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Opioid cumulative equivalent dose (MED) or opioid use in minors prior authorization form For assistance, call 8555526028 or fax completed form to 5702715610. Medical documentation may be requested.

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What is opioid cumulative equivalent dose?

Opioid cumulative equivalent dose is a measure that combines the total amount of opioids a patient is prescribed into a single value.

Who is required to file opioid cumulative equivalent dose?

Healthcare providers and pharmacies are required to file opioid cumulative equivalent dose.

How to fill out opioid cumulative equivalent dose?

To fill out opioid cumulative equivalent dose, healthcare providers and pharmacies should calculate the total amount of opioids prescribed to each patient in a specific time period.

What is the purpose of opioid cumulative equivalent dose?

The purpose of opioid cumulative equivalent dose is to monitor and track the total opioid exposure of patients to help prevent opioid misuse and overdose.

What information must be reported on opioid cumulative equivalent dose?

The information reported on opioid cumulative equivalent dose includes the patient's name, date of birth, total opioid dosage, prescribing healthcare provider, and dispensing pharmacy.

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