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One of the out-patient rehab alternatives for people in Udall battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense specific medications to opioid dependent people, many that are opioids themselves and are addictive. With low doses the individual doesn't feel high but also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first medication used for this purpose, but there are a few more options currently to pick from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to administer the med, which is taken daily as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone that can only be given in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300 /month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opiates. Someone 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 every day, and costs about $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned here it is 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 a person 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 monthly.
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