Ive NEVER heard of clinics here giving 3/400mg doses, your info is faulty. What does it have to do with black people? Are you being serious, trolling or is it some kind of drunken rant? 120 is usually tops.
At my clinic, in Los Angeles, CA, you do not have to be in withdrawal, but they dont want you coming in high. Have to test positive for morphine. They open at 5am, so if you show up then you will be in and out in less than 1 1/2 - 2 hours if youre a new intake patient. You are given between 30-60 mg on your first day and increase/adjust in the days that follow.
We have the orange 20mg wafers that are scored in quarters and also have the pink juice. You can choose whichever one you like, i prefer the liquid because you can increase your dose by individual miligrams, as opposed to the wafers its a 5mg increase or decrease. Thry still dissolve the wafers in water for you, its like chunky orange metamucil.
Getting an increase at my clinic is not difficult, the staff (counselors, docs and nurses) are all vety friendly and understanding and on a first name basis with us. They want to make you feel sate/welcome. Ive been to clinics where they treat you like a drug seeker asking for an increase.
I pay 220$ a month because my insurance doesnt cover MMT. But most people here are on the state insurance program for low income, called Medi-CAL, and its paid for. You can pay however you like, just as long as youve settled your bill by the end of the month.
I get three take homes a week. You have to be a patient for at least six months before you get take homes. But heres the weird thing, i had six dirty UAs the first six month, and on my seventh month i had a clean UA and they let me start on weekend take homes. So to get take homes you have to be there for six months regardless of clean or not, but have to give a clean to continue or to start getting take homes. Then at seven months 3, at 8 months 4 and I think at 12 months you are eligible for a week of take homes. These are MY clinics rules, so i dont know how others are.
The UA is very easy to manipulate. They give you a plastic cup, a paper cup and a plastic baggy and say go in bathroom and give us your sample. They want you to pee in the paper cup then transfer it to the plastic cup and seal in ziplock baggy. Then you come out of bathroom and drop into this chute in the wall. Their stupid joke is to say drop it like its hot. These tests, unlike initial test, get sent to lab so they do not verify temp. So its easy to bring in someone elses pee and use it instead.
We meet with a counselor once a month to discuss our treatment goals.
Daily, we go in, checkin/pay, walk to the back to a window in the wall and the nurse doses us. Never more than two or three people there. Open from 5am until 12:45pm.
In my hometown of Anchorage, Alaska, we only have ONE MMT clinic. Their capacity is 55 people and pregnant woman get priority. So you can put your name on the list, but youll always get bumped down by a pregnant woman. Basically will never get served unless youre pregnant.