Effect of Controlled Substance Use Management on Prescribing Patterns and Health Outcomes Among High-Risk Users

Journal of Managed Care & Specialty Pharmacy
Xiaoxue ChenAbiy Agiro

Abstract

The misuse of prescription drugs is a serious public health problem. Although controlled substance (CS) prescribing, in particular, opioid analgesics, has recently declined, the volume of prescriptions in 2015 was still 3 times higher than in 1999. To curb the high volume of CS prescribing, a national health plan has implemented a controlled substance utilization management (CSUM) program, a prescriber-focused educational intervention regarding patients at risk for CS misuse. To characterize the effect of the CSUM program on CS prescribing volumes, number of prescribers and other health outcomes (opioid overdoses, all-cause emergency department visits, and all-cause hospitalizations). The CSUM program identified patients who received ≥10 CS prescriptions within any 3-month window for noncancer pain as being high risk for CS misuse and mailed patient medication profiles to their CS prescribers. This retrospective study was conducted on patients whose prescribers were contacted by the CSUM program from January 2014 to December 2015. The reference group included patients with carved-out pharmacy benefits who were 1:1 propensity score matched to the program group. CS prescribing volumes, number of CS prescribers, and other health c...Continue Reading

References

Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Sep 28, 2010·Statistical Science : a Review Journal of the Institute of Mathematical Statistics·Elizabeth A Stuart
Jul 25, 2013·Pharmacoepidemiology and Drug Safety·Matthew DaubresseG Caleb Alexander
Jul 7, 2015·American Journal of Preventive Medicine·Christopher M Jones, Jana K McAninch
Dec 30, 2016·MMWR. Morbidity and Mortality Weekly Report·Rose A RuddLawrence Scholl
Apr 7, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Leonard D YoungLee Panas
Jul 7, 2017·MMWR. Morbidity and Mortality Weekly Report·Gery P GuyDeborah Dowell
Aug 12, 2017·American Journal of Preventive Medicine·Christopher J Ruhm
Dec 5, 2017·Journal of Opioid Management·Margaret K PasqualeCarl L Roland

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Citations

Mar 11, 2020·Journal of Managed Care & Specialty Pharmacy·Julia J SmithPatrick P Gleason
Oct 1, 2020·Journal of Managed Care & Specialty Pharmacy·Lt Lauren HertzogLaura E Happe

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