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One of the out-patient rehabilitation options for clients in Shade Gap battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to give certain meds to opioid dependent individuals, many that are opioid-based themselves and are addictive. In low enough doses the client doesn't feel high but also doesn't experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are other choices to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the drug, that is taken on a daily basis in liquid or pill form. The price of the drug is around $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone which is only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 /month for the generic version of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opiates. A person taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs approximately $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and isn't an opioid. A person has the choice to take this drug 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 shot costs anywhere from $1000 to $1200 /month.
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