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One of the outpatient rehabilitation alternatives for clients in Washington battling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to dispense certain meds to opioid dependent clients, many of which are opioids themselves and are addictive. With low doses the client does not experience high feelings and also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are alternative options to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to administer the med, which is taken daily as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But unlike Methadone which is only be administered in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 /month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug which 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 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opioid. 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 feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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