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One of the out-patient rehab alternatives for individuals in Tulalip battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to give certain medications to opioid dependent clients, many of which are opioid-based also and are habit forming. In low enough doses the user does not experience high feelings but also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first medication administered for this purpose, but there are other options currently to pick from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to administer the med, which is taken daily in liquid or pill form. The cost of the med is around under $200 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be administered in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300 /month for the generic of the medication. There is also a version of buprenorphine that contains naloxone, which 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 daily, and costs about $450 monthly. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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