Provider Resources

Prior Authorization Request Forms

Find a standard or state Prior Authorization Request form.

PA Forms

Make sure to reference your states' medical board and workers' compensation opioid prescribing and monitoring guidelines.

Guidelines

Calculate Morphine Equivalent Dose (MED):
https://www.ohiopmp.gov/MED_Calculator.aspx

American Academy of Pain Management (AAPM):
http://www.painmed.org/library/clinical-guidelines/

Agency Medical Directors' Group (AMDG):
http://www.agencymeddirectors.wa.gov/

American Society of Addiction Medicine (ASAM):
https://www.asam.org/quality-practice/guidelines-and-consensus-documents

American Society of Interventional Pain Physicians (ASIPP):
https://www.asipp.org/opioidguidelines.htm

CDC Opioid Prescribing Guidelines:
https://www.cdc.gov/drugoverdose/prescribing/guideline.html

CDC Opioid Guideline Mobile App
https://www.cdc.gov/drugoverdose/prescribing/app.html

DEA Practitioner's Manual (Section V):
https://www.deadiversion.usdoj.gov/pubs/manuals/pract/section5.htm