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Pharmacotherapy for Alcohol Dependence (AD) is underutilized. Barriers preventing use of AD medications include high prices, lack of access to prescribing physicians, and limited number of available medications. To evaluate the use of AD medications in a sample of Italian outpatients who received these medications free of charge, had access to physicians during office hours, and for whom substitution therapy [gamma-hydroxybutyrate (GH] was available. We also evaluated the rate of patients who received a combination of non-pharmacolo