Buprenorphine Management in Fort Smith

Medication Assisted Treatment So You Can Gain Control Over Your Life


We believe in pricing transparency.

Initial appointment $120

Established client $55

New clients as well as transfers from other Buprenorphine doctors are welcome.  


After the first month  the majority of our clients spend less than  $165 per month for treatment even if insurance will not pay for your medication.   This includes medications AND the office visit fee.  The cost is  lower if you are on only one or two buprenorphine per day.  We can offer such low prices because we do not bill insurance.  Accepting insurance would easily double or triple the cost of operating  a small medical practice.   However we do try to appeal to insurance to pay for your medication. 


 We also offer evening and weekend appointments.  


Buprenorphine can be as low as $78 per month for 60 tablets which is a typical monthly prescription.   The lowest prices are generally available with prescription discount cards and pharmacy in-house compassionate care programs.  We can direct you to the appropriate pharmacy and program.


If you need less than 60 buprenorphine per month your cost might be a little lower.  If you need more than 60 tablets per month your costs may be a bit higher.   Pharmacy prices are subject to change.

Are you ready to get your life back together?  We have kept prices as cheap as possible.  We aren't in this business to get rich.   


479.321.3645office

229.375.5861fax 

If you have questions you may email us buprenorphinemanagement@gmail.com We think email can be a convenient way to communicate.  gmail is encrypted and secure.    We delete all emails regularly and overwrite free space to maintain confidentiality.  

We can keep our our  prices  low at Buprenorphine Management in Fort Smith by not accepting insurance,  as this can double or triple the prices a clinic has to charge. 


Opiate addiction in Fort Smith is a growing concern, and we want to be part of the solution by providing inexpensive treatment.


You should check with your insurance company to see if they will pay for Buprenorphine products. and if so which specific ones they will pay for.  We have found fewer problems with Blue Cross plans.   My experience over the last 20 years is that Blue Cross has consistently been an insurance program that acts in good faith and doesn't play games.  Since we don't bill electronically (this would easily double or triple our costs) some insurance will not pay for example Arkansas or Oklahoma Medicaid.  


We have found GoodRx.com to be a great place to search for the best cash prices for prescriptions.


Sherrill's Pharmacy Broken Bow Oklahoma.  30 tablets of buprenorphine about $67.


Harps Pharmacy, Fort Smith 60 tablets of generic buprenorphine is $78 under their compassionate care discount program.



Hometown Pharmacy in Roland Oklahoma will price match.  Give them your support if you are in Oklahoma.


Price Cutter pharmacies are supposed to be the same prices as Harps.


Walmart on Zero Street in Fort Smith is about $2 to $3 per tablet with discount card.




  We are  always trying to find the best prices.  Let us know of pharmacies that will match these prices so we can add them to our list.  Also please let us know if any of our prices are out of date.




 

 


Instructions for appointments

Please read carefully


For your first appointment with us, please bring in the actual bottles of all medications, supplements, herbal remedies, and vitamins that you take.  You may bring in a complete list instead if you will remember to update it regularly.  If you are transferring from another buprenorphine or suboxone doctor then continue to take your medication as prescribed.    If you are trying to switch from methadone to buprenorphine this is a bit more complicted.  We need to know ahead of time if you are currently taking methadone so we can address that with you prior to the appointment.


Please bring in a current government issued ID for your first appointment  unless we have made an exception due to extenuating circumstances. 


You must bring in your buprenorphine prescription for a pill count for each visit.  Otherwise we won't be able to refill your prescription until we have a verified pill count.


We are able to do pill counts over the internet.  You may be subject to a pill count at any time.  We will explain the procedures for unscheduled pill counts.  We don't want to cut off people due to unfortunate technical issues, but we do have to arrange for unscheduled pill counts either at the office or over the internet.  We try to be understanding for people who lack reliable transportation or live at a distance.


If you are using opiates illegally then you must refrain from use for at least 24 hours prior to the appointment.   If you do not refrain for at least 24 hours buprenorphine might put you into withdrawal, possibly the worst you have ever experienced.  

Additionally if  you have never been on suboxone or buprenorphine previously then be prepared to pick up your prescription at the pharmacy then return for two hours of observation for your first dose.  However home induction is suitable for many patients and is the default in Europe.


Mixing alcohol or sleeping medicines or benzodiazepines with opiates can be dangerous.  You must not drink alcohol. 


If you are on a benzodiazepine (for example  Xanax, Valium, Klonopin, Temazepam, Ativan) or sleep medications (for example  Ambien,  Lunesta, or Sonata)/then these will need to be reduced to a reasonable level.  If you do not think you can reduce these types of medicines, then please do not  make an appointment.  2 mg per day of Klonopin, Xanax, or a generic version, is the maximum allowable in a healthy adult on buprenorphine in most circumstances in my judgment,  preferably less.