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CMS Plan to Restrict Sale of Pain Drugs Opposed by AMA
Health Leaders Media

A federal plan calling for Medicare Advantage Part D sponsors to deny potentially unsafe pain drugs such as hydrocodone and oxycodone—perhaps to patients who may be “doctor shopping”—has incurred strong objection from the American Medical Association.

The 131-page “advance notice” from the Centers for Medicare and Medicaid Services, which would take effect Jan. 1, 2013, calls for Part D sponsors to employ more effective ongoing and retrospective drug utilization reviews, or layers of formulary management, for each of their enrollees.

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