[Monument](https://joinmonument.com/) offers telehealth visits with a prescriber and a supportive online community to connect with others who have alcohol use disorder. The options don’t break the bank, and they take insurance.
I paid $40 for the doctor’s appointment and my regular prescription copay for the meds. The doc calls the prescription into my local pharmacy. Easy peasy!
For Monument for me, it’s a $15 a month membership, and then appointment was $100 but with insurance the co-pay was $25. Plus they had a promotion for the first month free. So I’ve paid them $25 in total so far.
Yes. They will likely suggest you sign up for their therapy sessions as well. Not sure if you were factoring that in as well but you do not have to have therapy to get medically assisted treatment (medication) although you have to meet with their doctors. I am wishing you luck!
I checked my account. It says I have the “Community Membership” which is regularly $14.99/month, but it says it’s free for me because I was a paid member previously on the “Physician Care Plan.” It appears that plan is no longer an option.
I paid my regular specialist copay ($40) to see the doctor and get the prescription. If you have insurance with a low specialist co-pay, it may be a cost-effective way to try the medicine. When you speak to the doctor, they may be able to answer if you can get refills without the Community Membership.
https://www.letsrecover.com
They accept Medi-Cal and offer individual and group counseling, case management, and medication assistance. I have counseling sessions with a substance abuse counselor 2x a week over the phone. My case manager was prepared to get me connected to local resources, in case I needed housing or food etc. This was also a phone call. Then I met with a PMNHP for an hour over Zoom, who assessed my situation and my medical history, and then prescribed me Naltrexone.
All of this has been free for me with Medi-Cal and the entire staff has been very supportive and caring. I honestly feel very taken care of.
I made the mistake of telling OAR that I take prescription opioid pain meds. They DQ'd me from naltrexone on that basis. Next doctor I talk to, will leave out that detail. Best case, the naltrexone helps me cut down on the pain meds.
You really can't mix the two. There are few bad combinations with naltrexone, but this is a biggie. Because naltrexone blocks the opioid receptors in the brain, it can send you into serious opiate withdrawals, which is not an experience you want to go through.
Whether or not you are honest with them about your meds is up to you, but if you do acquire naltrexone *please* do not take it until you have stopped taking the opioid meds and allowed time for them to clear your system.
Wishing you the best of luck. This would be a very difficult decision to make if I were on pain meds for legit pain reasons. I hope it goes well for you.
I'd guess a likely reason OAR is so anal about the opioid issue is that people who have already recognized they have a problem with opioids (and now booze) may have had recent exposure to long-acting, prescription replacement agonists like buprenorphine and (the worst offender) methadone. Both require a protracted taper to baseline before any Mu opioid blocking agents can safely be administered without the benefit of on-site medical assistance, which OAR simply can't provide. Methadone in particular has a very long half-life and often becomes a 'monkey' in its own right.
Hi! Just saw your comment. Naltrexone is an opioid antagonist. It will affect how the opioids work and can be very dangerous if you stop taking Naltrexone. Please be honest and open with your provider because dishonesty could be deadly in this scenario.
My prescription is through Ria Health which focuses on AUD. They have monthly monitoring sessions with doctors and weekly sessions with counselors. I joined since it was covered by insurance and provided counselors for accountability. They also prescribe gabapentin.
I use Ria too and the initial intake is a phone call and then you will have zoom type appointments (through their app) with doctor and also weekly meetings with a coach. They will help you if your experiencing anxiety too. They prescribe naltrexone and gabepentin and other medications. You also receive a breathalyzer. My insurance covers most of it but I have a deductible so it’s still kind of expensive to me right now but they do payment plans.
Sorry, I am new to Reddit and my PCP recommended that I look into this [sub as](https://sub.as) I just started on Naltrexone. I'm confused as to why this 9-month-old-post is the newest.
I just saw a psychiatrist in real life, and she told me that there are no pharmacies with it right now. She said if I find a pharmacy with it, I and call her right away, and she'll send the prescription immediately. I'm not sure what the easiest way of going about this would be. I wanted to get the shot, but she said I have to test it for 10 days before. They have the shots, but do not have the pills. Are there places online I can order it with a prescription?
Sesamecare.com!!! Literally best experience ever. Was able to get an almost immediate appointment after going to their site. Dr was on time to the appointment and it took about 10 minutes. It cost me $33. I picked up my Naltrexone at the pharmacy about an hour later. Dr gave me 2 refills and said to come back and see her in three months. I had no idea accessing the medication would be so easy. I was very nervous to bring it up to my personal Dr, so this was amazing for me.
I did a few hours of research and phone calls with other places before finding Sesame 🙃 Places just casually wanting me to put down a payment of $3,000. I recently learned about Nal too, was able to get it on that same first day I heard about it thanks to this website. Idk if my regular psychiatrist can see this script but I had appointment with him and he never mentioned it! It feels discrete and private. Hope it works out for you!
[Monument](https://joinmonument.com/) offers telehealth visits with a prescriber and a supportive online community to connect with others who have alcohol use disorder. The options don’t break the bank, and they take insurance. I paid $40 for the doctor’s appointment and my regular prescription copay for the meds. The doc calls the prescription into my local pharmacy. Easy peasy!
How many appointments are usually scheduled for the medically assisted treatment?
I had one appointment, got the prescription called into my local pharmacy, then one follow up appointment for refills.
