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integrationacademy.ahrq.gov/sites/default/files/2021-04/State_of_Opioid_Use_Among_Older_Adults.pdf
January 01, 2021 - Co-
Poly- Prescribing
pharmacy/ Benzo-
Adverse Drug diazepines
Events
Yet, prescription opioid … of adults 65+
during 2017 and 2018.1 purchased four or more fills of
opioid prescriptions during … Beneficiaries
65 and older.*
For example, high daily dosages, long-term use of opioids, obtaining prescriptions … opioids can increase the risk of harm.
14,814 beneficiaries
460,000 beneficiaries obtained opioid prescriptions … beneficiaries exceeding 240 mg MED/day in 2017.3
were co-prescribed opioid and
benzodiazepine
prescriptions
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/pre-implementation-planning
June 02, 2025 - and progress reporting are possible Whether pharmacies in your community will reliably fill your MOUD prescriptions … It is worthwhile to monitor your patient's ability to fill their prescriptions at certain locations, … and it may be necessary to route the prescriptions to more collaborative pharmacies. … Addressing the Escalating Problems That Patients Encounter When Filling Buprenorphine Prescriptions.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/challenging-patient-behaviors-and-concerns
January 01, 2021 - Risks of Diversion
Signs of medication diversion may include patients reporting lost or stolen prescriptions … Repeated reports of lost, stolen, or destroyed prescriptions may signal a variety of situations such … Comparing the quantity on hand to the original prescription can help identify potential diversion. … Prescription Drug Monitoring Program (PDMP) Checks: Every time you prescribe buprenorphine (i.e., at … PDMP checks can help identify patterns of misuse, such as "doctor shopping" or overlapping prescriptions
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/pharmacotherapy
January 01, 2019 - Know which pharmacies in your community will reliably fill your MOUD prescriptions. … It is worthwhile to monitor your patient's ability to fill their prescriptions at certain locations, … and it may be necessary to route the prescriptions to more collaborative pharmacies. … Taking over their prescription is an option. … from other providers in the prescription drug monitoring program, no buprenorphine in the urine drug
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-news-october-2017-update
October 31, 2017 - (Centers for Disease Control and Prevention)—this report finds that, despite reductions in opioid prescription … State and Substate Estimates of Nonmedical Use of Prescription Pain Relievers (link is external) (Substance … Peer-Reviewed Literature Prescription Opioid Use, Misuse, and Use Disorders in U.S. … misuse in the Substance Abuse and Mental Health Services Administration report Why Do Adults Misuse Prescription … Prescription Opioid Use Among Adults With Mental Health Disorders in the United States (link is external
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-october-2017-update
October 31, 2017 - is external) (Office on Women’s Health)—OUD has been increasing at alarming rates, with deaths from prescription … report Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription … prescribing and education, concluding that physicians trained at top medical schools write fewer opioid prescriptions
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/screening-and-diagnosis
January 01, 2018 - Possible screening tools include: Tobacco, Alcohol, Prescription medication, and other Substance use … Check Prescription Drug Monitoring Programs
Providers should check whether their patients are … receiving prescriptions for controlled substances from other healthcare providers. … A prescription drug monitoring program (PDMP) is an electronic database that collects and monitors prescribing … PDMPs can help identify patients who may be misusing or diverting prescription opioids.
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/general-operations
August 01, 2024 - At the Federal level, the prescription of buprenorphine is regulated by the Controlled Substances Act … However, in the face of the opioid epidemic, some States are relaxing requirements for the prescription … prescribers, such as the ages of patients to whom these medications may be prescribed, duration of the prescriptions … buprenorphine. 6 Logs for DEA inspections should include patient names or identification numbers, dates of prescriptions … in the inspection process and a sample drug accountability record (PDF—586 KB) and buprenorphine prescription
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-2018-updates
January 11, 2018 - Tobacco, Alcohol, Prescription Medication, and Other Substance Use (TAPS) Tool (National Institute on … Services)—this interactive tool shows geographic comparisons of deidentified Medicare Part D opioid prescription … Health Administration)—this fact sheet series aims to raise awareness about the risks associated with prescription … Search and Rescue (Partnership for Drug-Free Kids)—this website provides tools and resources about prescription … When Are Prescribers Required to Use Prescription Drug Monitoring Programs?
