The number of individuals from the denominator with >7 cumulative days’ supply for all opioid prescription claims within any opioid initiation period.
The opioid initiation period is defined as the date of service of the initial opioid prescription plus two days, i.e., the 3-day time period when the numerator is assessed.
Denominator
1.15 Denominator
The denominator includes individuals 18 years of age or older with one or more prescription claims for an opioid and a negative medication history for any opioid medication during the 90-day lookback period.
Exclusions
Exclusions
Individuals with cancer, sickle cell disease, or in hospice at any point during the measurement year or the 90 days prior to the first day of the measurement year are excluded from the denominator.
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