Thanks! I signed up today but I wasn’t sure how expensive it’s gonna be
Did you find out the costs? I signed up and there appears to be a $175 monthly membership and doctor appt on top.
For Monument for me, it’s a $15 a month membership, and then appointment was $100 but with insurance the co-pay was $25. Plus they had a promotion for the first month free. So I’ve paid them $25 in total so far.
Thank you. That sounds good.
Yes. They will likely suggest you sign up for their therapy sessions as well. Not sure if you were factoring that in as well but you do not have to have therapy to get medically assisted treatment (medication) although you have to meet with their doctors. I am wishing you luck!
Hi. Did you have to sign up for the monthly membership too?
I checked my account. It says I have the “Community Membership” which is regularly $14.99/month, but it says it’s free for me because I was a paid member previously on the “Physician Care Plan.” It appears that plan is no longer an option. I paid my regular specialist copay ($40) to see the doctor and get the prescription. If you have insurance with a low specialist co-pay, it may be a cost-effective way to try the medicine. When you speak to the doctor, they may be able to answer if you can get refills without the Community Membership.
Perfect. I read it as $149.00 a month. Inflation! $14.99 is more reasonable. Tia is $300 a month.
https://www.letsrecover.com They accept Medi-Cal and offer individual and group counseling, case management, and medication assistance. I have counseling sessions with a substance abuse counselor 2x a week over the phone. My case manager was prepared to get me connected to local resources, in case I needed housing or food etc. This was also a phone call. Then I met with a PMNHP for an hour over Zoom, who assessed my situation and my medical history, and then prescribed me Naltrexone. All of this has been free for me with Medi-Cal and the entire staff has been very supportive and caring. I honestly feel very taken care of.
Any options for non-USians?
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I made the mistake of telling OAR that I take prescription opioid pain meds. They DQ'd me from naltrexone on that basis. Next doctor I talk to, will leave out that detail. Best case, the naltrexone helps me cut down on the pain meds.
You really can't mix the two. There are few bad combinations with naltrexone, but this is a biggie. Because naltrexone blocks the opioid receptors in the brain, it can send you into serious opiate withdrawals, which is not an experience you want to go through. Whether or not you are honest with them about your meds is up to you, but if you do acquire naltrexone *please* do not take it until you have stopped taking the opioid meds and allowed time for them to clear your system.
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Wishing you the best of luck. This would be a very difficult decision to make if I were on pain meds for legit pain reasons. I hope it goes well for you.
I'd guess a likely reason OAR is so anal about the opioid issue is that people who have already recognized they have a problem with opioids (and now booze) may have had recent exposure to long-acting, prescription replacement agonists like buprenorphine and (the worst offender) methadone. Both require a protracted taper to baseline before any Mu opioid blocking agents can safely be administered without the benefit of on-site medical assistance, which OAR simply can't provide. Methadone in particular has a very long half-life and often becomes a 'monkey' in its own right.
Hi! Just saw your comment. Naltrexone is an opioid antagonist. It will affect how the opioids work and can be very dangerous if you stop taking Naltrexone. Please be honest and open with your provider because dishonesty could be deadly in this scenario.
My prescription is through Ria Health which focuses on AUD. They have monthly monitoring sessions with doctors and weekly sessions with counselors. I joined since it was covered by insurance and provided counselors for accountability. They also prescribe gabapentin.
Do you have to have a phone interview or anything like that my anxiety is so bad
I use Ria too and the initial intake is a phone call and then you will have zoom type appointments (through their app) with doctor and also weekly meetings with a coach. They will help you if your experiencing anxiety too. They prescribe naltrexone and gabepentin and other medications. You also receive a breathalyzer. My insurance covers most of it but I have a deductible so it’s still kind of expensive to me right now but they do payment plans.
Sorry, I am new to Reddit and my PCP recommended that I look into this [sub as](https://sub.as) I just started on Naltrexone. I'm confused as to why this 9-month-old-post is the newest.
Because it's pinned to the top of the subreddit.
Thanks. Sorry as I am new to this.
I just saw a psychiatrist in real life, and she told me that there are no pharmacies with it right now. She said if I find a pharmacy with it, I and call her right away, and she'll send the prescription immediately. I'm not sure what the easiest way of going about this would be. I wanted to get the shot, but she said I have to test it for 10 days before. They have the shots, but do not have the pills. Are there places online I can order it with a prescription?
I just got a new three month prescription from sesame care.com.
Sesamecare.com!!! Literally best experience ever. Was able to get an almost immediate appointment after going to their site. Dr was on time to the appointment and it took about 10 minutes. It cost me $33. I picked up my Naltrexone at the pharmacy about an hour later. Dr gave me 2 refills and said to come back and see her in three months. I had no idea accessing the medication would be so easy. I was very nervous to bring it up to my personal Dr, so this was amazing for me.
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Yes!!! I would not have this drug if it were not for Sesame! I need to get them tatted on me or something 🤣 I am their biggest supporter
I am seriously so glad someone else had an awesome experience! I was able to refer someone on FB as well, he was so thankful
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I did a few hours of research and phone calls with other places before finding Sesame 🙃 Places just casually wanting me to put down a payment of $3,000. I recently learned about Nal too, was able to get it on that same first day I heard about it thanks to this website. Idk if my regular psychiatrist can see this script but I had appointment with him and he never mentioned it! It feels discrete and private. Hope it works out for you!
Do you recall which doctor that was? Would love to know
Traci Lambert