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One of the outpatient treatment options for individuals in Nemo battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain meds to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low enough doses the client does not feel high and also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this reason, but there are a few more choices currently to choose from.
Methadone is an opioid and can be taken at an outpatient clinic certified to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But different from Methadone that can only be given in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about just under $300 a month for the generic version of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug that reverses the effects of opioids. Someone consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 a month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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