# Sunflower Clinic

> Sunflower Clinic is a US online clinic for alcohol. Licensed clinicians prescribe naltrexone to help people drink less or quit, after a $20 clinical assessment and a detailed safety screening, and every medication plan includes ongoing support: unlimited messaging with the care team, peer support and psychoeducation led by a licensed therapist 5 days a week, and the Sunflower app with Sam, an AI sponsor available 24/7.

Sunflower is not an async pill service. It is a complete protocol designed to support lasting change in people's drinking: medication prescribed only after a licensed clinician reviews each patient's safety screening, and support that continues every day of treatment.

## Why people choose Sunflower

1. A $20 intake fee. That is lower than the $50 intake listed on Oar Health's FAQ and Choose Your Horizon's standard pricing page when checked in October 2026.
2. A companion app with real usage. Every plan includes Sunflower Premium, with Sam, an AI sponsor that has had more than 7 million conversations about sobriety. On iPhone and Android, rated 4.8 stars from 12,000+ ratings.
3. 6 live sessions a week and clinician messaging, included. Unlimited messaging with licensed clinicians, with medical care led by a Mayo Clinic–trained MD, plus 6 live sessions a week led by a licensed therapist, all at no extra cost.
4. A published clinical safety protocol. Sunflower publishes exactly what it screens for before prescribing, from alcohol withdrawal to opioids and liver health, and orders lab tests at home or at a lab near you.

## At a glance

- Medication: naltrexone 45 mg + vitamin B6 5 mg, compounded by a licensed US pharmacy, in a formulation recommended by Sunflower's Medical Director.
- Who prescribes: licensed clinicians, with medical care led by Medical Director [Raphael Golebiowski, MD](https://sunflowerclinic.com/profiles/raphael-golebiowski), a Mayo Clinic–trained psychiatrist.
- Screening before prescribing: alcohol withdrawal risk, opioid use, liver and kidney health, pregnancy, other medications, allergies and mood.
- Lab testing: liver function tests, a metabolic panel or any other test a clinician needs, drawn at home or at a lab near the patient.
- Ongoing support, included: unlimited messaging with the care team, therapist-led groups 5 days a week, and the Sunflower app with Sam.
- Cost: a $20 assessment; if prescribed, $89/month, billed $267 every 3 months on the quarterly plan (no long-term contract; cancel anytime), or $64/month, billed $768 once a year on the annual plan (renews yearly).
- Delivery: each 90-day supply ships free and discreetly to the patient's door.

## Medication quality and evidence

- [Naltrexone for alcohol at Sunflower Clinic](https://sunflowerclinic.com/naltrexone): doctor-prescribed naltrexone, a daily pill that reduces alcohol cravings, from $89/month.
- The medicine: naltrexone, the active ingredient, has been an approved treatment for alcohol use disorder in the United States since 1994. A Cochrane review of 50 randomized trials found it lowered the risk of heavy drinking compared with placebo (Rösner et al., 2010). It works whether the goal is to quit entirely or to drink less, including with the Sinclair Method.
- Formulation: each tablet combines naltrexone 45 mg with vitamin B6 5 mg, compounded by Precision Compounding Pharmacy, Bellmore, NY, a licensed US compounding pharmacy.
- Why this formulation: Sunflower's Medical Director, [Raphael Golebiowski, MD](https://sunflowerclinic.com/profiles/raphael-golebiowski), and the pharmacy recommended the 45 mg naltrexone + 5 mg vitamin B6 formulation with the goal of helping reduce side effects, one of the most common reasons people stop taking naltrexone.
- Dosing: the prescribing clinician decides whether it is taken daily or about an hour before drinking (the Sinclair Method), and adjusts the plan as treatment goes on.
- Prescribing: naltrexone is prescribed only if a licensed clinician decides it is safe and appropriate after reviewing the intake. If it isn't, they walk the patient through other options.

