Prescriptive Thinking – the Prescription Advisory Blog

Our thoughts on the evolving prescription monitoring landscape.

Prescription Advisory Blog

Opioid recipients often use multiple prescribers

BMJ recently published an analysis of opioid prescribing among Medicare patients -"Opioid prescribering by multiple providers in Medicare: retrospective observational study of insurance claims". A couple of things jumped out: Just over two thirds of opioid recipients...

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NJ and PMP – Prescriptive Thinking

Governor Chris Christie signed a bill on July 20th, 2015 requiring drug prescribers and pharmacists in NJ to register for the state’s Prescription Monitoring Program (PMP) and to check the PMP when prescribing controlled substances. “We’re not only...

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Pain Patients are not all Degenerates

Two important articles have come out just in the past few days. Journal of the American Medical Association The first is a JAMA published article about opioid overdose. If I allow myself to do a substantial study the disservice of ultra-condensing its learnings, it...

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Complicated Value Creation

Today I want to talk more about business, than about prescription drug abuse. In selling PastRx, we run into an issue. Prescribers understand how our system will protect their patients, and lead to better outcomes. They understand how it will protect them from the DEA...

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The Origins of Prescription Advisory

Just over two years ago, I met with my old friend Dr. Frederic “Skip” Leeds. We were just catching up on what was happening in our lives, and with our families. Skip mentioned that he was working on something pretty interesting.  In response to a growing problem with...

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Follow Prescription Advisory

A study was conducted to estimate the societal costs of prescription opioid abuse, dependence, and misuse in the United States. Costs were grouped into three categories: health care, workplace, and criminal justice.

The results: Total US societal costs of prescription opioid abuse were estimated at $55.7 billion in 2007 (USD in 2009). Workplace costs accounted for $25.6 billion, health care costs accounted for $25.0 billion, and criminal justice costs accounted for $5.1 billion. Workplace costs were driven by lost earnings from premature death ($11.2 billion) and reduced compensation/lost employment ($7.9 billion).

Conclusions: The costs of prescription opioid abuse represent a substantial and growing economic burden for the society. The increasing prevalence of abuse suggests an even greater societal burden in the future.

Pain Medicine, Volume 12, Issue 4, April 2011

Whenever possible, orthopaedic surgeons should request and review old medical records and speak with the patient’s primary physician about past medication problems. Currently, states have Prescription Drug Monitoring Programs designed to assist law enforcement in the identification of doctor shoppers; these data are also accessible to physicians.

American Academy of Orthopaedic Surgeons, Now, March 2014
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