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One of the out-patient rehab alternatives for people in Cosby struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain medications to opioid dependent people, many that are opioids themselves and are addiction. In low enough amounts however, the client does not experience high feelings but also does not have intense cravings and is not in opioid withdrawal. Methadone is the first drug administered for this purpose, but there are other options currently to pick from.
Methadone is an opioid and can 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 about $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be dispensed in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 per month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, which is a med which blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 a month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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