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One of the outpatient treatment options for clients in Ruby who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to give specific medications to opioid dependent clients, many of which are opioid-based themselves and are habit forming. With low doses however, the individual does not experience being high and also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are a few more options to pick from.
Methadone is an opiate and can be taken at an outpatient clinic certified to administer the drug, that is taken daily in liquid or pill form. The price of the drug is approximately $150 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But different from Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 monthly for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, that is a med that reverses the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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