Methadone: A Flicker Of Light In The Dark

Methadone: A Flicker Of Light In The Dark

To provide a better understanding of the very important role methadone plays in the treatment of addiction.
 
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 What are your clinic fees like?

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lilgirllost
Admin


Female
Number of posts: 861
Age: 42
Location: live in Louisiana but attend MMT clinic in Tx
Job/hobbies: COUPONING & GEOCACHING are my favorite past times but I also love reading and spending time with my husband and kids
Humor: I don't have a sense of humor.............
Registration date: 2009-05-25

PostSubject: What are your clinic fees like?   Tue Sep 08, 2009 10:03 am





I hope everyone had a safe and happy holiday yesterday, but alas, it is time for us all to get back to our daily schedules for school, work and yes, those clinic visits!

It would be so nice if we could go to a regular doctor to get our methadone like they have for suboxone treatment! I know for a fact the actual methadone medication is cheap, cheap, cheap so it really blows my mind that we are charged like we are for MMT from clinics. There is no regulations on that either.
They regulate everything else like crazy but not this??

I know methadone is cheap medication because when I first found out about methadone it was from a doctor who had mercy on me in an ER (he was an internal medicine doc) who gave me methadone when I went to the ER at the end of my ropes from being addicted to pain killers and didn't know where else to go or what to do. (no one had ever tried methadone with me before and regular rehabs were NOT working).

He put me on 10mg 3 times a day. Even though he was not suppose to be doing it for detox, he had pity on me and prescribed it for me and took me on as a patient. I went to the pharmacy and it only cost me TWELVE DOLLARS for a MONTH'S WORTH of methadone. TWELVE DOLLARS! Now, not every pharmacy carried it, so I had to travel a little ways to find one that did and granted I am on a higher dose now, but come on! The point is, that methadone is cheap medication.

This doctor was trying to wean me off and even though I saw him for 3 mths, I could never get down past 10mg twice a day. He obviously couldn't keep me on it forever since he was taking a risk treating me as it was, that is when I researched and found methadone clinics.

I know from my personal experience when I first started it was $50 a week and that included everything. UA's, doc visits, bloodwork, physicals, counseling (yeah right, if you ever got it!) and anything else. That was more than I was paying, but that seemed reasonable and was well worth the cost.

Within a year and a half's time, the same clinic went up to $65 then 1 yr later $70 in addition then we had to start paying an additional $75 for our yearly physicals.

Then the next year, it was an xtra $10 that first week for the ua's, then $70 a week for the rest of the month. In addition to that though, the state fees were to be paid 2 yrs in advance! Didn't matter if you may not be in treatment the following year, they required you to pay them 2 yrs in advance with no refund if you weren't there the following year.

At the current time I pay $90 the first week, $80 the rest of the weeks, you pay $80 in addition to the fees when it's time for your physical and any other tests or blood work comes out of your pocket in addition to the two year state fees in advance. It is crazy and I am finding that my clinic is one of the cheaper clinics!

I don't see how they can justify the expense, but what are we going to do??? NOTHING! You guys have heard me say this before, but they make me feel like they are nothing but a legal drug dealer. They get us dependant on what they have, that no one else has and they can go up on their prices any time they want, they can give you more medication for you money or less medication for your money based on what feels like "their" needs and desires, not the pts and what are you going to do??? NOTHING.

We need what they have and it's not like we can go to the neighborhood corner store and get it. Most of us already are having long commutes to the clinics on a daily, several times weekly, once a week (whatever you level is) schedule so the cost of gas and wear and tear is another factor. It is crazy.

I don't mean to sound ungrateful because methadone saved my life, but it is still a sad fact of private run MMT clinics all over the US and NO ONE regulates that.

I would love to hear you guys experiences with the fees that you have to deal with at your clinics so share with us.



RuthAnn
aka lilgirllost

We are not bad people trying to become good, we are sick people trying to become well.

