Summary

  • Most private health insurance companies are now covering the cost of buprenorphine treatment although there are few specific codes
  • Medicaid provides substance abuse treatment as a state option, therefore Medicaid coverage for buprenorphine treatment varies significantly by state.
  • The Medicare benefit does not usually cover typical office-based buprenorphine induction or maintenance treatment visits.
  • Private insurance companies are increasingly covering the cost of the appointments for buprenorphine treatment, and almost all major insurance providers now cover the cost of the prescription itself.
  • The cost of buprenorphine varies with the dose and the retail pharmacy. Cost to the patient obviously varies with the health plan