Narcotic Prescription Policy

Due to the nationwide increase in Narcotic abuse, a Narcotic Prescription Policy has been instituted and will be followed by this office to support the health and well being of all patients. This policy was established in compliance with the laws and guidelines set forth by the U.S. Drug Enforcement Agency, U.S. Food and Drug Administration, Idaho Board of Pharmacy, and American Association of Oral and Maxillofacial Surgeons.

 The United States consumes about 80 percent of the global opioid supply. According to the U.S. Food and Drug Administration, more than 50 million Americans were prescribed a narcotic pain medication in 2011. This is nearly a 100 percent increase over the 3 previous years. As a result, there has been a direct increase in opioid use/abuse by non-medical users, and resurgence in heroin usage. Opioid overdose is now the leading cause of accidental death in young adults and is associated with a higher risk of death during postoperative periods. Studies also indicate opioid use increases the risk of falls in the elderly patient population.

Prescribing Policy:

  1. Narcotics will be provided for acute trauma and post-operative pain only. In the event a patient should request an opioid for non-surgical treatment, the patient’s primary care physician, a physician specializing in chronic pain, or by a non-surgical specialist from whom the patient currently receives care may render pain management.
  1. The Idaho Board of Pharmacy, the Drug Enforcement Agency, and your local pharmacies monitor all patient use of narcotic pain medications. Prescribing physicians are contacted and notified if a patient is receiving narcotic pain medication from more than one physician. If this office receives notification, from any source, that a patient is receiving narcotic pain medication from more than one physician, then the prescribing of such medication by this office will be immediately and permanently suspended.
  1. It is at your surgeon’s discretion whether to provide a post-operative narcotic prescription. Many oral and facial surgeries are adequately controlled with over-the-counter acetaminophen and ibuprofen. 
  1. Narcotics will not be provided for chronic conditions. Narcotics will typically only be prescribed for the first 3 days after surgery. If you should experience persistent pain lasting longer than 10 days after your surgery, then you may be referred to a chronic pain specialist for pain management. 
  1. In the event of suspected narcotic abuse, further prescriptions of narcotic pain medications will not be made. In the event of suspected narcotic dependence, a referral to a Dependency Treatment Specialist can be made. 
  1. Narcotic prescriptions and refills are unable to be called in to your pharmacy and must be picked up in person. If you request a refill via telephone, it may take up to 24 hours for your surgeon to review your chart and process your request. Thus, refill requests placed on a Friday may not be completed until the following week. No narcotic requests will be honored on nights and weekends. 
  1. No duplicate prescriptions or refills will be provided for prescriptions that are lost, stolen, or damaged.