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      “Doctor and pharmacy shopping”: A fading signal for prescription opioid use monitoring?

      , , , , ,
      Drug and Alcohol Dependence
      Elsevier BV

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          Abstract

          The term "doctor and pharmacy shopping" colloquially describes patients with high multiple provider episodes (MPEs)-a threshold count of distinct prescribers and/or pharmacies involved in prescription fulfillment. Opioid-related MPEs are implicated in the global opioid crisis and heavily monitored by government databases such as U.S. state prescription drug monitoring programs (PDMPs). We applied a widely-used MPE definition to examine U.S. trends from a large, commercially-insured population from 2010 to 2017. Further, we examined the proportion of enrollees identified as "doctor shoppers" with evidence of a cancer diagnosis to examine the risk of false positives.

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          Contributors
          (View ORCID Profile)
          Journal
          Drug and Alcohol Dependence
          Drug and Alcohol Dependence
          Elsevier BV
          03768716
          April 2021
          April 2021
          : 221
          : 108618
          Article
          10.1016/j.drugalcdep.2021.108618
          8026641
          33677354
          28afe837-a6e3-456d-96e4-60bbf746e65c
          © 2021

          https://www.elsevier.com/tdm/userlicense/1.0/

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