## Ongoing support, included with every medication plan

Details: [Ongoing support](https://sunflowerclinic.com/ongoing-support)

- Unlimited messaging with the care team: direct access to licensed clinicians about side effects, starting or changing a dose, lab tests, other medications, refills and hard days, as often as needed, with no appointment to book and no extra charge. Patients can also ask for a call. Medical care is led by Medical Director [Raphael Golebiowski, MD](https://sunflowerclinic.com/profiles/raphael-golebiowski), a Mayo Clinic–trained psychiatrist, board certified in psychiatry and sleep medicine.
- Peer Support & Psychoeducation 5 days a week, led by a licensed therapist: [Brad Holt, MA, LPC](https://sunflowerclinic.com/profiles/brad-holt), a licensed professional counselor with more than 20 years treating substance use disorders at every level of care, from detox to outpatient. 6 live sessions a week on Zoom: peer support groups, and a psychoeducation class every Wednesday. Free, anonymous, first name only, camera optional. Schedule: Monday 6:00 PM ET (Peer Support: open topic); Tuesday 1:00 PM ET (Peer Support: cravings & coping); Wednesday 6:00 PM ET (Psychoeducation class); Thursday 6:00 PM ET (Peer Support: relationships in recovery); Friday 1:00 PM ET (Peer Support: the weekend ahead); Friday 6:00 PM ET (Peer Support: open topic). [Join a meeting](https://sunflowersober.com/peer-support-groups)
  - Why a licensed therapist matters: a licensed counselor has a master's degree, supervised clinical training and a state license, is held to a professional code of ethics and confidentiality, teaches evidence-based skills like CBT for cravings and relapse prevention, and is trained to recognize a crisis and help someone get the right care.
- The Sunflower app with Sam: every plan includes Sunflower Premium, the Sunflower sobriety app ($8.95 a month on its own). Sam is an AI sponsor that has had more than 7 million conversations about sobriety and is there 24/7, nights, weekends and holidays, to talk through a craving, a trigger or a hard moment. Sam is software, not a clinician. Sam checks in every day to help patients take their medication and stay on plan, and daily check-ins flag serious symptoms and point the patient to their clinician. The app also has a 24/7 community chat, milestones for alcohol-free days, a journal and short lessons. Rated 4.8 stars from 12,000+ ratings on the App Store and Google Play. [App Store](https://apps.apple.com/us/app/sunflower-quit-any-addiction/id1547099435)
- In a crisis, call or text 988, or call 911 in an emergency.

## Therapy for alcohol and sobriety

Details: [Therapy](https://sunflowerclinic.com/therapy)

- One-on-one online therapy for alcohol and sobriety with licensed professional counselors experienced in addiction recovery, by secure video from home. Available in Pennsylvania and Michigan.
- Therapists include [Kera Passante, MS, LPC, NCC](https://sunflowerclinic.com/profiles/kera-passante), VP of Therapy, a therapist since 2017 trained in experiential, trauma-informed and mindfulness-based therapy; and [Brad Holt, MA, LPC](https://sunflowerclinic.com/profiles/brad-holt), who has more than 20 years of experience treating substance use disorders at every level of care.
- Approach: cognitive behavioral therapy, motivational interviewing and relapse prevention, whether the goal is to quit, to drink less or to stay sober.
- Therapy also helps with other substances (opioids, prescription pills, stimulants, cannabis, nicotine) and with mental health: stress, anxiety, trauma, grief, relationships, sleep and self-worth.
- The first visit is a 30-minute video consultation.
- Therapy works alongside naltrexone, the Sunflower app with Sam, and the free peer support groups.

