Express Scripts to limit opioids; American Medical Association concerned

Express Scripts, the nation’s largest pharmacy benefit manager, will soon limit the number and strength of opioid drugs prescribed to first-time users as part of a wide-ranging effort to curb an epidemic affecting millions of Americans.

But the new program from St. Louis County-based Express Scripts is drawing criticism from the American Medical Association, the largest association of physicians and medical students in the U.S., which believes treatment plans should be left to doctors and their patients.

About 12.5 million Americans misused prescription opioids in 2015, according to the U.S. Department of Health and Human Services. More than 33,000 deaths that year were blamed on opioid overdoses.

Express Scripts launched a yearlong pilot program in 2016 aimed at reducing patients’ dependency on opioids and the risk of addiction, a company representative said, and analysis of 106,000 patients in the pilot program showed a 38 percent reduction in hospitalizations and a 40 percent reduction in emergency room visits, compared to a control group.

The program is scheduled to take effect nationwide on Sept. 1 for Express Scripts members whose employer or health insurer has enrolled to participate.

Under the program, new opioid users are limited to seven-day prescriptions, even if the doctor orders scripts for much longer.

Read more: Springfield News-Leader


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