Opioid analgesics — Point32Health
acute pain requiring initial opioid prescription over quantity limit
Initial criteria
- The patient has filled an opioid prescription in the last 30 days OR The patient meets one of the following: (a) Diagnosis of cancer-associated pain OR (b) Diagnosis of sickle cell anemia OR (c) Is on palliative/nursing home care OR (d) Is currently on chronic pain management
Approval duration
6 months standard initial; 12 months if sickle-cell, cancer-related, or end-of-life pain; 12 months reauth