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Multiple Choice

Opioid initial limits on Medicare Part D Rxs: If the patient did not receive an opioid in the last 60–90 days, the initial supply is limited to how many days?

The policy targets opioid-naive patients starting an opioid. If a patient has not received an opioid in the last 60–90 days, the initial supply is limited to seven days. This short initial fill helps reduce the risk of misuse and allows quick reassessment of pain management and consideration of non-opioid options. longer initial supplies (14, 30, or 60 days) would exceed the precaution built into this rule for new starts in opioid-naive individuals. If a patient has used opioids recently, different rules can apply, but for those with no opioid exposure in that 60–90 day window, seven days is the standard initial limit.

The policy targets opioid-naive patients starting an opioid. If a patient has not received an opioid in the last 60–90 days, the initial supply is limited to seven days. This short initial fill helps reduce the risk of misuse and allows quick reassessment of pain management and consideration of non-opioid options.

longer initial supplies (14, 30, or 60 days) would exceed the precaution built into this rule for new starts in opioid-naive individuals. If a patient has used opioids recently, different rules can apply, but for those with no opioid exposure in that 60–90 day window, seven days is the standard initial limit.