|A Nation in Pain: Focus on Medicaid|
Experience the interactive Multichannel News Release here: https://www.multivu.com/players/English/81263241-express-scripts-medicaid-opiod-use-study/
Opioids impact in
Opioids use affects people of all ages and across all socioeconomic backgrounds. However,
As one of the largest providers of PBM services to managed
Even more alarming, 4.3% of
Additionally, other key study findings from the study also include:
The study also compared usage patterns across
Preventing the abuse from every angle
When thinking of how to combat the opioid epidemic, solutions can take a number of forms. One solution is to look at utilization patterns of opioid users — both prescriber and pharmacy utilization as patients abusing opioids tend to seek out multiple prescribers and pharmacies. In fact, more than a quarter of
Additionally, the study found the average
In addition to reducing doctor and pharmacy shopping, other solutions include looking at the formulations of opioids. These drugs can be abused in various forms — they can be swallowed, crushed, snorted, smoked, dissolved and injected. New opioid formulations attempt to combat this abuse with mechanisms that prevent altering the dose form. Some products add an opioid antagonist to block the associated euphoric feelings of using an opioid. While intriguing, these new abuse-deterrent medications are primarily brand drugs and are extremely expensive compared to generics forms. Due to their high costs,
Other solutions may include looking at the types of prescribers writing opioid prescriptions. In the study, the top five prescriber specialties for the majority of opiate prescriptions were Family Medicine, Internal Medicine, Emergency Medicine, OB/GYN and Orthopedic Surgery. Dental providers were the most common opiate prescribers for children.
Federal and state programs and healthcare organizations are committed to turning the tide on opioid abuse and have launched numerous initiatives to combat the opioid epidemic, from the Comprehensive Addiction Recovery Act to the Surgeon General's letter on opioids to President Trump's recent plan.
Individual states are implementing electronic prescribing of controlled substances, enacting first-fill restrictions, imposing quantity and morphine-equivalent dose limits and expanding access to naloxone, a life-saving medication that reverses opioid overdoses.
However, government regulations and initiatives are only a piece of the treatment puzzle. Our nation needs a multifaceted solution that targets abuse and addiction from every angle — at home, at the doctor's office and at the pharmacy. Only by working together can we put the brakes on the opioid epidemic.
Combating the national opioid epidemic calls for a comprehensive plan, not a bandage.
The drugs driving the
Hydrocodone-acetaminophen continues to lead the list of most prescribed opiates. In an attempt to reduce excessive prescribing in 2014, the
In addition to hydrocodone-acetaminophen being the most prescribed drug, the top five opioid pain medications dispensed for
Another serious concern highlighted in the report was the number of patients taking potentially dangerous combinations of drugs, such as an opioid and another medication that can help alleviate or reduce pain – such as an anticonvulsant, antidepressant or a skeletal muscle relaxant. When combined with opioids, there is a high risk for adverse reactions, such as additional drowsiness. The combination of these drugs can cause patients to become confused and fall, creating a particularly dangerous combination for frail and elderly patients. Among these medications, anticonvulsants and skeletal muscle relaxants had the highest rates of adjuvant therapy — and 34% of
A solution that works across the care continuum
For every person who dies from opioids, more than 850 are in stages of misuse, abuse and treatment. Providing care for a huge variety of patients, behaviors and outcomes requires a robust, 360-degree solution with active participation from PBMs, prescribers, pharmacies, employers and opioid users. Affecting change requires influencing behavior at every touchpoint — drug utilization management alone is not the answer — and coordination of care is critical.
To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/a-nation-in-pain-focus-on-medicaid-300478704.html
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