Resources

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

Standard PA Form (All Non-Opioid Drugs)

Acute Opioid Use PA Form (less than 90 days of opioid use)

Chronic Opioid Use PA Form (greater than 90 days of opioid use)

State Forms

• Arizona MRO 1.1 Form
• California DWC Form RFA
• Louisiana 1010 form
• New York Web Portal for Prior Authorizations
  • Visit NY Medical Portal
  • NY Medical Portal Overview
• West Virginia Controlled Substance Form

Notice of Privacy Practices

Medical Records Release Form

NADAC Data File – Q1, 2021

Confidential Fraud, Waste, and Abuse Reporting Form

SCL Pharmacy Portal Login

https://www.pharmacyportal.scriptcare.com/