I was 14 days sober, after cold turkeying off from my heroin habit, when I started attending an intensive outpatient group which prescribed me suboxone. All I had to do was provide proof of insurance and pay some money. Other places will make you drug test. Generally it's pretty often whether someone is truly an addict even 10 days into their sobriety, with a propensity to sweat, yawn, etc. etc. So it would be obvious to the trained eye. If you are high at the time of your assessment they'll make you first detox in a hospital setting, detox/cold turkey at home or send you into a residential program (probably also with a medical detox first).
Basically, the one thing you will NEED to prove you have is funds to pay for the sub treatment.
So to directly answer your question:
It will depend on the specific program, but I was able to go in and get it prescribed, at an 8mg/day maintenance level, as a preventative measure. I was still going through minor w/d's at the time of my assessment, but they didn't ask for any drug test or anything like that. Good luck!!!
p.s. PM me if you're in San Diego, and I'll give you more advice. I am also 24 currently, and started using opioids regularly when I was 18. Small world...
