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One of the out-patient rehab options for clients in Boys Town battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense specific meds to opioid dependent individuals, many that are opioids also and are addictive. In low enough doses however, the individual does not experience being high and also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first med used for this sole purpose, but there are a few more options currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, that is taken on a daily basis in liquid or pill form. The price of the med is approximately $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone that can only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars a month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. A person consuming 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 an additional drug used in opioid maintenance therapy, but unlike the other drugs aforementioned 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, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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