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One of the out-patient treatment options for individuals in Starks battling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain meds to opioid dependent people, many of which are opioid-based themselves and are addictive. In low enough doses however, the individual does not feel high but also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are a few more options currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to administer the drug, which is taken daily in liquid or pill form. The price of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300 a month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug which blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from getting 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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