If he's taking 25-30 hydros (assuming he's being honest, most people understate their usage I've found), Temgesic is not going to work unless he takes huge amounts.

The ideal thing here would be the Suboxone doctor.

If not, and he can somehow afford all that hydro but the suboxone doc (maybe one further away that doesn't charge a ridiculous price...then maybe should consider methadone.

Methadone will also work for his pain in a way that many opioids won't. If he wants to get clean, he could do a methadone detox (21-28 days). If he needs pain relief forever, he could ask his doctor about this, that way he wouldn't have to go to a clinic every day.

-yawkaw