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One of the out-patient rehabilitation alternatives for clients in Adams battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain meds to opioid addicted clients, many that are opioids also and are addictive. In low amounts the client does not feel high but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first med administered for this purpose, but there are a few more options currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The price of the med is around $150 per month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But unlike Methadone which can only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 per month for the generic of the medication. There is also a version of buprenorphine that contains naloxone, which is a med which blocks the effects of opioids. Someone consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 a month. Naltrexone is another med used 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 shot, 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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