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Updated Opioid Use Regulations Now in Effect in Rhode Island

Monday, April 17, 2017

 

Updated opioid regulations are now in effect in RI

Updated opioid use regulations intended to make the prescribing of opioids safer in Rhode Island are now in effect. The Rhode Island Department of Health made the announcement on Monday. 

“These updated pain management regulations focus on dosing limitations to help reshape how we as healthcare providers had been taught how to approach opioid therapy, and to make sure that we’re only prescribing what’s actually needed for the treatment of acute pain. While we work to minimize unnecessary prescribing of opioids for acute pain, it is essential that patients’ chronic pain needs are appropriately and compassionately treated. Although opioid prescribing in Rhode Island decreased by 16% between 2013 and 2015, which was the largest drop in the nation, the regulations were updated to ensure that acute pain and chronic pain are treated differently,”  said Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health (RIDOH).

The Updated Regulations 

The updated regulations do not affect the long-term treatment being received by patients with chronic pain. Examples of those patients include patients with cancer-associated pain diagnoses and patients in palliative/nursing home care.

Highlights of the updated pain management regulations focusing on acute pain include:

  • Requiring that initial prescriptions for acute pain be limited to 20 doses and no more than 30 morphine milligram equivalents per day;
  • Prohibiting long-acting or extended-release opioids for initial prescriptions for acute pain;
  • Documenting the results of a thorough medical history, developing a treatment plan, and accessing the Rhode Island Prescription Drug Monitoring Program (PDMP) for relevant prescription monitoring information, all prior to issuing an initial prescription for acute pain; and
  • Requiring continuing education training for prescribers on topics such as appropriate prescribing for pain, pharmacology, potential for dependence, and alternatives to opioids for pain management.

 

Development of Regulations 

The Rhode Island Department of Health started work on updating the regulations after the Rhode Island General Assembly passed a law requiring tighter regulations on opioid prescribing. 

The lead sponsors of this bill were Representative David Bennett and Senator Joshua Miller.

The original regulations were developed in 2015. 

 

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Doctor: Christopher Born

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Doctor: Robert Marchand

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Amount Paid: $85,412

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#22

Doctor: Edward Akelman

Specialty: Orthopaedic & Hand Surgery

Location: Providence, RI

Amount Paid: $86,978

Payments Exceeding $5,000 From: Integra LifeSciences Corporation

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#21

Doctor: Samir Shah

Specialty: Internal Medicine and Gastroenterology

Location: Providence, RI

Amount Paid: $88,840

Payments Exceeding $4,000 From: Takeda Pharmaceuticals America Inc and AbbVie Inc

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#20

Doctor: Robert Bierwirth

Specialty: Internal Medicine & Gastroenterology

Location: Cranston, RI

Amount Paid: $92,107

Payments Exceeding $4,000 From: Janssen Products, LP

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#19

Doctor: Stephen Chabot

Specialty: Neurology & Psychiatry

Location: Pawtucket, RI

Amount Paid: $94,892

Payments Exceeding $4,000 From: Takeda Pharmaceuticals U.S.A. Inc.

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#18

Doctor: Damian Dupuy

Specialty: Diagnostic Radiology

Location: East Providence,RI

Amount Paid: $96,840

Payments Exceeding $5,000 From: BSD Medical Corporation

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Doctor: Joseph Renzulli

Specialty: Urology

Location: Providence, RI

Amount Paid: $101,000

Payments Exceeding $4,000 From: Algeta US LLC and Bayer HealthCare Pharmaceuticals Inc

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#16

Doctor: Albert Marano

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Location: Johnston, RI

Amount Paid: $105,000

Payments Exceeding $2,000 From: Teva Pharmaceuticals USA Inc and Biogen Idec Inc.

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#15

Doctor: David Caldarella

Specialty: Primary Podiatric Medicine

Location: Pawtucket, RI

Amount Paid: $106,000

Payments Exceeding $5,000 From: Biomet Orthopedics LLC and Trilliant Surgical Ltd

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#14

Doctor: J Easton

Specialty: Psychiatry & Neurology

Location: Providence, RI

Amount Paid: $117,000

Payments Exceeding $5,000 From: Novartis Pharmaceuticals Corporation, AstraZeneca Pharmaceuticals LP, Boehringer Ingelheim Pharmaceuticals Inc, Novartis Pharma AG, and Sanofi-Aventis U.S. LLC

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#13

Doctor: Paul Akerman

Specialty: Gastroenterology

Location: Providence, RI

Amount Paid: $121,000

Payments Exceeding $5,000 From: CONMED Corporation, Spirus Medical LLC, Olympus Corporation of the Americas, Covidien LP

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#12

Doctor: Thomas Sepe

Specialty: Gastroenterology

Location: Providence, RI

Amount Paid: $131,000

Payments Exceeding $5,000 From: CONMED Corporation

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#11

Doctor: Anthony Mega

Specialty: Internal Medicine, Hematology & Oncology

Location: Providence, RI

Amount Paid: $133,000

Payments Exceeding $4,000 From: Bayer HealthCare Pharmaceuticals Inc

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#10

Doctor: Russell Settipane

Specialty: Allergy & Immunology

Location:Providence, RI

Amount Paid: $133,000

Payments Exceeding $5,000 From: Mylan Specialty L.P

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#9

Doctor: Jerrold Rosenberg

Specialty: Physical Medicine & Rehabilitation

Location: Providence, RI

Amount Paid: $152,000

Payments Exceeding $4,000 From: INSYS Therapeutics Inc 

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#8

Doctor: Ellen Frankel

Specialty: Procedural Dermatology

Location: Cranston, RI

Amount Paid: $162,000

Payments Exceeding $3,000 From: AbbVie Inc and Merz North America Inc

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#7

Doctor: Joseph Lowney

Specialty: Medicine, Gastroenterology

Location: Warwick, RI

Amount Paid: $172,000

Payments Exceeding $3,000 From: AbbVie Inc and Cubist Pharmaceuticals Inc

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#6

Doctor: Arnold-Peter Weiss

Specialty: Orthopaedic & Hand Surgery

Location: Providence, RI

Amount Paid: $173,000

Payments Exceeding $5,000 From: Medartis Inc and DePuy Synthes Products LLC

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Doctor: Christopher Digiovanni

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Location: Providence, RI

Amount Paid: $212,000

Payments Exceeding $5,000 From: Extremity Medical and BioMimetic Therapeutics LLC

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#4

Doctor: Andrew Green

Specialty: Sports Medicine

Location: Providence, RI

Amount Paid: $224,000

Payments Exceeding $5,000 From: Tornier Inc and Encore Medical LP 

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#3

Doctor: Syed Rizvi

Specialty: Psychiatry & Neurology

Location: Providence, RI

Amount Paid: $242,000

Payments Exceeding $5,000 From: Biogen Idec Inc and Teva Pharmaceuticals USA Inc

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#2

Doctor: Michael Bradley

Specialty: Orthopaedic Surgery

Location: Wakefield, RI

Amount Paid: $261,000

Payments Exceeding $5,000 From: Arthrex Inc, Encore Medical LP, Arthrex Inc, 

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Doctor: Warren Ong

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Amount Paid: $304,000

Payments Exceeding $4,000 From: Takeda Pharmaceuticals U.S.A. Inc

 
 

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