Opioid Use Disorder Treatment Market - Forecast from 2026 to 2031

The opioid use disorder treatment market, at a 7.25% CAGR, is anticipated to reach USD 11.545 billion in 2031 from USD 7.588 billion in 2025.

The opioid use disorder (OUD) treatment market is expanding steadily, propelled by the escalating clinical and societal burden of opioid dependence characterized by compulsive use, high relapse risk, and potential for fatal overdose. Medication for opioid use disorder (MOUD) - methadone, buprenorphine, and naltrexone - constitutes the evidence-based foundation of therapy, with behavioral counseling and peer-support models serving as critical adjuncts that improve retention and long-term outcomes.

Primary demand drivers remain rooted in the widespread medical use of opioids for chronic pain associated with cancer, cardiovascular disease, orthopedic conditions, post-surgical recovery, and trauma. Prolonged exposure, even when clinically indicated, frequently transitions legitimate prescribing into dependence and withdrawal syndromes upon dose reduction or cessation, sustaining a large and growing treatment-eligible population.

Structural reforms in the United States have significantly broadened access to MOUD and are expected to accelerate market growth throughout the forecast period. The elimination of the DATA-2000 waiver and removal of patient caps on buprenorphine prescribing have removed longstanding barriers, enabling a far wider range of practitioners to initiate and maintain therapy. Expanded Medicare and state Medicaid coverage of comprehensive opioid treatment programs (OTPs) - reimbursed through bundled services under code H0020 that include methadone administration, toxicology screening, nursing, and counseling - further lowers financial hurdles. Notably, Medicaid already finances care for approximately 40% of non-elderly adults with OUD in the U.S.

Integration of evidence-based psychosocial interventions continues to gain traction. Narcotics Anonymous, Alcoholics Anonymous, motivational enhancement, and structured counseling are increasingly embedded within inpatient and outpatient programs, helping patients reframe opioid use, strengthen relapse-prevention skills, and build recovery-oriented behavioral repertoires.

North America is projected to maintain clear market leadership, driven by high prevalence of chronic pain conditions, elevated rates of opioid prescribing for both malignant and non-malignant pain, and concentrated commercial presence of major manufacturers. Companies such as Indivior derive the majority of revenue from the U.S. market, reflecting both disease burden and favorable reimbursement dynamics.

Innovation remains focused on formulations that enhance adherence, reduce diversion, and simplify administration. A landmark regulatory advancement occurred in May 2023 when the FDA accepted Braeburn's revised New Drug Application for BRIXADI (buprenorphine) extended-release subcutaneous injection (weekly and monthly dosing) for moderate to severe OUD. Approval and subsequent launch of long-acting injectable buprenorphine formulations are anticipated to shift treatment paradigms, particularly in populations with poor oral medication adherence.

Competitive activity centers on next-generation delivery systems, combination pharmacotherapies, and digital therapeutic adjuncts designed to reinforce behavioral change. Leading developers, including Braeburn Pharmaceuticals, continue to advance candidates that address unmet needs in induction, stabilization, and maintenance phases.

In conclusion, the OUD treatment sector is poised for sustained expansion, supported by irreversible regulatory liberalization, comprehensive public insurance coverage of OTP services, and persistent clinical need generated by medical opioid exposure. North America will continue to dominate both in market size and therapeutic innovation, with long-acting injectable buprenorphine formulations such as BRIXADI representing the most significant recent advancement in expanding safe, effective, and accessible MOUD options for patients with moderate to severe opioid use disorder.

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Report Coverage:

• Historical data from 2021 to 2025 & forecast data from 2026 to 2031
• Growth Opportunities, Challenges, Supply Chain Outlook, Regulatory Framework, and Trend Analysis
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• Revenue Growth and Forecast Assessment of segments and regions including countries
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Opioid Use Disorder Treatment Market Segmentation:

BY TREATMENT TYPE

• Medication
• Buprenorphine
• Methadone
• Naltrexone
• Counseling & Behavioral Therapies

BY ROUTE OF ADMINISTRATION

• Oral
• Injectable

BY END-USER

• Rehabilitation Centers
• Specialized Clinics
• Others

BY GEOGRAPHY

• North America
• USA
• Canada
• Mexico
• South America
• Brazil
• Argentina
• Others
• Europe
• Germany
• France
• United Kingdom
• Spain
• Others
• Middle East and Africa
• Saudi Arabia
• UAE
• Israel
• Others
• Asia Pacific
• China
• India
• Japan
• South Korea
• Indonesia
• Thailand
• Others