Methadone; A Flicker Of Light In The Dark
www.medicalassistedtreatment.org
www.suboxoneassistedtreatment.org
We are available 24 hours a day, 7 days a week.
If you cannot afford to call us, send us an email and
we will call you at our expense.
Office: 1-770-334-3655~ Cell: 1-770-527-9119
Email: mrdeanv@aol.com
ALL INFORMATION IS KEPT STRICKLY CONFIDENTIAL
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lilgirllost
Admin


Female
Number of posts: 861
Age: 42
Location: live in Louisiana but attend MMT clinic in Tx
Job/hobbies: COUPONING & GEOCACHING are my favorite past times but I also love reading and spending time with my husband and kids
Humor: I don't have a sense of humor.............
Registration date: 2009-05-25

PostSubject: give me some feedback guys!   Thu Sep 10, 2009 11:35 pm

Come on you guys! I see some of you actually did read what I had to say so lets hear about your experiences with this! We have got to start practicing speaking out about things that deal with our MMT. How are we ever going to speak out about the big things if we can't even speak about the smaller ones.

I know the majority of us have to pay quite a bit of money to go to the MMT clinic so let's hear about it............


RuthAnn
aka lilgirllost

We are not bad people trying to become good, we are sick people trying to become well.

Methadone; A Flicker Of Light In The Dark
www.medicalassistedtreatment.org
www.suboxoneassistedtreatment.org
We are available 24 hours a day, 7 days a week.
If you cannot afford to call us, send us an email and
we will call you at our expense.
Office: 1-770-334-3655~ Cell: 1-770-527-9119
Email: mrdeanv@aol.com
ALL INFORMATION IS KEPT STRICKLY CONFIDENTIAL
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dara



Female
Number of posts: 7
Location: midwest
Registration date: 2009-08-27

PostSubject: Re: What are your clinic fees like?   Mon Sep 14, 2009 5:58 am

Hi
I pay 50$ weekly to the clinic I attend.The induction fee was only 50$.
Frankly,I think this is a bargain.Especially when I think of what I paid to get drugs.
Also the economy is a factor.
There is rent to be paid for the facility.The counselors nurses and other staff need to be paid,supplies ua's and other tests etc.If my fee went up several dollars I would still consider it a bargain compared to the cost of suboxone and the suboxone doctors visits.
If one makes cost comparisons to general health care mmt is still dirt cheap.There are no free lunches in life so why would I expect someone to hand me free treatment or drugs????
I for one have no complaints,in fact am grateful the costs are so minimal.
If one is having problems paying I know some clinics have govt subsidized slots.
I guess this issue would be on a clinic to clinic basis,as it seems different clinics have different costs and policies.
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Krati



Female
Number of posts: 2
Location: Milton WV
Registration date: 2009-09-04

PostSubject: Re: What are your clinic fees like?   Mon Sep 14, 2009 9:07 am

CRAP!!!
I would love to pay 80/wk
It's 96 for methadone and 133 for suboxone
...which i just switched back to suboxone
...personal reasons
but ya know?
I have been a patient at the Hungtington AND Charleston WV Clinics
Each one is like herding cattle. . .
Charleston the one I'm at now, just implemented a new deal where they only
let you come in at a certain 2 hour block.
I was pissed at first. . . why?
because as addicts. .. do not be offended other addicts
but as the addicts that we are, we don't do the same thing everyday
we like CHANGE. . .
but. . alas. . . it seems to be herding the cattle quite well
so i'm going to keep my mouth shut for now
no more feending methadone heads starting a line down the road at 3am
when the clinic doesn't even open until 5:45
just so they can get in and spit it out unto their pop can and shoot it in the parking lot
anyways. . here nor there. .
do what ya want. . .
its just some people have an actual. . . JOB?
and these people come in all doped up out of their heads just wanted a morning fix
. .. the clinic workers don't understand. . they say this all the time
"the methadone is not going to run out"
and i'm like. thats NOT what they're thinking
anyways, back to the money issue
the charlestonand huntington clinic BOTH do not have methadone, they have the generic. . methadose.
which is even flipping cheaper
now i know how much those little LPNs make htere
not a whole lot - and there's only 5 of them for the thousands and thousands that come in a day
and the counselors?? well, i can't say how much they make. . but since i've been there i only know of one who has left. .. . "can't handle the pressure" hee hee
but i have heard that in NY and other places that the clinics are free
jails and prisons are one of the biggest profiters of our state
so why would the government pay to put them into rehab or a clinic where addicts can actually get help and not get in trouble again and again
... b/c that would take away their cut of those damg jail/prison profits
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lilgirllost
Admin


Female
Number of posts: 861
Age: 42
Location: live in Louisiana but attend MMT clinic in Tx
Job/hobbies: COUPONING & GEOCACHING are my favorite past times but I also love reading and spending time with my husband and kids
Humor: I don't have a sense of humor.............
Registration date: 2009-05-25

PostSubject: Re: What are your clinic fees like?   Mon Sep 14, 2009 11:15 am

thanks so much for those of you that have shared. I knew we would all have different experiences and such and I like to hear from you guys to know what those are.

