There are programs available in or near Ely that cater to both methadone and buprenorphine clients only, controlled medications which are administered in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate dependent client will instead no longer engage in addict behavior and won't experience cravings and withdrawal. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are highly regulated and can only be administered in a clinical setting.
Buprenorphine and methadone clients take these medications consistently so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't at the same time making them feel high. Euphoria occurs at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the primary treatment goal is to handle the physical symptoms of their dependence. Some centers do offer a small amount of counseling and group therapy as auxiliary treatment, and this is encouraged.