Common use of Opioid Reduction Strategies Clause in Contracts

Opioid Reduction Strategies. (A) The Contractor shall develop methods to reduce opioid utilization through MME methodology and MED (Morphine Equivalent Dose) cumulative dosing limits. In coordination with the Drug Utilization Review Board and Department FFS pharmacy policy, the Contractor shall apply a prospective drug utilization edits which prevent Enrollees from obtaining additional opioids beyond the MME/MED limit determined by the Department. There will be a separate standard for Enrollees who are opioid naïve and opioid experienced.

Opioid Reduction Strategies. (A) The Contractor shall develop methods to reduce opioid utilization through MME methodology and MED (Morphine Equivalent Dose) cumulative dosing limits. In coordination with the Drug Utilization Review Board and Department FFS pharmacy policy, the Contractor contractor shall apply a prospective drug utilization edits which prevent Enrollees members from obtaining additional opioids beyond the MME/MED limit determined by the Department. There will be a separate standard for Enrollees members who are opioid naïve and opioid experienced.