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One of the out-patient rehab alternatives for people in Justice who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense specific meds to opioid addicted individuals, many of which are opioids themselves and are addictive. With low enough doses however, the individual does not experience being high and also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this reason, but there are alternative options currently to pick from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone that is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 /month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opiates. An individual taking this version of the drug, AKA 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 is priced around $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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