Outpatient Suboxone® Treatment

BayMark operates outpatient Suboxone® programs in multiple states under the AppleGate Recovery treatment brand and in select opioid treatment programs. Sometimes referred to as office-based opioid treatment (OBOT) programs, OBOTs offer a different level of care than a structured opioid treatment program (OTP), operating similarly to a physician’s office. Medication-assisted treatment and in-house professional counseling form the basis of an OBOT program with more flexible scheduling available.

OBOTs utilize buprenorphine and buprenorphine compounds, approved by the FDA in the early 2000’s for the treatment of opioid addiction. Unlike methadone, which can only be dispensed through a structured OTP, buprenorphine is prescribed by a physician and filled through the patient’s preferred pharmacy. The ability to obtain the medication through a pharmacy allows patients to visit the treatment facility less frequently.

BayMark OBOT programs offer:

  • Ongoing medical and clinical assessment
  • Prescription based medication service
  • Individual substance use counseling
  • Group substance use counseling
  • Linkage to community resources
  • Case management and life skills training
  • Discharge planning and support
  • Flexible scheduling
  • Telemedicine
  • Lab services

What are the Advantages?

Buprenorphine is available as an individual medication or as part of a combination product containing buprenorphine and naloxone. These combination products are known as Suboxone®, Bunavail® or Zubsolv®, with the most commonly prescribed medication being Suboxone®. The combination of buprenorphine and naloxone offers several advantages including:

  • Withdrawal Relief – buprenorphine attaches to the same receptors in the brain as illicit and prescription opioids providing relief from withdrawal symptoms and cravings caused in the absence of the drugs.
  • Ceiling Effect – the ceiling effect of buprenorphine means that no matter how much of the medication a patient takes, the effects are only felt to a certain extent, reducing its potential for misuse.
  • Overdose Prevention – due to the ceiling effect of buprenorphine and buprenorphine compounds, overdose is extremely unlikely if the medication is taken as prescribed.
  • Opioid Blocking – buprenorphine blocks other opioids from attaching to receptors in the brain, effectively limiting the euphoric effects of opioids that may be taken illicitly.
  • Misuse Deterrent – naloxone combined with buprenorphine acts as a deterrent to misuse by causing immediate, acute withdrawal symptoms if injected.
  • Convenience – buprenorphine and Suboxone® are available by prescription to be filled at the pharmacy of your choice making it a convenient option for patients who need a more flexible treatment program.

For more information, visit our OBOT websites:


+