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Changes to opioid management for members under 18 years of age

November 13, 2019

AmeriHealth remains committed to fighting the opioid epidemic in our region. Since implementing the five-day supply limit for members, based on claims data, AmeriHealth has seen a 45 percent reduction in opioid prescriptions, as well as a 36 percent reduction in opioid users.

In an ongoing effort to reduce the risk of substance use disorder in members under 18 years of age, while helping to ensure access to acute pain treatment, AmeriHealth is implementing the following limits effective January 1, 2020:

Opioid product Days’ supply limit

Short-acting opioids and opioid-containing cough and cold products

Two 3-day fills within 60 days

Opioid-containing headache products

One 3-day fill within 30 days

Note: A prior authorization is needed if additional days’ supply is required.

Learn more

If you have any questions concerning the prior authorization process, please contact FutureScripts® at 1-888-678-7012.


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