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One of the out-patient rehab options for people in Richland who are struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to administer specific medications to opioid addicted individuals, many of which are opioids themselves and are addictive. In low enough amounts the client doesn't experience being high but also does not have acute cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to dispense the med, that is taken daily in liquid or pill form. The price of the drug is approximately $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But different from Methadone that can only be given in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 monthly for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opiates. Someone taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced around $450 a month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that 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 monthly.
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