Krati - there is medication assitance to be had for suboxone therapy so that the medication is free. I don't know how your suboxone clinic works, are you going to a family practice doc to get your meds or is it from a methadone like clinic? The makers of suboxone do offer the meds for free but it requires the doc to fill out paperwork every 3 mths and then the meds are sent to the doctors office/clinic. ALSO, we do have a suboxone forum if you would like to check it out. The moderator there is Dee and she is a great lady who will do whatever she can to help you out. She can also give you more info about the medication assitance for suboxone. Since I have no experience w/suboxone personally, I don't know a lot about it. Not that I want you to leave us here at the methadone forum but I know there are different situations and needs for suboxone patients and/or you may want to be an active member of both. The link for the suboxone FORUM is http://suboxone.activebb.net/forum.htm The link for our suboxone WEBSITE is www.suboxoneassistedtreatment.org so be sure and check those out. There is also a link about the medication assistance program on our suboxone website at http://www.suboxoneassistedtreatment.org/84.html

Dara - I agree with what you are saying too and understand where you are coming from on that, but on the same token, it should be more affordable when the actual medicine is so cheap. I know that they have overhead costs for the doc, counselors, staff and other things but with as many patients as some of the clinic have that charge $70-$100 a week, you would think that cost would be more than covered with a fee that is more reasonable and doesn't cost as much or more than your rent.

I also know that some people will say, well I spent more than that to get my pills/drugs, and that may be true for some or even most, but it should still be easier on the pocketbook when you are trying to be a stable member of society and beat your addiction. It's hard enough to stay on the program as it is without having the added burden of worrying about paying for it. I am not even saying "free" treatment, but more affordable would be nice.

Having said all that, Your clinic IS very reasonable on their price though so I can see where you have no complaint there about yours.

Again, Thanks you guys for responding and I hope to hear from you guys again!


RuthAnn
aka lilgirllost

We are not bad people trying to become good, we are sick people trying to become well.

Methadone; A Flicker Of Light In The Dark
www.medicalassistedtreatment.org
www.suboxoneassistedtreatment.org
We are available 24 hours a day, 7 days a week.
If you cannot afford to call us, send us an email and
we will call you at our expense.
Office: 1-770-334-3655~ Cell: 1-770-527-9119
Email: mrdeanv@aol.com
ALL INFORMATION IS KEPT STRICKLY CONFIDENTIAL
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Krati



Female
Number of posts: 2
Location: Milton WV
Registration date: 2009-09-04

PostSubject: Re: What are your clinic fees like?   Mon Sep 14, 2009 11:37 am

Thank you for your input. . .but I have a lot of experience with methadone AND suboxone. . . I think I could be of use in both forums. Plus my husband is still at the methadone clinic.

About 3 years ago I started at Huntington methaodne clinic and got a referral to suboxone DR. . whom took me down so quickly I started on drugs worse than what I was before.

When the DR thought I should be OFF the drugs he kicked me out and 2 weeks later I was at the Charleston clinic. I've been there since May of this year. The Charleston clinic offers suboxone AND methadone.
Since I don't have insurance anymore (lost my job when I was kicked out of the suboxone dr and was in terrible withdrawals when I couldn't find anything)
It would be more expensive for me to go to a DR. At the Charleston clinic suboxone is $19 /day. Getting suboxone from a dr plus the fees from the pharmacy with no insurance is mroe expensive.

