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[DOCX File]For All Patients Tapering Opioid Medications
https://info.5y1.org/safe-methadone-taper_1_9cb796.html
Safe and tolerated rapid opioid “detoxification” - management of opioid withdrawal. Substitution of other opioids, as a long acting opioid of choice, for very slow tapers off opioids, for patients who are at risk of opioid overdose. Maintenance therapy (similar to methadone) for opioid use disorders with and without concurrent chronic pain.

Concomitant Opioid and Benzodiazepine Initiative ...
Dose changes may require resubmission of PA in members who also fall under the high dose opioid criteria or benzodiazepine polypharmacy criteria, or in situations where the medication itself requires PA. Prescribers who need to cross-taper or titrate medications should clearly document the plan so that DUR can facilitate those changes.

Concomitant Opioid and Benzodiazepine Initiative ...
Number 137, November 26, 2019. Update to Pharmacy Facts #136: Please Refer to This Updated Document MassHealth Concomitant Opioid and Benzodiazepine Initiative. Background. The MassHealth Concomitant Opioid and Benzodiazepine Initiative (COBI) requires prior authorization (PA) for members using opioid and benzodiazepine medications concomitantly.

[DOC File]sopm-062016audio
https://info.5y1.org/safe-methadone-taper_1_e0788b.html
There are a number of questions around behaviors that we consider aberrant. Please share more tips for managing the involuntary immediate tapering imposed on patients because of patient behavior or policies. How to motivate a Veteran prescribed methadone to adhere to taper; and give_____ [00:21:50] his pills, and he eats all in the first week.

[DOCX File]Office-based opioid treatment (OBOT) Policy and Procedure ...
https://info.5y1.org/safe-methadone-taper_1_115062.html
If patients are considering a methadone taper to prepare for buprenorphine transition, the OBOT team recommends that the taper be slow enough to avoid craving and other withdrawal symptoms. If craving or withdrawal occurs, holding the methadone dose constant for a specified period may be prudent.

[DOCX File]Home - Providers Clinical Support System: Resources for PCPs
https://info.5y1.org/safe-methadone-taper_1_cb395a.html
When carefully overseen by a doctor, methadone is safe to use. Because methadone is a relatively strong opioid, methadone use also has several risks. ... At the end of a 7-day taper, less than half (44%) of patients were still opioid-free. When the tapering process was extended to 28 days, only 30% of patients were opioid-free at the end of the ...

Safe methadone taper