WORKERS’ COMPENSATION Opioid Prescription Drug Guide Prescription narcotic medications, also called opioids, are the most expensive of all therapy classes in workers’ compensation. When taken as prescribed, these powerful medications can provide significant pain relief for both acute (short-term) and chronic pain. The Opioid Treatment Guidelines: Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain reiterate that, “Proper patient selection is critical and requires a comprehensive benefit-to-harm evaluation that weighs the potential positive effects of opioids on pain and function against potential risks. Thorough risk assessment and stratification is appropriate in every case.”1 Long-Acting Opioids Generic Name Brand Name Generic Available buprenorphine patch Butrans® N fentanyl patch Duragesic® Y hydromorphone ER ExalgoTM N methadone Methadose®, Dolophine® Y morphine sulfate ER capsules Avinza N morphine sulfate capsules SR Kadian morphine sulfate tablets ER MS Contin , Oramorph Y morphine/naltrexone Embeda N ® Y ® TM ® TM oxycodone ER ® OxyContin N oxymorphone ER Opana ER N tapentadol Nucynta ER N tramadol ER capsule ConZip N tramadol ER tablet Available in generic only Y tramadol ER tablet, osmotic drilled Ultram ER Y Generic Name Brand Name Generic Available buprenorphine sublingual Subutex Y buprenorphine/naloxone oral dissolving film Suboxone codeine Available as generic only codeine/acetaminophen Tylenol with codeine, Cocet plus ® ® TM ® Short-Acting Opioids ® N ® ® Y ® Y Continued Short-Acting Opioids Generic Name Brand Name Generic Available codeine/acetaminophen/butalbital/caffeine Fioricet® with codeine Y codeine/aspirin/butalbital/caffeine Ascomp® with codeine, Fiorinal® with codeine Y fentanyl buccal soluble film OnsolisTM N fentanyl buccal tablet Fentora® N fentanyl oral lozenge Actiq Y fentanyl nasal spray Lazanda fentanyl sublingual tablet Abstral ® N ® N ® hydrocodone/acetaminophen ® Lortab , Lorcet , Vicodin , Vicodin ES, Co­Gesic, Vicodin® HP Y hydrocodone/ibuprofen Vicoprofen®, Ibudone®, Reprexain® Y hydromorphone Dilaudid Y levorphanol Available as generic only Y meperidine Demerol Y morphine sulfate immediate release MSIR (brand name, no longer marketed) Y oxycodone immediate release Roxicodone Y oxycodone/acetaminophen tablet Percocet , Endocet , Magnacet , Roxicet , Xolox® Y oxycodone/acetaminophen capsule Tylox® Y oxycodone/aspirin Percodan , Endodan Y oxycodone/ibuprofen Combunox (brand name, no longer marketed) Y oxymorphone immediate release Opana Y tapentadol Nucynta N tramadol Ultram Y tramadol orally disintegrating Rybix tramadol/acetaminophen Ultracet ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® N ® ® Y Chou R, Fanciullo GJ, Fine PG, et.al. for the American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel. Opioid Treatment Guidelines. Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain. J. Pain 10(2):113-130. 2009. Available at: http://www.jpain.org/article/ S1526-5900(08)00831-6/fulltext 1 Learn More Visit Express-Scripts.com/WorkersCompensation or contact your account representative today to learn how Express Scripts can help you address and deter potential narcotic abuse among your injured worker population. RESEARCH-DRIVEN SOLUTIONS. PROVEN PHARMACY RESULTS. © 2013 Express Scripts Holding Company. All Rights Reserved. 12-1496