There are more than 100 Suboxone providers in Dallas Fort Worth area.

Outpatient Suboxone prescription is only available through a limited number of medical doctors.

Doctors who meet the requirements apply to the Drug Enforcement Agency (DEA) and obtain a waiver to prescribe medications for the treatment of opioid addiction from their offices.

This was made possible after a special legislation by Congress under Drug Addiction and Treatment Act of 2000. Before this act was passed, opioid addiction treatment was only available through approved opioid treatment programs, that were either residential facilities or Methadone Clinics.

This act made it possible for doctors to prescribe medications to treat addiction from their offices, made it easier for patients to seek treatment within their community, and made it possible for patients to obtain this medication from a pharmacy.

Now patients can use the medication in the comfort and privacy of their home and continue to work or study without any interruption.

DATA 2000 also reduced the cost of treatment and made it more accessible:

  • Outpatient treatment costs are less than 1/10th of inpatient treatment costs.
  • There is no disruption in patients family life, employment, or education, as patients do not have to be admitted to a facility.
  • If taken as prescribed, the medication does not have any significant side effects, and does not interfere with work or studies.
  • Outpatient treatment allows for longer duration of treatment which has shown to reduce the rates of relapse.
  • Taking Suboxone does not violate court ordered treatment and probation programs.
  • There is no reason not to be treated. Even for self-pay patients the cost of treatment is lower than the cost of drug use.

 

When searching for providers note that some providers only practice out of a residential treatment facility / reahab hospitals, and some providers have reached their limit of one hundred patients.

It is important that you do the necessary research before enrolling in an outpatient program.

  • Does the doctor / program prescribe Suboxone?
  • How frequently do you have to see the doctor? once a week, biweekly, or once a month?
  • What is the doctors fee for the first visit, for induction, and for follow up visits.
  • What are the costs associated with treatment?
  • Is counseling included in the fee, or do you have to see a counselor separately.
  • What is the cost of urine drug screens?
  • Are there any additional costs?
  • What is the duration of the program?
  • Is there a dose tapering schedule?

Recovery from addiction is not a quick-fix, it is not a sprint, it is a marathon, the better prepared you are … the better the chances of success.

Addiction is not cured by a pill. It is a behavior problem that only you can change. Motivation will get you started but it requires a long process of self discipline and persistence to make you successful.

Once you start a program, be serious about it, enroll with a substance abuse counselor, and make a complete recovery.

Most office based programs are run by family care doctors, psychiatrists, pain management doctors, and neurologists. Some OBGyn doctors also offer these programs but only for their own prenatal patients.

Office based programs do not have the resources to offer a lot of hand holding and intensive therapy, and are reluctant to enroll patients with severe medical problems like hepatitis, renal failure, or seizures.

IV drug users and pregnant patients, require more intensive therapy and stricter supervision … something that office based programs may not be able to provide. You may have to obtain these services from multiple sources.

These programs also have low tolerance for patients that relapse, that do not show up for appointments, and argue about urine drug screens and counseling.

If you have insurance then call your insurance first to find out about your coverage and treatment options.

You can search for a provider in your city from the Substance Abuse and Mental Health Services Administration (SAMHSA) site

http://www.samhsa.gov/

Naabt has a confidential way of finding a provider in your area. You can enter information in a form, with your particular situation and needs. A physician that matches the need may reply.

http://naabt.org

You can also find a physician in your area from the manufacturers of Buprenorphine preparations.

Mostmanufacturers also offer discount coupons through their website.

 

The NAABT site lets you post your need for treatment anonymously, which is then e-mailed to area physicians who have signed up for this service, and they would reply via e-mail. You can review their responses by logging into this site.

All the above sites provide education and additional resources.

Other ways to find a Suboxone provider:

  1. Visiting Addiction/Suboxone forums on the internet, and reading patient’s experience of therapy, … most of them are helpful, and they may post, or give you their physician’s name.
  2. Attending Narcotics Anonymous and similar meetings and asking attendees how they managed their problem, what resources are available in the community, and which physician is treating them?
  3. The local pharmacists know the names of Suboxone providers in the community, because they receive prescriptions for dispensing it.
  4. Addiction counselor’s may know the names of area physician’s who are prescribing Suboxone.

 

What is an addiction specialist?

Medical doctors that specialize in Addiction are usually psychiatrists. Rarely an Internist, or a Neurologist may do a fellowship in Addiction medicine, and call themselves an addiction specialist.

There are some psychologists and counselors who call themselves addiction specialists, however they can not prescribe Suboxone.

Should you go to an addiction specialist?