You say you can get the drug for free? I dont' think this is a national offer. Here in WV I seriously doubt you could get that. The cheapest I have found it is $7/8mg pill from the pharmacy. It's $10/8mg pill at Wal mart and Kroger.
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lilgirllost
Admin


Female
Number of posts: 861
Age: 42
Location: live in Louisiana but attend MMT clinic in Tx
Job/hobbies: COUPONING & GEOCACHING are my favorite past times but I also love reading and spending time with my husband and kids
Humor: I don't have a sense of humor.............
Registration date: 2009-05-25

PostSubject: Re: What are your clinic fees like?   Mon Sep 14, 2009 12:23 pm

Yes, it IS free all over the US. It comes directly from the company RECKITT BENCKISER
who are the makers of suboxone. So if you go to a doctors office for the visit and then usually have to go to the pharmacy to get your suboxone script filled, then it would benefit you because then the medication can be free. The problem is that the doctor has to fill out paperwork like every three months so you can qualify to get it free (and some don't want to be bothered with it). Instead of picking the meds up at the pharmacy like you usually do, they will ship the meds directly to your doctor. So in essence it is like when you go to your doc and he gives you free samples.....It is offered in every state and I believe in other countries besides the US, as long as it's a country where they allow the use of suboxone.

The link so you can get the info on this is http://www.suboxoneassistedtreatment.org/84.html
It goes over all the rules and guidelines of the program and tells you what to do to apply for the assistance.

You said you have been on both medications before, out of suboxone and methadone, which do you prefer? What reasons do you prefer it? I ask because I was wondering about switching to suboxone from methadone but I would hate to switch only to have the methadone work better for me so I would really like to hear about your experience with the two medications.

I bet with both you and your husband in treatment it absolutely gets expensive. I couldn't imagine having to pay for both of us to be in treatment. ALSO, can I ask you another question and if you don't want to answer it's ok because I am getting a little nosy......Do you find it harder to stay clean since you both are in recovery struggling to stay clean? My husband has never been addicted to anything in his whole life so in some ways, this is good but in other ways I think it would be helpful if he had some personal experience w/addiction because even though he is very supportive and tries to understand, he really can't totally understand because he has never been there. So I was curious about that as well. Like I said, I know I am getting a little too personal and nosy so if you don't want to answer, it won't hurt my feelings at all.

have a good one!


RuthAnn
aka lilgirllost

We are not bad people trying to become good, we are sick people trying to become well.

Methadone; A Flicker Of Light In The Dark
www.medicalassistedtreatment.org
www.suboxoneassistedtreatment.org
We are available 24 hours a day, 7 days a week.
If you cannot afford to call us, send us an email and
we will call you at our expense.
Office: 1-770-334-3655~ Cell: 1-770-527-9119
Email: mrdeanv@aol.com
ALL INFORMATION IS KEPT STRICKLY CONFIDENTIAL
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Guest
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PostSubject: Re: What are your clinic fees like?   Mon Nov 09, 2009 4:29 am

hey RuthAnn!
i think my clinics fees are very reasonable for Georgia. i transferred to my clinic (GPA) from the 1st clinic i was at. i was not charged a transfer fee which many clinics charge. our counseling, medication, doctor appointments, yearly checkup, bloodwork, monthly u/a's (unless you come up dirty & then you are charged $10 for another u/a) are all included w/ the fees. it's $12/day for diskette or $11/day for liquid & if you are a monthly (28 days) patient then it's $280/28 days. if you need a peak or trough test that cost more of course. for all that we get for our money its a bargain compared to alot of clinics which charge per service.
Cat
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jeffsgirl



Female
Number of posts: 11
Location: Tennessee
Registration date: 2010-02-03

PostSubject: Re: What are your clinic fees like?   Mon Feb 15, 2010 3:19 pm

myn clinic is 104 per week when I first started there it was 98 a week and if you are married and both of you attend it is 86 a week I think....that is alittle on the expensive side I think
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kymmt2010



Male
Number of posts: 1
Location: Kentucky
Registration date: 2010-10-08

PostSubject: Clinic $$   Sun Oct 24, 2010 2:33 pm

I attend a clinic in Lexington, KY and it cost $90.00 per wk. It did cost $100 to get the initial consultation and U.A. and another $100 which covered the first wk.

