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SEVEN-DAY LIMIT ON OPIOID DRUG PRESCRIPTIONS
In 2016, the legislature passed a law that prohibits a prescribing practitioner authorized to prescribe an opioid drug from issuing a prescription for more than a seven-day supply to (1) a minor or (2) an adult for first-time outpatient use (PA 16-43).
When prescribing an opioid drug to a minor for less than seven days, the law requires the practitioner to discuss with the (1) minor and (2) minor's custodial parent, guardian, or legal custodian, if present when the prescription is issued:
1. the associated risks of addiction and overdose;
2. the dangers of taking opioid drugs with alcohol, benzodiazepines, and other central nervous system depressants; and
3. the reason why the prescription is necessary.
The law allows the practitioner to prescribe more than a seven-day supply of an opioid drug to a minor or an adult for first time outpatient use if, in his or her professional judgment, the drug is required to treat the person's acute medical condition, chronic pain, cancer-associated pain, or for palliative care. The practitioner must document the patient's condition in his or her medical record and indicate that an alternative to the opioid drug was not appropriate to treat the patient's condition.
The law, which took effect July 1, 2016, does not apply to medications to treat opioid drug dependence or abuse, including opioid antagonists and agonists.