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One of the outpatient rehab alternatives for clients in Randolph battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense certain medications to opioid addicted clients, many of which are opioid-based themselves and are habit forming. In low doses the client does not experience high feelings and also does not have severe cravings and is not in opioid withdrawal. Methadone is the first med administered for this purpose, but there are other choices currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer the drug, which is taken daily as a pill or liquid. The cost of the drug is about under $200 per month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But different from Methadone which can only be dispensed in highly well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 per month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opioids. An individual 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 per month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and is not an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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