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One of the outpatient rehabilitation alternatives for people in California who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to administer specific medications to opioid addicted individuals, many of which are opioids themselves and are habit forming. In low enough amounts the client doesn't experience high feelings and also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are other options currently to choose from.
Methadone is an opioid and can be taken at an outpatient clinic certified to administer the drug, which is taken daily as a pill or liquid. The price of the drug is about $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300.00 monthly for the generic of the drug. There is also a type of buprenorphine that contains naloxone, which is a med which blocks the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from getting 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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