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One of the outpatient rehabilitation options for clients in Yale who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid addicted individuals, many of which are opioid-based themselves and are addictive. In low enough amounts the user doesn't feel high and also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are alternative choices to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone that can only be administered in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300.00 per month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opioids. Someone taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced approximately $450 monthly. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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