Medicaid in New Jersey, known as NJ FamilyCare, includes coverage for many forms of treatment for OUD, including Sublocade injections. Sublocade, an injectable form of buprenorphine, is designed to manage opioid use disorder. Due to its potential risk of abuse, it is only prescribed by licensed healthcare practitioners. ChoicePoint staff are DEA-certified. It is a top-rated drug rehab in NJ offering Medicaid-covered Sublocade treatment plans. Verify your insurance and start your treatment today!
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Does Medicaid Cover Sublocade Injection In NJ? 3 Ways To Find Licensed Sublocade Doctors Near You!
Yes! Sublocade is covered by Medicaid in NJ. It is not easily accessible and is only supplied directly to reliable and licensed Sublocade doctors. Here are 3 things that can help you find a clinic:
1. Contact Your Current Insurance Provider
If you already have private insurance in New Jersey, you can see whether your plan covers Sublocade and the requirements for receiving coverage. Some plans may require prior authorization or documentation that other treatments have been tried first.
Commercial insurance offers multiple solutions if your original Medicaid plan does not cover the full cost. For example, Blue Cross Blue Shield covers Sublocade through Medicaid supplement plans. New Jersey Optum Healthcare Insurance and Aetna Health Insurance NJ also offer supplement plans to help you cover the cost not initially covered by Medicaid.
2. Talk to Your Healthcare Provider
Ask your doctor or healthcare provider helping you with addiction treatment about Sublocade coverage and the insurance providers they work with. If your primary care provider doesn’t offer Sublocade, they can refer you to specialists or clinics that do.
3. Get In Touch With ChoicePoint
ChoicePoint is a co-occurring addiction rehab in NJ that accepts Medicaid. We offer Sublocade as part of our medication-assisted treatment (MAT) program.
Sublocade Dosage Guidelines
Take a look at the table below to understand how a healthcare provider may offer Sublocade:
Dosage Stage |
Details |
Initial Doses | Two monthly doses of 300 mg. After at least 7 days of induction with 8-24 mg of a transmucosal buprenorphine product |
Maintenance Dose | 100 mg monthly for ongoing treatment |
In Case of Increasing a Dose | Increase to 300 mg monthly if there is a lack of satisfactory response to 100 mg |
Did you know a Sublocade injection can only be available through a Sublocade REMS (Risk Evaluation and Mitigation Strategy) Program? It is offered only by healthcare professionals certified in this program who comply with the REMS requirements.
Sublocade Shots – A Quick Overview
Opioid abuse may not make headlines as often, but the crisis remains as severe as ever. However, it does not have to stay that way! A Sublocade shot is an extended-release medication for Opioid Use Disorder (OUD) as part of an FDA-approved medication-assisted treatment (MAT) program. It is a Schedule III controlled substance- a substance with a high risk of abuse. Therefore, you only get its prescription from a Sublocade doctor near you in New Jersey.
How Is Sublocade Taken?
Sublocade is a once-a-month injection given by a healthcare provider, so you don’t have to take a daily pill.
How Does Sublocade Work?
After the first Sublocade injection, buprenorphine works as an opioid antagonist and binds to opioid receptors in the brain, blocking other opioids. It then gradually releases into the body over the month, effectively managing withdrawal symptoms and reducing cravings. As Sublocade does not have Naloxone in it, it serves as a perfect alternative to Suboxone for people who have Naloxone sensitivity.
How Effective Is Sublocade Injection?
Sublocade serves as a strong support in overcoming opioid addiction for its effectiveness in keeping steady buprenorphine levels.
How Long Does It Take For Sublocade To Work?
After the first dose is injected, Sublocade starts working immediately and reaches peak buprenorphine levels within 24 hours.
How SUBLOCADE Works
Sublocade Injections for Opioid Addiction in New Jersey! How Do You Qualify?
Sublocade is not available for at-home use. You must look for Sublocade doctors near you in New Jersey who are certified practitioners who prescribe Sublocade treatment. To qualify for Sublocade (buprenorphine extended-release injection), you need to meet the following criteria:
- A healthcare provider must diagnose the individual with moderate to severe OUD.
- Patients usually need to be stable on a daily dose of oral buprenorphine (like Subutex) for around 7 days before moving on to Sublocade.
- A licensed provider must determine that Sublocade is appropriate based on the patient’s history and unique treatment needs.
- Sublocade is recommended as a part of a comprehensive care plan that starts with inpatient or outpatient opiate detox and involves online DBT therapy or CBT group activities, addiction counseling, and aftercare plans.
- Some insurance plans may require prior authorization to cover Sublocade, so individuals must verify with their provider.
Contact ChoicePoint, NJ’s most trusted Sublocade provider near you, accepting Medicaid, Medicare, and other commercial insurance plans, and begin your Sublocade treatment today!
Important Questions About Is Sublocade Covered by Medicaid In NJ
Here are some important questions about “Is Sublocade Covered by Medicaid In NJ” you should know.
Where Can You Get the Sublocade Injection Near You in NJ?
Our doctors at ChoicePoint offer Medicaid covered Sublocade shots near you in NJ after carefully evaluating your symptoms.
Does Sublocade Make You Feel High?
No! Sublocade will not make you feel high because of the presence of Buprenorphine in it. Buprenorphine is a partial opioid agonist that helps reduce cravings and withdrawal symptoms without producing intense euphoria.
What Are the Different Types of Sublocade Shots?
Sublocade comes in two different types:
- 100 mg/0.5 mL
- 300 mg/1.5 mL
Patients usually receive one dose per month; however, this is the decision of a healthcare practitioner.
What Is Sublocade Used For & How Does Sublocade Blocks the Rewarding Effects of Opioids?
Sublocade is administered once a month. It is used to help with:
- Minimizing withdrawal symptoms
- Decreasing cravings
- Long term recovery
Is Sublocade Expensive?
Yes, without insurance, Sublocade is expensive! It may cost between $0 and $1,920.50 per month. Verify your insurance with ChoicePoint. We are in-network with major insurance companies in NJ to help you get sober without financial stress.
References
https://medicaid.ms.gov/wp-content/uploads/2019/01/Sublocade.pdf
https://www.theguardian.com/us-news/article/2024/may/15/drug-overdose-deaths-2023
https://fm.formularynavigator.com/FBO/4/New_Jersey_PDL_English.pdf
Medical Disclaimer:
ChoicePoint aims to improve the quality of life for people struggling with substance use disorder and mental health issues. Our team of licensed medical professionals research, edit and review the content before publishing. However, this information is not intended to be a substitute for professional medical advice, diagnosis, or treatment. For medical advice please consult your physicians or ChoicePoint's qualified staff.