Assessment of Prescriber and Pharmacy Shopping Among the Family Members of Patients Prescribed Opioids.

摘要: Importance Most prescription opioid misuse involves opioids prescribed to others—a form of diversion. However, few indicators diversion risk exist. Because family members can often access patients’ opioids, one such indicator may be the frequency with which prescriptions are filled by patients when their engaged in prescriber and pharmacy shopping (“doctor shopping”). To date, this has not been estimated. Objective estimate proportion fills for meet criteria. Design, Setting, Participants A cross-sectional analysis 2015-2016 claims from a national commercial insurer was conducted August October, 2018. The sample included without cancer who were covered insurance plans had 1 or more fill 2016, as measured drug claims. Fills unit analysis. Main Outcomes Measures For each 2016 patient member enrolled same plan (eg, spouse child), number prescribers pharmacies prior 12 months counted. Prescriber defined 4 pharmacies, following National Quality Forum–endorsed measure. met criteria calculated. Results Among 554 417 sample, 301 297 (54.3%) female 48 047 (8.7%) children. Mean (SD) age 41.4 (16.4) years. Patients 469 913 and, after exclusions, 1 471 971 2016. 8485 (0.6%), 44 547 (3.0%), 6947 (81.9%) criteria, did When 3 at increased 1.9%. Conclusions Relevance In study US private plans, 0.6% occurred least patient’s most these fills, Findings suggest potential within families.