When I think about the amount of money I used to spend on pills verses the amount of money I spend on MMT it is a no brainer that these programs even if they are as much as $100 per week are a blessing. The $90 bucks per week I spend plus gas and time to get there doesn't begin to compare with what I would spend over the course of a week (if I even had it to spend), or the price of the pain and suffering of addiction without treatment. And suboxone isn't cheap either, lucky for me when I took suboxone I had insurance at the time to pay for my meds but with the cash only doc I went to I still spent more money each month than I do now so I'm happy with LPA where I attend MMT
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Happylady5



Female
Number of posts: 93
Age: 30
Location: MN
Humor: It's a great day to be alive!
Registration date: 2010-06-06

PostSubject: Re: What are your clinic fees like?   Sun Oct 24, 2010 8:46 pm

12$ a day...unless you have insurance, than it is free.
If you give a 24 hr notice to a certain cab company, you will get voucher to go back and forth for free, ride on the insurance company. : ) So far everything else the mouth swabs, yearly physical was free. I love you
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floydfx05



Female
Number of posts: 71
Age: 56
Location: LIVERMORE, CALIFORNIA
Humor: PEACE
Registration date: 2010-04-29

PostSubject: Re: What are your clinic fees like?   Thu Oct 28, 2010 12:29 am

hi all,
I have medical, so my methadone is free, thank god for that. when I was in denver it was 40.00 to start and 40.00 a week, not to bad.
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boogy.pc



Male
Number of posts: 7
Age: 47
Location: florida
Job/hobbies: regional sales manager,love hunting an fishing an spending time with 3yr old grandson.
Registration date: 2011-04-13

PostSubject: Re: What are your clinic fees like?   Sat Apr 16, 2011 6:42 pm

tHE CLINIC I GO TO HERE IN FLORIDA CHARGES 12 A DAY OR 80 A WK OR 300 A MONTH .tHEY USE TO BE SLACK ON THE ONES THAT WERE OUT OF WK,BUT AS USAULFEW BAD APPLES RUINED THAT FOR EVERYONE.iF YOU DONT HAVE MONEY NOW THEY START DETOX TILL YOU BRING MONEY.iHAVE PRETTY GOOD REPORE AN HAVE NO PROBLEMS WITH THE CLINIC.tHEY DO HAVE PROBLEMS WITH THERE LABS AN THEY DO MAKE MISTAKES QUITE OFTEN WHICH ISNT GOOD FOR US THAT HAVE WEEKLY CARRY OUTS. bUT OTHER THAN THAT I HAVE TO SAY THAT BEING A PRIVATE RAN FACILITY IT IS OK .BESIDES THE LONG DRIVE.
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chemenglala



Female
Number of posts: 7
Location: Toronto, Ontario
Registration date: 2011-03-21

PostSubject: Re: What are your clinic fees like?   Tue Apr 19, 2011 5:05 pm

My husband and I are in toronto, ontario, so our treatment (doctor's visits, blood work, U.A.s, appointments with the case workers) are covered by provincial health care. Our methadone is covered by our private health insurance and mine is $2.50 a day, his is free. He did just get a bill that his insurance company did not reimburse for some lab costs, but it turns out they had the wrong information to send, and not that it wasn't covered, so we paid it and then submitted for a refund.

i really don't know what we would do if we were both in the U.S. and having to pay for it out of pocket. with both of us on the program it would be a huge burden and i really respect all of you that are managing it!
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lilgirllost
Admin


Female
Number of posts: 861
Age: 42
Location: live in Louisiana but attend MMT clinic in Tx
Job/hobbies: COUPONING & GEOCACHING are my favorite past times but I also love reading and spending time with my husband and kids
Humor: I don't have a sense of humor.............
Registration date: 2009-05-25

PostSubject: Re: What are your clinic fees like?   Tue Apr 19, 2011 7:34 pm

TY for sharing with us. It's always informative to hear what is going on with methadone treatment in other coutries. Do you and your husband go to a methadone clinic or do you go to the pharmacy for your meds?


RuthAnn
aka lilgirllost

We are not bad people trying to become good, we are sick people trying to become well.

Methadone; A Flicker Of Light In The Dark
www.medicalassistedtreatment.org
www.suboxoneassistedtreatment.org
We are available 24 hours a day, 7 days a week.
If you cannot afford to call us, send us an email and
we will call you at our expense.
Office: 1-770-334-3655~ Cell: 1-770-527-9119
Email: mrdeanv@aol.com
ALL INFORMATION IS KEPT STRICKLY CONFIDENTIAL
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