CVS is finally trying to do something about the opioid epidemic:
Drug-store chain CVS Health announced Thursday that it will limit opioid prescriptions in an effort to combat the epidemic that accounted for 64,000 overdose deaths last year alone.
Amid pressure on pharmacists, doctors, insurers and drug companies to take action, CVS also said it would boost funding for addiction programs, counseling and safe disposal of opioids.
[...] The company's prescription drug management division, CVS Caremark, which provides medications to nearly 90 million people, said it would use its sweeping influence to limit initial opioid prescriptions to seven-day supplies for new patients facing acute ailments.
It will instruct pharmacists to contact doctors when they encounter prescriptions that appear to offer more medication than would be deemed necessary for a patient's recovery. The doctor would be asked to revise it. Pharmacists already reach out to physicians for other reasons, such as when they prescribe medications that aren't covered by a patient's insurance plan.
The plan also involves capping daily dosages and initially requiring patients to get versions of the medications that dispense pain relief for a short period instead of a longer duration.
[...] "The whole effort here is to try to reduce the number of people who are going to end up with some sort of opioid addiction problem," CVS Chief Medical Officer Troyen Brennan said in an interview.
It appears this initiative is limited to initial filling of prescriptions — there is no mention of changes in the handling of refills.
(Score: 3, Interesting) by JoeMerchant on Monday September 25 2017, @08:17PM
My wife was in ICU in 2001 when "rate your pain on a scale of 1-10" was just coming into fashion, along with the DIY morphine button on the IV drip. Following the MD's instructions, she was pressing the button to supposedly help control her blood pressure. In reality, the morphine was suppressing her respiration, giving her nightmare hallucinations that were increasing her blood pressure, and necessitating an oxygen cannula which caused her nasal septum to crack and bleed and cause her more stress...
Solution? Ignore doctors, stop pressing button, 2 hours later remove cannula, SaO2 is fine now, hallucinations go away, blood pressure drops... duh.
I think many "standard of care" practices are applied in ways that increase billable event bottom lines, with little or no regard to the patient beyond trying not to kill them, because that's bad for repeat business...
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