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One of the outpatient rehab options for individuals in Marks struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to dispense specific meds to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low enough amounts however, the individual does not feel high but also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are a few more options currently to choose from.
Methadone is an opioid and can be taken at an out-patient clinic certified to dispense the drug, that is taken daily as a pill or liquid. The price of the drug is about $150 a month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 a month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, which is a drug that reverses 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 is priced about $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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