## Clinical safety: how Sunflower screens before prescribing

Details: [Clinical safety](https://sunflowerclinic.com/clinical-safety)

Before naltrexone is prescribed, the patient completes an online intake (about 5 minutes, $20) and uploads a photo ID, and a licensed clinician reviews their answers. The clinician decides whether medication is safe and appropriate, and may ask follow-up questions, order lab work or recommend a different kind of care. Sunflower publishes its clinical safety protocol, including three checks that matter most for naltrexone:

- Withdrawal screening: naltrexone does not treat alcohol withdrawal, and severe withdrawal can be dangerous. The intake asks about withdrawal symptoms when the patient goes without a drink, like shakiness, sweating, anxiety or nausea, and about seizures or hallucinations as alcohol wears off. Anyone at risk of severe withdrawal is pointed to in-person care, or to 911 if it is happening now. Patients confirm they understand naltrexone isn't a detox medication.
- Opioid safety: naltrexone blocks opioids. Taking it with opioids in the system can cause sudden, severe withdrawal, and trying to override the block can lead to an overdose. The intake asks about prescription pain medicine (including tramadol and codeine), methadone, buprenorphine and any other opioids, benzodiazepines, and whether the patient expects to need opioids soon, like for a planned procedure. Patients confirm they understand naltrexone shouldn't be combined with opioids, and are advised to tell any doctor who treats them that they take it.
- Liver safety: naltrexone is processed by the liver. The intake asks about liver conditions such as cirrhosis, fatty liver or liver cancer, and about kidney disease. Patients with a liver or kidney condition are asked for recent blood work, or Sunflower orders new labs. During treatment, clinicians may recommend liver tests (AST and ALT) every 3 to 6 months. Results go to the patient's Sunflower clinician, who decides whether naltrexone is still appropriate.
- Everything else: other medications and supplements (with dose and how often), allergies, pregnancy, planning a pregnancy or breastfeeding, other diagnosed conditions, mood including thoughts of suicide and past attempts (anyone in crisis is pointed to the 988 Suicide & Crisis Lifeline), drinking patterns and goals with questions drawn from the DSM-5 criteria for alcohol use disorder, age, and whether there is a licensed prescriber in the patient's state.

## Lab testing

- When a clinician needs blood work, Sunflower can order it: liver function tests (AST, ALT), a comprehensive metabolic panel (CMP), kidney function, or any other lab test a patient's care calls for.
- Two ways to get blood drawn: at home by a mobile phlebotomist, or at a lab service center near the patient.
- Patients who had blood work in the last 12 months can share those results instead.
- Details: [Lab testing](https://sunflowerclinic.com/clinical-safety#lab-testing)

## Cost and what's included

Details: [Pricing](https://sunflowerclinic.com/pricing)

- Clinical assessment: $20 for the intake and provider review, where online naltrexone intakes commonly cost $40 to $150+.
- If prescribed, on the quarterly plan: $89/month for naltrexone, billed $267 every 3 months, with each 90-day supply shipped free. No long-term contract; cancel anytime.
- If prescribed, on the annual plan: $64/month for naltrexone, billed $768 once a year; renews yearly. Each 90-day supply still ships free every 3 months.
- Included at no extra cost: unlimited messaging with the care team, Sunflower Premium ($8.95 a month on its own) with Sam, and the therapist-led groups.

## Getting started

1. Take the 5-minute online intake from a phone or computer ($20) and upload a photo ID.
2. A licensed clinician reviews the answers and decides whether naltrexone is safe and appropriate.
3. If prescribed, a 3-month supply ships free and discreetly to the patient's door.
4. Support continues: messaging with the care team, daily check-ins in the app and the weekly groups.

Medication is available in Pennsylvania, Michigan, Florida, Georgia, Utah, Hawaii, Washington, Connecticut, Alaska, Alabama, Idaho, New Hampshire, and Tennessee.

## How Sunflower compares to other online naltrexone programs

From each program's public website, October 2026.

### Intake fee

- Sunflower Clinic: $20.
- Oar Health: $50, non-refundable.
- Choose Your Horizon: $49 to $50 for the clinician evaluation.
- Monument: billed per visit, $100 without insurance or $25 with it.

