Protecting You and Your Family
Understanding how opioids work — and how your health plan is working with you — is the first step toward safe, effective treatment.
A Partnership Built Around Your Safety
Your health plan has partnered with OpioidRx to help identify and prevent opioid-related risks before they escalate — at no additional cost to you. OpioidRx analyzes pharmacy claims data to identify patterns that may signal physical dependence or withdrawal risk. When a concern arises, your plan works to connect you with the right support and resources.
How It Works
Your Plan Monitors
Prescription patterns are reviewed to flag potential risk indicators — dosage, duration, and medication combinations.
OpioidRx Identifies
Risk algorithms assess your prescription record against established clinical benchmarks to surface early warning signs.
Your Team Connects You
If a concern is identified, your plan administrator or care coordinator follows up — not to limit care, but to make sure you have the right resources and support.
Steps You Can Take Right Now
- Talk to your doctor about dose and duration. Opioids are most effective — and safest — at the lowest dose needed for the shortest period necessary.
- Keep a pain medication journal. Track your dosage, how often you take it, and its effects — both positive and negative.
- Never stop abruptly. Work with your doctor on a tapering plan — unsupervised withdrawal can become medically serious.
- Ask about a Treatment Agreement. A documented plan between you and your provider establishes shared goals for pain management and opioid use.
- Know the 90-day threshold. If pain hasn't improved after 90 days of opioid therapy, co-management with a pain management specialist is a recommended next step.
Questions Worth Raising at Your Next Visit
Your care team wants to help. OpioidRx and your health plan are here to support that relationship — giving your providers better information so they can give you better care.
Aligned With CDC Best Practices
When your health plan works with OpioidRx, CDC guidelines become actionable — applied directly to your prescription record.
- Right dose, right duration. Opioids are most effective — and safest — at the lowest dose needed for the shortest period of time.
- Therapeutic drug screening. Monitoring confirms that medication is working as intended and identifies risk before it escalates.
- Treatment agreements. A documented plan between patient and provider sets shared goals for pain management and opioid use.
- Pain specialist referral. For pain that hasn't improved after 90 days on opioid therapy, a specialist consultation is recommended.
- Dosing thresholds. Prescribing above 90 morphine milligram equivalents (MME) per day without specialist oversight carries measurably higher risk.
Content based on the CDC Clinical Practice Guideline for Prescribing Opioids, 2022. For informational purposes only. Always consult your healthcare provider.
Source: Portions of this content are based on materials developed by the Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services (HHS) — including the CDC Clinical Practice Guideline for Prescribing Opioids (2022), which is available at no charge at cdc.gov.
Use of CDC materials on this site does not imply endorsement by CDC, ATSDR, HHS, or the United States Government of OpioidRisks.org, Opioid Clinical Management Inc. (OPCM), OpioidRx, or any associated product, facility, service, or enterprise. Reference to specific commercial products, manufacturers, companies, or trademarks does not constitute endorsement or recommendation by the U.S. Government, HHS, or CDC.