California, Colorado, Connecticut, DC, Delaware, Florida, Georgia, Illinois, Iowa, Maine, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, Oregon, Rhode Island and Texas.

What's the success rate? What's considered success?

Original studies for pharmacological extinction demonstrate a 78% success rate but that also accounts for an approximate 10% non-compliance rate in executing on the dosing strategy correctly. That's why we focus on proper method execution.

We also tackle secondary causes of Alcohol Use Disorder in our accelerator videos and obtain exceptional results with our clients. It's why our clients consistently send us their success stories. Just read our testimonials.

Most patients see a substantial reduction in the volume and frequency of drinking within a few months.

Success is reached when the impulse to drink is brought under control and drinking stays within safe levels. In the United States, safe levels are 1 drink a day for women and 2 drinks a day for men (2015-2020 U.S. Dietary Guidelines for Americans).

How does the Alcure platform work?

You'll have unlimited access to your Alcure physician via email and video chat along with over 10 hours of curated accelerator videos covering precision medication dosing strategies, which is key to success, and addressing secondary causes of excess drinking.

We also provide email coaching support whenever you need it.

We achieve exceptional client outcomes by combining our videos with full physician and coaching support. That allows us to iterate the process to fit your particular needs and response to the medication and get you to extinction in the fastest time possible.

Therapy support if requested

Many clients with excess drinking challenges will have coexisting personal issues that are best addressed by a licensed therapist. Therapy is proactive, where existing client strategies are improved upon, and healing when clients are facing greater difficulties. All forms of therapy are solution-focused.

Alcure partners with Lion Rock Recovery Online Substance Abuse Counseling, one of the leading video chat therapy-based providers in the country, to fulfill your counseling needs. Therapy support is charged separately.

How much is naltrexone? How do I get it?

Naltrexone is dispensed in 50mg tablets and can cost as much as $6.00 per tablet. But, we'll get you the lowest price in your area and for virtually all clients less than $1.00 per tablet. We e-prescribe to a pharmacy local to you for fast pick-up. Most prescriptions are for a batch of 30 tablets unless your Alcure physician later adjusts your dosage.

Are there any long-term obligations?

No. You may cancel recurring payments at any time and are only responsible for the month in which you cancel. Just contact and we'll promptly get you squared away. Unfortunately, we're not able to issue refunds for preceding months. PayPal will send you an email receipt each month as well to serve as a reminder of your monthly subscription and unlimited access to the platform.

What kind of technology will I need?

A high-speed internet connection, webcam and microphone. Almost all clients prefer accessing our service through a mobile device such as an iPhone, iPad, Android phone or tablet--all of which come equipped with a camera and microphone.

Alcure is a Google powered digital health platform to ensure the highest quality in performance with robust data security for your privacy.

Start by downloading Hangouts Meet (not to be confused with just "Hangouts") from your device's app store for video chat sessions. Once installed, it will deploy automatically when using our service. Hangouts is not encrypted for your privacy.

For desktop or laptop access to video chat, download and use the Google Chrome browser to access your email account and and link to video chat sessions. Chrome is a free browser and takes a few seconds to download. If you don't already have Chrome just type "Chrome" into any other internet browser and follow the easy-to-install instructions.

If you'll be using a traditional desktop computer make sure you have a webcam (most of which are also equipped with a microphone).

If you'll be using a laptop most are already equipped with a camera and microphone at the top of the screen.

What's it like to drink on naltrexone?

Reports vary among patients but most won't notice much of a difference when drinking with naltrexone in their system.

Do I have to abstain for a period?

No. You begin right away.

Is naltrexone habit forming or does it have side effects?

Naltrexone is a non-controlled FDA approved medication and is not habit forming. The side effects, if any, are usually minimal and go away quickly. Side effects are mitigated with other safe, prescription or OTC medications. Other medication prescribed or recommended is not included in the monthly plan.

A very small group of clients will experience more adverse side effects and may not be able to tolerate naltrexone.

Do I have to request refills of the medication?

Yes. Reach out to your Alcure physician when you're down to about 10 days' worth of naltrexone to provide lead time.

How does the Alcure program compare to self-restraint models?

Sometimes called the 12-step models, these rely upon self-restraint alone and focus exclusively on sobriety. They don't enlist the aide of a medication to temporarily disrupt the biological reinforcement causing excess drinking. 12-step programs were established when modern medicine was in its infancy.

Over 80% of clients report prior failed success with these models.

How do you process medical insurance?

We provide you a "superbill" each month if you elect to use insurance. A superbill is a detailed receipt identifying the billing codes used by all insurance companies to process payments for the type of treatment we provide.

Clients submit superbills to their insurance company for full or partial reimbursement. We cannot guarantee reimbursement and you may wish to consult your insurance company first for eligibility. Ask us for an example superbill to run by your insurance company in advance.

Once I get my stuff under control, do I have to keep taking the medication?

Only when you drink. By always following the dosing protocol relapse is avoided.

What happens when I only need a maintenance supply of the medication after finishing the program?

Clients that have completed the program will switch to maintenance use of naltrexone and can "hop off" our platform until it's time for a refill. That's done by requesting to pause recurring payments. When to switch to maintenance use is a decision for you and your Alcure doctor.

When the time comes to replenish your supply, you'll simply contact support, advise you are a returning client, and we'll set you up with another video chat with your physician for an updated assessment and refill.

The charge is still the same monthly price, but it becomes a one-time charge. In effect, you "hop off" our platform again until it's time for another refill down the road.

Are there any other charges?

Rarely, and if there are we'll tell you about them in advance. These include things like special lab testing which is sometimes needed while using naltrexone.

And if I have any other questions?

Email us at