Yes, if an appointment is readily available, and the practice is otherwise easily accessible and convenient to you.

Always ask if that doctor prescribes Suboxone, and whether they are accepting new patients.

You should look at your own needs. Do you have ongoing psychiatric problems then chose a Suboxone doctor who is also a psychiatrist.

If you have medical problems then chose a Suboxone doctor who is an internist or family practitioner.

If you have had several relapses then go with a Suboxone doctor who is a psychiatrist, they tend to be more relapse friendly.

If you do not have a choice then start with a doctor who has an appointment available. It really does not matter all that much. The doctor’s role is very limited in your recovery. The doctor prescribes the medication that stops your withdrawal, and any doctor will do.

A good counselor that you respect and are willing to listen to … is far more important. You should meet at least three counselors before you settle on one. And if you are not making progress try a different counselor.


If my practice does not meet your needs then you should look at some of the other doctors in this area that prescribe Suboxone. There are more than 100 Suboxone providers in Dallas Fort Worth Metroplex area.

Dr. Seema Kazi, MD, Psychiatrist
3801 William D Tate Ave, Grapevine, TX 76051
Phone: (817) 488-8998
http://www.psychiatrygrapevine.com/
Accepts Insurance

Dr. Pradeep Kumar, MD, Psychiatrist
3900 W 15th St #305, Plano, TX 75075
Phone: (972) 849-9597
http://www.brainandbehaviorcenter.com/
Accepts Blue Cross Blue Shield

Julie Pittman, MD, Psychiatrist
3602 Matlock Road, Arlington, TX, United States, Ste 210
Phone: (817) 472-9369
http://www.juliepittman.com/

Mark Scroggins, MD, Ob-Gyn
2612 Harwood Rd # A, Bedford, TX 76021
Phone: (817) 283-8366
http://markscrogginsmd.com

Rehan A. Khan, MD, Internal Medicine
Iram Hamdard, MD, Internal Medicine
7151 Colleyville Boulevard, Colleyville, TX 76034
Phone: 817-416-1931
Accepts Insurance

Regina R. Capili, MD, Family Practice
Carleo A. Capili, MD, Family Practice
Grapevine Medical and Surgical Center
1501 W. Northwest Hwy, Grapevine, TX 76051
Phone: 817-481-5365
http://www.grapevinemed.com/opiate-addiction/
Accepts Insurance

Andrea Holinga, MD, Plastic Surgeon
Doing business as Dallas Suboxone Doctor, offers a Suboxone clinic with limited hours
500 North Carroll Avenue, Southlake, TX 76092
Phone: 972-375-9980
http://dallassuboxonedoctor.com/


Treatment facilities:

Inpatient Private Facility (Also offers outpatient programs):
Grapevine Valley Hope
Address: 2300 William D Tate Ave, Grapevine, TX 76051
Phone: (800) 544-5101
https://valleyhope.org/locations/texas/grapevine/
Grapevine Valley Hope Cost: $14,000 (30 days).

MH/MR of Tarrant County (State assisted addiction treatment program)
3840 Hulen Street, North Tower, Fort Worth, TX 76107
Phone: 817-569-4300
http://www.mhmrtc.org/Services/Addiction-Services
Referrals: 24 hours a day, 365 days a year
Call 817-335-3022 or 1-800-866-2465 Or Text (817) 335-3022

Value Options is a contractor for providing Mental Health and Addiction Services for Dallas area (North Star administered programs) This program ends December 2016.
The directory can be downloaded here 
http://www.valueoptions.com/northstar/members/resources/NorthSTAR_Provider_Directory.pdf


Notes:

  • Only a physician with DEA waiver can prescribe Suboxone for outpatient use. Each Suboxone provider is allowed to enroll up to 100 active patients. This limit is imposed by Federal Law. A provider may not be accepting new patients if they have reached their limit.
  • Some providers accept insurance, but most do not accept it, because insurance coverage is patchy, with no clear policy, and is restricted to approved psychiatrists, addiction specialists, or addiction programs. The majority of Suboxone prescribers are not psychiatrists or addiction specialists, … most of them are internists, family practice doctors, or pain clinics.
  • Methadone cannot be prescribed by physicians for addiction treatment. It can only be obtained through approved Methadone clinics.
  • Many Methdone clinics also prescribe Suboxone.

Butrans transdermal patch is approved for pain management. It has the same ingredient as Suboxone, … Buprenorphine, but in lower concentration. One patch lasts for seven days. This does not require the special waiver certificate, and it can be prescribed by any physician who is authorized to prescribe controlled substances.

