New SOPI investigative criteria proposedComments: 0 comments
Under the proposed rule change, licensees would be investigated if they meet three or more of the following criteria, when there are at least five patients for each criterion:
- At least 25 percent of the prescriber’s patients receiving opioids reside at least 100 miles from the prescriber’s practice location;
- The prescriber had more than 25 percent of patients receiving the same opioids and benzodiazepine combination;
- The prescriber had 75 percent of patients receiving opioids self-pay for the prescriptions; The prescriber had 90 percent or more of patients in a three-month period that received an opioid prescription that overlapped with another opioid prescription for at least one week;
- More than 50 percent of the prescriber’s patients received opioid doses of 100 MME or greater per day excluding office-based treatment medications; and
- The prescriber had at least 25 percent of patients who used three or more pharmacies within a three-month period to obtain opioids, regardless of the prescriber.