(646) 450-7641The pill takes the edge off. It can't notice when you skip a dose, and it can't pick up when the week goes sideways. A recovery coach who's been where you are does both, every week, alongside whoever writes your prescription.
You Are Accountable is virtual recovery support. You get a certified recovery coach who is in long-term recovery, a weekly one-on-one video session with that same coach, remote breathalyzer monitoring you control, and a Care Team you can reach between sessions. It works alongside your doctor, your therapist and your medication. We don't prescribe and we don't replace treatment.
The same person each week, 50 minutes, about your actual week. They've been through it and have a national peer credential.
A small device that builds a record over time. You decide who sees the results: your coach, your prescriber, a family member, or only you.
Message your coach, or call the Care Team 8am to 8pm ET. The hard day doesn't have to wait for Thursday.
Daily peer groups you can join or skip, and a weekly group for family members. Nothing is required beyond your coach session.
Aligned to the ASAM Criteria Level 1.0, Long-Term Remission Monitoring. Fully virtual, nationwide.
Naltrexone blocks the opioid receptors that make alcohol feel rewarding. The FDA approved it for alcohol dependence in 1994, and in the COMBINE trial people on naltrexone with medical management had more days without heavy drinking than people on placebo. It's generic, cheap, and not habit-forming.
One 50 mg pill every day, usually with a goal of not drinking. This is how most prescribers and online services use it. It lowers craving in the background so the plan around it has room to work.
One pill about an hour before you drink, every time you drink, with no requirement to stop. Over months the brain stops pairing alcohol with reward. It only works if the pill is taken every single time.
Either way, the medication reduces the pull. It can't fill the hour after work, repair trust at home, give you someone to tell when the plan breaks, or show you whether it's working. That part is ours.
The medication services below each include some kind of support. The left column is how they describe it on their own sites. The right column is ours.
The method fails most often in week three or four, when you feel better, or when a drink comes up unplanned and the pill stays in the drawer. Every unprotected drink re-teaches the brain the link the method is trying to erase. The second problem is time: extinction takes months, and almost nobody keeps an honest log that long on their own.
We don't prescribe and we're not affiliated with any of these. The details are what each company publishes on its own site. Prices and protocols change, so confirm with them directly.
| Service | Medication and approach | How you're seen | Support included | Published price | Insurance | Where |
|---|---|---|---|---|---|---|
| Oar Healthoarhealth.com | Daily naltrexone, described as the frontline medication for alcohol use disorder. | Online assessment, provider review within 24 hours, messaging only. | Messaging with health coaches, a weekly SMART Recovery meeting, member community. | $50 one-time consult, then $297 per 3 months (about $99 a month). | Not accepted. HSA/FSA may apply. | 42 states |
| Choose Your Horizonchooseyourhorizon.com | Naltrexone, with providers who understand the Sinclair Method. Also oral GLP-1 for cravings, off-label. | Short online assessment, then a psychiatric evaluation with a clinician. | Coaching and at-home liver testing in its Iceberg Program; coaching described as optional elsewhere. | Not published. Affirm or Klarna financing; HSA/FSA accepted. | Not stated on site. | All 50 states |
| Sunflower Clinicsunflowerclinic.com | Naltrexone for alcohol and varenicline for nicotine, paired with therapy. Sinclair Method not mentioned. | Matched with a licensed therapist; weekly video sessions built on CBT and motivational interviewing. | Messaging between sessions, an app, free peer groups. | Not published. Discussed on the first call. | Not required. | 5 states |
| Ria Healthriahealth.com | Naltrexone and other medications, with Sinclair Method support named on the site. | Fully online through a phone app, with medical counseling. | Weekly coaching meetings and digital progress tools inside the program. | Not published on the homepage. | Not stated on the homepage. | Not stated on the homepage. |
| You Are AccountableWorks alongside any of the above | No prescribing. Coaching and remote breathalyzer monitoring alongside your medication, daily or TSM. Optional peer groups. | Weekly one-on-one video with the same certified recovery coach. Messaging in between. | Weekly coach, remote breathalyzer, messaging and Care Team, optional daily peer groups and weekly family group, care coordination with your prescriber. | From $375 a month. See pricing. | Covered by commercial health plans, expanding monthly. | Nationwide, fully virtual |
As published on each company's website, October 12, 2026. Spot an error? hello@youareaccountable.com.
"I tried to do recovery the way I did everything else: figure it out myself. Those were the hardest three years of my life. Staying sober and being happy was not something I could do alone."
Rick L., recovery coach at You Are Accountable. Read his story
No. We don't prescribe anything. Use your own doctor or any of the services above. With your consent we coordinate with whoever you choose.
No. Your goal is your goal. If your plan is TSM, your coach helps you follow TSM: the pill every time, the record, the honest look at the trend. If your goal changes, the plan changes with you.
For members on naltrexone we use remote breathalyzer monitoring. For TSM it reads as a pattern over time rather than a pass or fail. You control who sees the results.
It might be. If a message thread and a weekly group keep you on track, keep them. Members come to us when they want a specific person who expects them every week and a record that doesn't rely on memory. You can have both; we work alongside them.
No. You Are Accountable is recovery support aligned to the ASAM Criteria Level 1.0, Long-Term Remission Monitoring. It sits alongside medical care. If you need detox, medication management or therapy, we help you find it and stay with you through it.
Many commercial health plans cover You Are Accountable, with coverage expanding monthly. The coverage check is the fastest way to know. Cash plans start at $375 a month.
No. Groups are optional. Some members use them daily, some never do. The only standing commitment is your weekly session with your coach.
Yes, if you want them to be. Families can join sessions when it helps, and there is a weekly family group for relatives of members.
Joint Commission accredited. LegitScript certified. SOC 2 and HIPAA compliant. A member of NAATP. Coaches hold a national peer recovery credential and are in long-term recovery themselves.
Oar Health, Choose Your Horizon, Sunflower Clinic and Ria Health are trademarks of their respective owners. You Are Accountable, Inc. is an independent company and is not affiliated with, endorsed by, or sponsored by any of them. Nothing on this page is medical advice.