Private Online Care for Opioid Use in California

Deciding to do something about opioid use is hard enough without a waiting room full of people you might know. OnTimeMD will offer private, judgment-free care for opioid use from home — help with cravings and withdrawal, a real plan, and medication when a clinician decides it's clinically appropriate. Here's what that care looks like, what to expect, and how your privacy is protected.

Last updated September 27, 2026 · General health information, not medical advice.

What care can help with

Opioid use disorder is a medical condition, not a character flaw — and it's treatable. A California-licensed clinician can help with:

• Cravings that make it hard to cut back or stop
• Withdrawal — aches, sweating, chills, runny nose, stomach upset, anxiety, and trouble sleeping
• Use of prescription pain medications, heroin, or fentanyl
• Staying steady after you've already stopped

You don't need to have hit bottom, and you don't need to have it all figured out before you reach out.

Treatment options

Care starts with a conversation about what you're using, how it's affecting you, and what you want. From there, a clinician can talk through options — including FDA-approved medications for opioid use disorder, which ease withdrawal and cravings for many people, when they decide it's clinically appropriate for you. Care continues with follow-ups, and a clinician will be honest if something else, like in-person or residential care, would serve you better.

Medication rules & expectations

If a clinician decides medication is appropriate, federal and California rules add a few steps: a check of California's prescription database (CURES) before prescribing, and photo ID at the pharmacy. Some situations need an in-person visit. A visit never guarantees a prescription or a particular result — your clinician will be straight with you about what fits.

Your privacy

What you share about substance use is some of the most private health information there is, and it's treated that way. When care launches, substance use treatment records will be handled under 42 CFR Part 2 — federal confidentiality rules that are stricter than standard health privacy rules and generally require your written consent before those records are shared. This page has no ad trackers and no chat widget, and we never ask about substance use to join our launch list. Please don't send health details through our website forms.

Who provides this care

OnTimeMD's recovery care is delivered through Sub & Steady, the recovery clinic in the OnTimeMD family — the same California-licensed clinical team, focused only on recovery. You can start here or there; it's the same care.

California only, cash-pay

OnTimeMD is California only — you need to be physically in California during your visits — and cash-pay, with simple upfront pricing published at launch. We're launching soon.

How an OnTimeMD visit will work

Three steps, most of them from wherever you already are:

• Start privately. A few questions, no judgment, from wherever you're comfortable.
• Talk with a California-licensed clinician. By phone or video — about what you're using, what you've tried, and what you want.
• Get a plan that fits you. It may include medication when a clinician decides it's clinically appropriate, plus follow-ups and support that continue.

Frequently asked questions

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