Which of the following are REMS requirements for ER/LA opioid analgesics?

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The question tests knowledge of what the REMS for ER/LA opioid analgesics requires. The REMS program is designed to multiply the safety net around these high-risk medications by involving patients, prescribers, and pharmacists in risk communication and mitigation. First, a MedGuide must accompany every ER/LA opioid prescription, so patients receive clear information about risks such as overdose and misuse. Second, prescribers are required to complete REMS-approved continuing education to stay informed on safe prescribing practices and patient selection under the REMS. Third, pharmacists must counsel patients about how to use the medication safely, including proper dosing, storage, disposal, and recognition of adverse effects. Because all three elements are part of the REMS framework, the choice that includes all of these requirements is the correct one.