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One of the out-patient treatment alternatives for individuals in Wharton battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain medications to opioid addicted clients, many that are opioids themselves and are addictive. In low doses the individual doesn't feel high and also doesn't have acute cravings and isn't experiencing 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 out-patient clinic licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The price of the drug is around $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic version of the drug. There is also a type of buprenorphine that contains naloxone, that is a med that blocks the effects of opioids. Someone 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 on a daily basis, and costs around $450 per month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and is not 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 getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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