Effective April 1, 2018, Absolute Total Care will implement edits limiting the initial prescribing of opioid medications for the treatment of acute or post-operative pain to no more than a five-day supply. Providers must not exceed this limit except in cases of chronic pain, cancer pain, pain related to sickle cell, hospice care, palliative care or medication-assisted treatment for substance use disorder. Pharmacies can enter an ICD code at the point-of-sale to confirm a diagnosis of cancer, palliative care or sickle cell and obtain payment.

For more information please see attachment.