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One of the outpatient rehab options for individuals in Kramer struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to give specific medications to opioid dependent clients, many that are opioid-based themselves and are addictive. In low enough doses however, the user does not feel high but also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are other choices currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the med, that is taken daily in liquid or pill form. The price of the drug is about $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 /month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, which is a med that reverses the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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