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One of the out-patient treatment alternatives for people in Pima struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to administer specific medications to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low amounts the individual does not experience being high and also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more choices currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the med, which is taken daily in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone that is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately three hundred dollars monthly for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opiates. A person taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs about $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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