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One of the out-patient rehab options for individuals in Riley battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to dispense certain medications to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low enough amounts however, the user doesn't feel high and also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are other options currently to pick from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the drug is about $150 a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone that is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about just under $300 a month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced about $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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