorphine induction is the current standard — most programs use 2–4 mg doses titrated up over the first 72 hours, with clonidine and hydroxyzine for residual autonomic and anxiety symptoms. Ondansetron handles nausea; loperamide handles GI. Vitals are checked every 4–8 hours during peak withdrawal.

Detox alone has one of the highest relapse rates of any addiction intervention — which is why inpatient rehab after detox is critical. 28-day programs are standard; 60 and 90 days are common for opioid use disorder given overdose risk. Most people leave inpatient on long-term buprenorphine (sublingual or Sublocade injection) or naltrexone (Vivitrol). Continuing maintenance medication cuts overdose risk by roughly 50%.

Yes. Heroin use disorder is treated as opioid use disorder under insurance — which in NY means no preauthorization at in-network OASAS-certified facilities. Most PPO plans cover detox + inpatient with copay/deductible only. Call (347) 741-7043 for verification.