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

Although relieving pain and reducing suffering are primary emergency physician responsibilities, there is a concurrent duty to limit the personal and societal harm that can result from prescription drug misuse and abuse.

Pain Management / Clinical PolicyACEP Annals of Emergency Medicine 525, October 2012

Use of a state PDMP may help identify patients who are at high risk for diversion or doctor shopping… To quantify the effects of PDMPs, studies were conducted of ED providers who cared for adult patients with pain. Of the patients with complete data in one study, information from the state’s PDMP System altered prescribing practice in 41%.

ACEP - Annals of Emergency Medicine - 525
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