Impact of a Pilot Outreach Program upon Provider Awareness and Prescribing of a Concerning Opioid Combination Regimen
Santaniello, Briana ; Pomfret, Thomas C. ; Tesell, Mark A. ; Trask, Nicole M. ; Alper, Caroline J. ; Clements, Karen M. ; Palumbo, Vincent ; Lenz, Kimberly ; Jeffrey, Paul L.
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Keywords
Medicaid
co-prescribing
opioids
benzodiazepines
stimulants
additive central nervous system depression
drug abuse
overdose
opioid epidemic
pain management
American Drug Utilization Review Society
Health Economics
Health Law and Policy
Health Policy
Health Services Administration
Health Services Research
Pharmaceutical Preparations
Pharmacy Administration, Policy and Regulation
Substance Abuse and Addiction
Therapeutics
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Abstract
This pilot program was developed in response to a drug utilization review within a large Medicaid population that revealed some hazardous practices. Co-prescribing of opioids with benzodiazepines, gabapentin, and other stimulants occurred in more than 500 members, putting them at risk for additive central nervous system depression, misuse, abuse, and death from overdose.
The poster presentation outlines the objectives, methods, and results of a telephonic outreach program that addressed these safety concerns. It captures prescriber awareness of the presence and risks of potentially deadly medication combinations among members in their care, with some intriguing results.
Our experts provide health plans with framework and support to address the opioid epidemic head on with robust opioid medication management programs, evidence-based clinical guidelines, and prescriber outreach. Our interdisciplinary team’s innovative approach helps health plans decrease inappropriate opioid usage and while ensuring members maintain access to appropriate pain management. This presentation was given at the American Drug Utilization Review Society (ADURS) conference February 22-24, 2018 in Scottsdale, Arizona.