OBOT refers to buprenorphine treatment provided in a regular medical office setting, rather than a specialized addiction treatment facility or OTP — this is the model that’s expanded significantly since the X-waiver was eliminated. X-waiver article
What makes this different from an OTP: No specialized clinic requirement, no daily visit structure — treatment integrated into a setting that looks like a standard doctor’s office visit, often alongside other primary care.
Why this model matters: It reduces the separation between addiction treatment and general healthcare, potentially reducing stigma and making treatment more accessible in areas without specialized addiction treatment facilities.
What to look for in an OBOT provider: Comfort and experience with buprenorphine induction specifically (including fentanyl-era considerations) [link to induction articles], and a clear plan for coordinating any needed counseling, since OBOT settings don’t always have counseling built in the way structured programs do.
How this fits with our doctor-finder resources: "how to find a buprenorphine prescriber" article largely describes finding an OBOT provider.
Medically reviewed by [pending]. Sources: SAMHSA, ASAM.