Suboxone can not be prescribed for pain. If prescribed, it is considered off label use, and it will invite scrutiny by state and DEA officials.

Emergency Detox in a hospital.
It is covered by most insurances including Medicare … but you can not do it again and again. Doctors in a hospital do not require DEA waiver certificate as they are not prescribing it for outpatient use … it is only for administration while in the hospital, and is limited to short duration, generally one to three days. This is not a good method … after detox and discharge from hospital you will be back in withdrawal … and at risk for relapse.

You can not get Suboxone from Emergency Room.

Your best source of information will be your insurance plan, as each policy plan is different in its coverage. Preauthorization is almost always required.
Ask them for:

  • a list of contracted addiction treatment providers in your network
  • duration of treatment coverage
  • medication coverage duration and quantity limits
  • contracted providers are usually full … so expect to be placed on a waiting list

Paying for the outpatient treatment … doctor’s fee, counseling fee, medication costs … will still be cheaper than buying illicit drugs.


Substance abuse treatment facility locator:

http://findtreatment.samhsa.gov/
This site will help you locate facilities nearby based on state, city, or zip code.
These facilities are more likely to accept insurance.

If you can not afford doctors fees and cost of Suboxone, then there are other alternatives available for treatment of addiction. In fact you should try these first.

1. Methadone Clinics: Methadone clinics prescribe Methadone and may also prescribe Suboxone/Subutex. These clinics are very few, located only in bigger cities, and require daily visit when you begin treatment. Methadone can not be prescribed by physicians outside these programs for addiction treatment.

2. Residential programs: There are several residential programs, that can range from a week to several months of treatment. These programs have a very fast taper, if any, and rely on denial of access to drugs, and behavioral changes rather than medications.

Many of these programs receive state funding. The cost is usually based on a sliding scale, related to income. These are comprehensive programs, which may also provide job training, and being residential include food and lodging during treatment etc. Some also accept single parents, including their children, … if there is no one else to take care of them. Most state funded programs will not accept a patient who has already used up the benefit once.

Charity run programs are more likely to accept a patient even if they have had a relapse and need treatment again.

Even if the program claims that the treatment is free … there may be application fees and other costs involved.

Even if you can not find a physician in your insurance network, you may be able to submit your physician’s bill/CMS 1500, and seek reimbursement from your insurance carrier, … call them and ask for the procedure. Most of them will find some excuse to decline it.

Some insurance plans contract out this coverage to companies like Magellan and ValueOptions. These companies generally do not cover for services provided by physicians who are not psychiatrists, or addiction specialists, and, or restrict coverage to approved Addiction treatment providers/facilities.

Call your insurance carrier and obtain a list of approved providers. If it is provided under your policy, and they can not provide you with the necessary treatment, then lodge a complaint, and demand that they reimburse your out-of pocket costs.

You can ask your insurance carrier to clarify their policy regarding Suboxone coverage, and enroll additional providers.

Coverage Notes:
Most insurances, including Medicare and Tricare do not cover outpatient opioid addiction treatment.

  • They only cover inpatient opioid addiction or detox treatment, generally limited to 3 days.
  • Addiction treatment falls under behavioral health … see if your policy has such coverage. If it does then your insurance will cover it only if you go through their approved providers. They may cover inpatient residential rehab or outpatient treatment programs.
  • Addiction treatment facilities and Addiction specialists are more likely to accept insurance.
  • Doctors who accept insurance are also more likely to be full to their capacity.
  • Some insurances including Medicare/Medicaid will cover your doctor visits if it is for a purpose other than addiction treatment. That is you have a dual diagnosis thus allowing the psychiatrist to bill for a different diagnosis.
  • Your prescriptions are covered by your prescription plan which is different from your insurance plan. So sometimes your doctor visits are not covered but your prescription is covered.
  • Most Suboxone providers are not addiction specialists, that is they do not have Fellowship training or Board certification in addiction medicine.
  • Drug addiction treatment act does not require a doctor to be an addiction specialist.

Many PCP’s will accept insurance for other services but not for Suboxone because of re-imbursement problems. It is still worth while to obtain Suboxone from such providers as any associated problems, blood tests, etc, may be covered by your insurance.

Your prescriptions are covered by your prescription plan … which may be different from your insurance plan. Ask them if Suboxone prescriptions are covered, whether pre-authorization is required, quantity and duration limits if any, and the co-pay. These prescription plans typically cover either the generic Suboxone tablet or one of the brands Suboxone, Bunavail, Zubsolv. Get the information before you go to the doctor.