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One of the out-patient treatment alternatives for people in Pawnee struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to administer certain medications to opioid dependent people, many of which are opioids themselves and are habit forming. In low enough amounts however, the user doesn't experience being high and also does not experience intense cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is around $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone which can only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 /month for the generic version of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opioids. Someone consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced approximately $450 per month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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