Maryland Medicaid Pharmacy Program

Sample Pain Management Agreements

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The Maryland Medicaid Drug Utilization Review (DUR) Board has recommended that physicians and nurse practitioners who provide pain management services consider using pain management agreements with their patients.   These agreements serve to:

  1. promote communication, clarify common treatment issues and prevent misunderstandings;

  2. emphasize that opiates are part of comprehensive pain treatment programs;

  3. stress the physician's responsibility to work with the patient to improve his/her pain symptoms.

The following are examples of pain management agreements:

 

  Allows listing of other prescribers/doctors
 
  Allows listing of other opioid prescriptions
 

 

 

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