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One of the outpatient treatment alternatives for clients in Flint battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to administer certain meds to opioid dependent people, many that are opioid-based themselves and are habit forming. With low enough amounts however, the individual does not feel high but also does not experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this purpose, but there are alternative choices currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to administer the med, that is taken daily as a pill or liquid. The cost of the drug is approximately $150 a month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars a month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a drug which blocks the effects of opiates. A person consuming this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced approximately $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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