What is our Advanced Opioid ManagementSM solution?

A clinically-driven solution combatting a nationally recognized crisis, our Advanced Opioid Management (AOM) suite of services provide a dynamic way to fight opioid abuse, meeting patients at the doctor’s office, at the pharmacy and at home. Watch our video to learn more about the opioid crisis and how together, we can make a change.

Watch the video to learn about the opioid crisis and how together, we can make a difference.

How does the Advanced Opioid Management solution work?

At the doctor's office:

  • Prescriber messages provided through electronic medical record, fax or letter
  • Alerts sent when patient activity indicates potential abuse
  • Prescriber education & peer comparison
  • Alerts sent recommending naloxone therapy when appropriate
  • Enhanced Fraud, Waste & Abuse

At home:

  • Informational letter detailing the risks of opioid use
  • Supply of drug disposal bags, when needed, reducing the chance for excessive use or distribution
  • Proactive Neuroscience Therapeutic Research Center pharmacist outreach
  • Optional upgrade: Pain management member engagement through Mango Health mobile app

At the pharmacy:

  • Concurrent drug utilization reviews identifying the most pertinent clinical patient safety or utilization concerns
  • First-time users limited to a seven-day supply of short-acting opioids
  • Prior authorization on first fill of a long-acting opioid to encourage a safe start
  • Pharmacy intervention triggered when patient dosage across all opioids reaches certain level
  • Safer fentanyl utilization initiatives
  • Opioid adjacent therapy quantity limits

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Automated message at point of care via EHR on potential misuse and abuse, along with morphine equivalent dose (MED) communication

Enhanced prior authorization stops long-acting opioid prescription without a previous long-acting opioid in member's claim history

Auto-lock management triggers an intervention that directs patients to a single provider

Educational letter after first fill outlines the potential risks associated with opioid use

Proactive outreach from specialized Neuroscience Therapeutic Resource CenterSM pharmacists triggered when potential abuse or misuse is identified

Deactivation drug disposal bags provide patients with a safe way to dispose of unused opioids - thereby preventing future opioid misuse

Auto-lock management keeps members locked into one pharmacy

Pharmacy interventions for members accumulating greater than 200mg MED

Concurrent drug utilization review programs help ensure that opioid prescriptions are appropriate, medically necessary and unlikely to result in adverse medical consequences

First-time users prescribed short-acting opioids are restricted to an initial 7-day supply

On average, the program has seen a nearly 55% reduction
in the average days' supply for new opioid-prescribed patients.
(from 18.6 days' supply per prescription to 8.3)

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The first 90 days of the program has seen a nearly

60%reduction

in the average days' supply for new opioid-prescribed patients — from 18.6 days' supply per prescription to 7.5

Prevention is key

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2 Million

people are addicted to prescription narcotics4

The fight starts here

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Our Lasting Legacy of Education

Express Scripts has a long history of working to make the use of prescription medications safer, and our Advanced Opioid Management solution is just one of the products of our efforts.

We support national and state intervention. However, we know that government regulations and initiatives are only one part of the solution. The answers lie in education, coordination and action. Our efforts are receiving national attention, and you can join us in creating change. Preview our leadership library below, and start learning about how you can directly contribute to solving the opioid crisis.

Beating the Odds Against Opioid Abuse

As we enhance our Advanced Opioid Management program, Express Scripts continues to aggressively combat opioid abuse, find solutions to address prescribing trends and build on our work across the care continuum.

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Changing the Way We Fight the Opioid Epidemic

We are driving change across the care continuum and influencing behavior at every touchpoint to minimize early exposure and prevent progression to overuse and abuse.

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National Recognition for Fighting the Opioid Epidemic

The Pharmacy Benefit Management Institute award recognizes the ground-breaking ways Express Scripts is helping plan sponsors fight the serious dangers of opioid misuse and abuse.

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Express Scripts Reduces Excessive Dispensing of Opioids

In the first 90 days since the program began on September 1, 2017, we observed a nearly 60% reduction in the average days supply for patients receiving an opioid prescription for the first time.

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The odds of continuing opioid use after one year are

20%

after receiving a ten-day supply1

The opioid crisis accounts for

$25 billion

in lost productivity annually3