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One of the out-patient rehabilitation options for people in Fort Apache who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to give specific meds to opioid dependent clients, many of which are opioid-based themselves and are addictive. In low enough amounts however, the client doesn't experience being high and also doesn't experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this reason, but there are other choices to choose from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the med, which is taken daily as a pill or liquid. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But different from Methadone which is only be administered in structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 a month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a med that reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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