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Florida Opioid Prescribing Law

Effective July 1, 2018 Quantity of Schedule II Opioids 3 day limit on prescriptions for “acute pain” 7 day supply for acute pain may be prescribed if Rx contains “Acute Pain Exception” AND the reason for exception is documented in the medical record. E-FORCSE ( Login Page) Must access for EVERY prescription of schedule II-IV opioids. Only exception is schedule V

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Opiate Equivalence

Given the national shortage of varying opiates, you may find this information helpful: IV equianelgesic: Morphine 4mg – typically given 4-8mg Hydromorphone (Dilaudid) 0.6 mg – typically given 0.5-1 mg Fentanyl 40mcg (0.4mg) – typically given 50-100 mcg PO equianalgesic: Morphine sulfate 5mg Hydrocodone 5mg Oxycodone 5mg Tramadol 50mg Hydromorphone (Dilaudid) 1.25mg IV to PO conversion: Morphine 5 mg IV

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