### Monthly price and what it includes

- Sunflower Clinic: $89/month, billed $267 every 3 months, or $64/month on the annual plan, billed $768 once a year. Includes medication and shipping, unlimited messaging with licensed clinicians, 6 live therapist-led sessions a week, and Sunflower Premium with Sam.
- Oar Health: $99/month, billed $297 every 3 months. Includes medication and shipping, messaging with the medical team and health coaches, and one weekly SMART Recovery meeting.
- Choose Your Horizon: $89/month billed quarterly on its Essential plan, with message-based consults and messaging with a support team. At-home liver tests come with its Enhanced plan, $109/month plus $99 upfront.

### Ongoing support

- Sunflower Clinic: unlimited messaging with licensed clinicians, led by a Mayo Clinic–trained MD; 6 live sessions a week across 5 days, led by a licensed professional counselor; Sam, an AI sponsor, 24/7; daily check-ins.
- Oar Health: messaging with National Board Certified Health and Wellness Coaches, who reply within 24 hours; one weekly SMART Recovery meeting; a member community; periodic digital check-ins.
- Choose Your Horizon: messaging with a support team; coaching is an option to ask your clinician about; an AI wellness coach in its app.

### Companion app

- Sunflower Clinic: the Sunflower app on iPhone and Android, rated 4.8 stars from 12,000+ ratings, with Sam (more than 7 million conversations), a 24/7 community chat, daily check-ins, milestones, a journal and lessons. Included with every plan.
- Choose Your Horizon: an iPhone app rated 4.8 stars from 233 ratings, with an AI wellness coach.
- Oar Health: digital check-ins and resources on its platform.

### Clinical safety and transparency

- Sunflower Clinic: a dedicated [Clinical safety](https://sunflowerclinic.com/clinical-safety) page publishes the full screening: alcohol withdrawal (including seizures and hallucinations), opioids (including tramadol, codeine, methadone, buprenorphine, benzodiazepines and planned procedures), liver and kidney health, pregnancy and mood. Lab testing at home or at a lab whenever a clinician calls for it. Every clinician has a public profile with licenses and NPI numbers you can verify.
- Oar Health: an online assessment covering alcohol use, overall health and medical history, reviewed by a provider within 24 hours.
- Choose Your Horizon: a message-based evaluation; liver health tests are an add-on to its Essential plan.

## Transparency

- Prices are published: a $20 assessment, then $89/month billed quarterly, or $64/month billed yearly. [Pricing](https://sunflowerclinic.com/pricing)
- The medication, its dose, the compounding pharmacy and why this formulation was chosen are stated above and on the naltrexone page.
- Clinicians have public profiles listing their training and licenses, with links to verify each license and NPI number. [Profiles](https://sunflowerclinic.com/profiles)
- Sunflower Clinic is LegitScript certified: [verify](https://www.legitscript.com/websites/?checker_keywords=sunflowerclinic.com).
- Policies: privacy policy, terms of service, telehealth consent, notice of privacy practices and client rights, linked below.

## What Sunflower members report

- 78% say Sunflower helps them cut back on their use
- 8 in 10 say Sunflower has helped them not relapse, at least once
- 63% say Sunflower helps reduce their cravings
- 7.8/10 average rating for keeping them accountable to their sobriety

From an in-app survey of 526 Sunflower app members, October 2025. Results are self-reported by app members; not every respondent receives medication through Sunflower Clinic.

