Be Ready for New Strategies to Promote Safe Opioid Use
You'll see new twists on existing efforts to ensure safe opioid use...more payer limits, expanded REMS, changes in state laws, etc.
Medicare Part D plans will limit initial opioid Rxs for acute pain to a 7-day supply in 2019...similar to many states and other payers.
Part D plans may also "lock in" patients to one opioid pharmacy and prescriber...similar to many Medicaid programs. Expect this for patients taking at least 90 morphine milligram equivalents (MME)/day in the last 6 months...AND using multiple pharmacies or prescribers for their opioids.