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integrationacademy.ahrq.gov/sites/default/files/2020-06/mat_for_oud_environmental_scan_volume_1_1.pdf
January 01, 2020 - Each year, an estimated 289 million opioid prescriptions are
dispensed in the United States, making … frequently prescribed
class of medications.6 One study found that, on average, more than half of these prescriptions … care providers (PCPs) are the main prescribers of opioid analgesics, with approximately 29
percent of prescriptions … as friends and family with prescriptions are often a
main source of access to these drugs.21 Also, … Characteristics of opioid prescriptions in 2009.
JAMA 2011 Apr 6;305(13):1299-301.
8.
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integrationacademy.ahrq.gov/about/initiatives/opioid/grantees/colorado
February 01, 2023 - with buprenorphine for OUD and is associated with an increase in the number of patients receiving a prescription … Pre-post analysis showed an increase in the number of patients receiving partial opioid agonist prescriptions
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/overdose-risk
January 01, 2018 - Providers should also regularly check their State’s Prescription Drug Monitoring Program to see if a … patient is obtaining prescription opioids from another prescriber, as it may indicate a return to use … However, restrictions may still exist in terms of whether a prescription is needed, who can obtain naloxone … prescriptions, and who can administer the medication. … Whether or not the State requires clinicians to provide a prescription for naloxone, it is important
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integrationacademy.ahrq.gov/sites/default/files/2023-07/Sample-of-Behavioral-Health-Apps-Studies.pdf
January 01, 2023 - Network meta-analysis comparing
the effectiveness of a prescription digital therapeutic for chronic … healthcare resource utilization over 6 months in patients with substance use disorders
treated with a prescription … Real-world use and clinical outcomes after 24
weeks of treatment with a prescription digital therapeutic … Real-
world evidence for a prescription digital therapeutic to treat opioid use disorder. … healthcare resource utilization in patients with opioid use disorder in the 12 months after
initiation of a prescription
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integrationacademy.ahrq.gov/sites/default/files/2021-04/Table_of_Opioid_and_Pain_Management_Tools_and_Resources.pdf
January 01, 2021 - Prevalence and detection of prescription opioid misuse and prescription opioid use disorder among emergency … department patients 50 years of age and
older: Performance of the prescription drug use questionnaire … Validation of a screening risk index for serious prescription opioid-induced respiratory depression or … It
shares background
information and policy
prescriptions. … State’s Prescription Monitoring Program”).
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/mitigating-overdose-risk
January 01, 2019 - Naloxone is available without a prescription in all 50 states and the District of Columbia. … Consider regularly checking your state's Prescription Drug Monitoring Practice to see if a patient is … obtaining prescription opioids from another prescriber, as it may indicate a return to use. 7 … To Prevent
Year
2019
Resource Type
PDF
Non-prescription
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/general-operations
January 01, 2024 - prescribers related to the age of patients eligible to receive these medications, the allowable duration of prescriptions … in maintenance or detoxification treatment; 21 CFR 1306.05(a) and 1306.05(b) Manner of issuance of prescriptions
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integrationacademy.ahrq.gov/about/initiatives/other-initiatives
May 01, 2024 - providing MAT in primary care and explores the prevalence of adolescents’ misuse of a family member’s prescription … related to opioid use disorder and substance use
News
State Variation in Medicaid Prescriptions
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/quick-start-guide
January 01, 2021 - Available without a prescription, naloxone can be found in stores, vending machines, and online, and … We get to write prescriptions. Oh my G-d. I get to write prescriptions. … has been a nationwide concern 64 about the unwillingness of some pharmacies to fill buprenorphine prescriptions … limited number of buprenorphine formulations, and others place severe limitations on the number of prescriptions … It is important to learn which community, national chain, or mail order pharmacies will fill the prescriptions
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/pharmacotherapy-training
January 01, 2020 - which will assign the provider a special identification number that will be used on all buprenorphine prescriptions … Seek Training on Naltrexone
While a DATA 2000 waiver is not needed for the prescription of naltrexone
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integrationacademy.ahrq.gov/products/topic-briefs/behavioral-health-apps
July 01, 2024 - Non-prescription apps are comparable to dietary supplements. … (i.e., prescription digital therapeutics). … The rise of prescription digital therapeutics in behavioral health. … Real-world evidence for a prescription digital therapeutic to treat opioid use disorder. … The rise of prescription digital therapeutics in behavioral health.