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One of the outpatient rehab alternatives for clients in Voca struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain meds to opioid dependent people, many of which are opioids also and are addictive. With low doses however, the individual does not feel high but also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first med used for this purpose, but there are alternative choices to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone that can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300.00 /month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, that is a drug that reverses the effects of opioids. Someone taking 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 daily, and costs around $450 monthly. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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