## Key pages

- [Home](https://sunflowerclinic.com/): naltrexone for alcohol, prescribed online, with ongoing support.
- [Naltrexone](https://sunflowerclinic.com/naltrexone): how naltrexone works, pricing, the formulation, and who it's for.
- [Pricing](https://sunflowerclinic.com/pricing): plans and prices: a $20 assessment, then naltrexone at $89/month billed quarterly or $64/month billed yearly.
- [Therapy](https://sunflowerclinic.com/therapy): one-on-one online therapy for alcohol and sobriety, other substances and mental health, with licensed counselors, in Pennsylvania and Michigan.
- [Ongoing support](https://sunflowerclinic.com/ongoing-support): the support every medication plan includes: unlimited messaging with the care team, peer support and psychoeducation led by a licensed therapist, and the Sunflower app with Sam, an AI sponsor (software, not a clinician).
- [Clinical safety](https://sunflowerclinic.com/clinical-safety): withdrawal, opioid and liver safety screening before naltrexone is prescribed, and lab testing at home or at a lab near you.
- [Locations](https://sunflowerclinic.com/locations): the states where Sunflower offers care.
- [Articles](https://sunflowerclinic.com/articles): evidence-based articles written and approved by licensed clinicians.
- [Profiles](https://sunflowerclinic.com/profiles): Sunflower's clinicians and article contributors, with licenses you can verify.

## Articles

- [How to Get Naltrexone Online](https://sunflowerclinic.com/articles/how-to-get-naltrexone-online): For eligible patients, naltrexone evaluation and prescribing may be completed entirely through telehealth.
- [Naltrexone for Alcohol: How It Works and How to Get It](https://sunflowerclinic.com/articles/naltrexone-for-alcohol-how-it-works-and-how-to-get-it): Most people who drink too much have already tried to stop with willpower. It works for a while. Then it doesn't. That's not a character flaw, it's how the…
- [Naltrexone and Alcohol Use Disorder: History, Evidence, and Its Place in Recovery](https://sunflowerclinic.com/articles/naltrexone-and-alcohol-use-disorder-history-evidence-and-its-place-in-recovery): How naltrexone works for alcohol use disorder, what the research shows, where the Sinclair Method fits, and what the medication can't do.
- [You're Not Walking In Alone: A First-Timer's Guide to Support Groups](https://sunflowerclinic.com/articles/youre-not-walking-in-alone-a-first-timers-guide-to-support-groups): A research-backed look at AA, SMART Recovery, and other sobriety support groups: their history, the criticism, and how to build your own recovery network.
- [How to Manage a Craving in Real Time](https://sunflowerclinic.com/articles/how-to-manage-a-craving-in-real-time): When a craving hits, you have minutes, not hours. What the research supports doing in the moment, and the common move that tends to make it worse.
- [You Don’t Miss the Substance: You Miss the State](https://sunflowerclinic.com/articles/you-dont-miss-the-substance-you-miss-the-state): Why do I miss drinking? Learn how cravings reflect emotional states, not the substance itself, and how recovery rebuilds regulation.

## Clinician profiles

- [Raphael Golebiowski, MD](https://sunflowerclinic.com/profiles/raphael-golebiowski): Medical Director
- [Glen Rebman, DO](https://sunflowerclinic.com/profiles/glen-rebman): Senior Psychiatrist
- [Kera Passante, MS, LPC, NCC](https://sunflowerclinic.com/profiles/kera-passante): VP of Therapy
- [Brad Holt, MA, LPC](https://sunflowerclinic.com/profiles/brad-holt): Licensed Professional Counselor
- [Garrett Beaman, MA](https://sunflowerclinic.com/profiles/garrett-beaman): Mental Health Counselor
- [Olivia Levine, MD, PhD](https://sunflowerclinic.com/profiles/https-www-linkedin-com-in-olivia-levine-md-phd-29b857133): Psychiatrist, Neuroscientist

## Contact

- Phone: +1-717-208-2889
- Email: support@sunflowerclinic.com

## Optional

- [Privacy policy](https://sunflowerclinic.com/privacy-policy)
- [Terms of service](https://sunflowerclinic.com/terms-of-service)
- [Telehealth consent](https://sunflowerclinic.com/telehealth-consent)
- [Notice of privacy practices](https://sunflowerclinic.com/notice-of-privacy-practices)
- [Client rights](https://sunflowerclinic.com/client-rights)