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Opioid Prescription Restrictions at Walmart and CVS Pharmacies

In 2018, Walmart (including Sam’s Club) and CVS Caremark implemented dosage and duration corporate policies to restrict opioid prescriptions filled at their pharmacies. Specifically:   Walmart restricted initial opioid prescriptions for acute pain to no more than seven days and 50 morphine milligram equivalents (MME) CVS Caremark restricted initial opioid prescriptions for an acute condition to a seven-day supply and 90 MME, although prescribers may request a prior authorization for higher doses up to 200 MME/day   Physicians have also reported being asked for extensive medical documentation such as treatment agreements, tried/failed ...

The paper chart holdouts

Robert Lending, MD, describes himself as a “computer dinosaur.” The Tucson, Ariz., internist and clinical lipidologist gets cash from bank tellers rather than ATMs. He doesn’t make online purchases or use social media. And he doesn’t use electronic health records.   Lending, 65, calls EHRs “the most dangerous, ridiculous piece of equipment I could ever have conceived of,” adding that his colleagues envy him for the peace of mind and extra time he enjoys from using paper charts. “You can’t believe how angry they are at computers, at the whole system,” he ...

CA physicians outline agenda to improve patient affordability, access and quality

The California Medical Association (CMA) recently convened the organization’s 147th annual House of Delegates (HOD) meeting in Sacramento. Over 500 California physicians debated and outlined a bold agenda to increase health care affordability, improve health care delivery, create efficiencies throughout the health care system, and improve health outcomes, which includes addressing social determinants of health and expanding telehealth services. “Physicians serve at the center of health care delivery, providing a unique expertise to ensure our patients are receiving affordable, timely and quality care,” said CMA President David H. Aizuss, M.D. “Health ...

HHS Encouraging Physicians to Use Telemedicine to Help Treat Opioid Use Disorder

The Department of Health and Human Services (HHS) is releasing materials to encourage physicians to take advantage of telemedicine tools, according to a recent HHS blog post.  The newly-available resources were developed to help clinicians better understand how they can use telemedicine as a tool to treat opioid use disorder (OUD) and expand treatment options. “Working with the Drug Enforcement Administration (DEA), HHS developed materials to help clarify how clinicians can use telemedicine as a tool to expand buprenorphine-based MAT [medication assisted treatment]for opioid use disorder treatment under current DEA regulations,” said the ...