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One of the out-patient rehabilitation options for clients in Bison who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense specific medications to opioid addicted people, many of which are opioids themselves and are habit forming. With low enough amounts the user does not feel high but also does not experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are other choices currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is around under $200 per month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone that can only be administered in highly well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars /month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 a month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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