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One of the outpatient rehab options for people in Custer battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain meds to opioid addicted clients, many of which are opioid-based themselves and are addictive. With low enough amounts the user does not experience high feelings and also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first med used for this purpose, but there are a few more options currently to select from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the med is approximately $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But different from Methadone that can only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300 a month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced approximately $450 a month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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