PMID- 36342953 OWN - NLM STAT- MEDLINE DCOM- 20221220 LR - 20230104 IS - 1940-5200 (Electronic) IS - 1078-3458 (Linking) VI - 28 IP - 6 DP - 2022 Dec TI - Cost Analysis of Buprenorphine Extended-Release Injection Versus Sublingual Buprenorphine/Naloxone Tablets in a Correctional Setting. PG - 368-371 LID - 10.1089/jchc.21.07.0063 [doi] AB - Incarcerated clients experience high rates of opioid use disorder and overdose. It is critical that opioid agonist treatment (OAT) is provided in correctional facilities. However, few receive OAT due to concerns about diversion, misuse, and safety. Buprenorphine extended-release (BUP-XR), a monthly buprenorphine depot injection, could be especially advantageous in the correctional setting as it can prevent diversion and misuse, saving staff resources and time. An injection of BUP-XR is costly compared with a monthly supply of buprenorphine/naloxone (BUP/NX) tablets. We demonstrate that when factoring in the added costs of medication preparation, administration, monitoring, and personnel, it is more economical to provide BUP-XR than BUP/NX. Other facilities, by utilizing our cost breakdown, can determine whether BUP-XR is economically advantageous at their own facility. FAU - Wong, James S H AU - Wong JSH AUID- ORCID: 0000-0003-3030-311X AD - Correctional Health Services, BC Mental Health and Substance Use Services, Provincial Health Services Authority, British Columbia, Canada. AD - Department of Psychiatry, University of British Columbia and Vancouver General Hospital, Vancouver, British Columbia, Canada. FAU - Masson, Sarah AU - Masson S AD - Correctional Health Services, BC Mental Health and Substance Use Services, Provincial Health Services Authority, British Columbia, Canada. FAU - Huang, Alan AU - Huang A AD - Correctional Health Services, BC Mental Health and Substance Use Services, Provincial Health Services Authority, British Columbia, Canada. FAU - Romm, Deanna AU - Romm D AD - Correctional Health Services, BC Mental Health and Substance Use Services, Provincial Health Services Authority, British Columbia, Canada. FAU - Fong, Maylene AU - Fong M AD - Correctional Health Services, BC Mental Health and Substance Use Services, Provincial Health Services Authority, British Columbia, Canada. FAU - Porter, Tony AU - Porter T AD - Adult Custody Divisions, BC Corrections, Government of British Columbia, British Columbia, Canada. FAU - Sharifi, Nader AU - Sharifi N AD - Correctional Health Services, BC Mental Health and Substance Use Services, Provincial Health Services Authority, British Columbia, Canada. FAU - Azar, Pouya AU - Azar P AD - Department of Psychiatry, University of British Columbia and Vancouver General Hospital, Vancouver, British Columbia, Canada. FAU - Mathew, Nickie AU - Mathew N AD - Correctional Health Services, BC Mental Health and Substance Use Services, Provincial Health Services Authority, British Columbia, Canada. AD - Department of Psychiatry, University of British Columbia and Vancouver General Hospital, Vancouver, British Columbia, Canada. LA - eng PT - Journal Article DEP - 20221107 PL - United States TA - J Correct Health Care JT - Journal of correctional health care : the official journal of the National Commission on Correctional Health Care JID - 9503759 RN - 0 (Narcotic Antagonists) RN - 0 (Buprenorphine, Naloxone Drug Combination) RN - 40D3SCR4GZ (Buprenorphine) RN - 0 (Tablets) SB - IM MH - Humans MH - Narcotic Antagonists/therapeutic use MH - Prisons MH - Buprenorphine, Naloxone Drug Combination/therapeutic use MH - *Buprenorphine/therapeutic use MH - *Opioid-Related Disorders/drug therapy MH - Tablets/therapeutic use MH - Costs and Cost Analysis OTO - NOTNLM OT - buprenorphine extended-release OT - cost analysis OT - jails OT - opioid agonist treatment OT - prisons EDAT- 2022/11/08 06:00 MHDA- 2022/12/21 06:00 CRDT- 2022/11/07 13:42 PHST- 2022/11/08 06:00 [pubmed] PHST- 2022/12/21 06:00 [medline] PHST- 2022/11/07 13:42 [entrez] AID - 10.1089/jchc.21.07.0063 [doi] PST - ppublish SO - J Correct Health Care. 2022 Dec;28(6):368-371. doi: 10.1089/jchc.21.07.0063. Epub 2022 Nov 7.