{"id":117,"date":"2015-11-01T10:12:00","date_gmt":"2015-11-01T14:12:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2015\/01\/01\/prescription-monitoring-program-and-pill-mill-laws-have-had-modest-effects-on-opioid-overprescribing-in-florida\/"},"modified":"2017-01-31T11:44:49","modified_gmt":"2017-01-31T16:44:49","slug":"prescription-monitoring-program-and-pill-mill-laws-have-had-modest-effects-on-opioid-overprescribing-in-florida","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2015\/11\/01\/prescription-monitoring-program-and-pill-mill-laws-have-had-modest-effects-on-opioid-overprescribing-in-florida\/","title":{"rendered":"Prescription  Monitoring Program and \u201cPill Mill\u201d Laws Have Had Modest Effects on Opioid Overprescribing  in Florida"},"content":{"rendered":"<div class=\"research-summary-body\">\n                    <!-- InstanceBeginEditable name=\"contents\" --><\/p>\n<p>In the mid-2000s, Florida had high rates of  prescription opioid overdoses and physicians who were dispensing or prescribing  large quantities of opioids (\u201cpill mills\u201d). In response to this, the state  enacted laws in 2010 to discourage these practices and established a  prescription monitoring program (PMP) that became operational in 2011. This  study used data from a cohort of 2.6 million individuals who filled 480 million  prescriptions in Florida and Georgia (as a comparison), July 2010\u2013September  2012, and investigated changes in opioid prescribing practices.<\/p>\n<ul>\n<li>During  the pre-implementation period, the total volume of opioids (in mean morphine  equivalents [MME]), mean MME per transaction, and mean days\u2019 supply per  transaction were higher in Florida than in Georgia.<\/li>\n<li>When  comparing the pre- and post-implementation periods in Florida, the total opioid  volume in MME declined 4%, the mean MME per transaction declined 5.7%, while  the mean days\u2019 supply per transaction increased 3.8% and there was no change in  the number of opioid prescriptions. The greatest differences were among  prescribers with the highest baseline opioid prescribing rates. Georgia also had  declines in opioid volume and mean MME, but less than those observed in  Florida.<\/li>\n<li>It  was estimated that the change resulted in a reduction in prescribing equivalent  to 500,000 5 mg hydrocodone tablets per month in Florida.<\/li>\n<\/ul>\n<p><!-- InstanceEndEditable --><\/p>\n<div class=\"research-summary-footnotes-1\">\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes-1\" --><\/p>\n<p>\u00a0<\/p>\n<p>\t\t\t\t  <!-- InstanceEndEditable -->\t\t\t\t\t<\/div>\n<h2 class=\"research-summary-comments\">Comments:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"comments\" -->The measures implemented in Florida are reasonable but only modestly  effective, probably because they only affect the outliers. Most of the  prescription opioids that are fueling the current epidemic are not coming from \u201cpill  mills.\u201d Individuals who divert prescription opioids generally receive them from  a single prescriber and this would not be influenced by the implementation of a  PMP, which targets \u201cdoctor shopping\u201d (seeking overlapping prescriptions from  multiple providers). <!-- InstanceEndEditable --><br \/>\n                    <cite><br \/>\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"name\" -->Darius A. Rastegar, MD<!-- InstanceEndEditable -->\t\t\t\t\t<\/cite><\/p>\n<div class=\"research-summary-footnotes\">\n\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes\" --><!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2>Reference:<\/h2>\n<p>\t<!-- InstanceBeginEditable name=\"reference\" -->Rutkow L, Chang HY, Daubresse M, et al. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26280092\">Effect of Florida&#8217;s prescription  drug monitoring program and pill mill laws on opioid prescribing and use<\/a>. <em>JAMA Intern Med<\/em>. 2015;175(10):1642\u20131649. <!-- InstanceEndEditable -->\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In the mid-2000s, Florida had high rates of prescription opioid overdoses and physicians who were dispensing or prescribing large quantities of opioids (\u201cpill mills\u201d). In response to this, the state enacted laws in 2010 to discourage these practices and established a prescription monitoring program (PMP) that became operational in 2011. This study used data from [&hellip;]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[59],"tags":[77],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/117"}],"collection":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/users\/11272"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/comments?post=117"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/117\/revisions"}],"predecessor-version":[{"id":2050,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/117\/revisions\/2050"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=117"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=117"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=117"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}