Methadone Concentrate 10 MG/ML 90 MG UD cup Concentrate

Methadone Concentrate 10 MG/ML 90 MG UD cup Concentrate

**”For use at institutions with a licensed or contracted Opioid Treatment Program when used for MAT.” Consult with Regional Medical Director and Regional Chief Pharmacist when providing Medication Assisted Treatment **METHADONE LICENSE NOT NEEDED IF PRESCRIBED FOR PAIN (ONGOING DOCUMENTATION REQUIRED)** *INITIATION OF PAIN MANAGEMENT THERAPY RESTRICTED TO MEDICAL REFERRAL CENTERS (MRC’S ) ONLY** **PATIENTS ARRIVING AT AN INSTITUTION ON METHADONE FOR PAIN, FROM OTHER THAN A BOP MEDICAL CENTER, SHOULD CONSIDER CONVERTING TO AN EQUIANALGESIC DOSE OF ANOTHER FORMULARY OPIATE** **ORDER MAY NOT EXCEED 3 DAYS, EXCEPT AS ALLOWED BY PHARMACY PROGRAM STATEMENT** **TABLETS MUST BE CRUSHED AND MIXED WITH WATER AT TIME OF ADMINISTRATION** ** IMMEDIATE RELEASE, NON-ENTERIC COATED, ORAL CONTROLLED SUBSTANCE ARE TO BE CRUSHED PRIOR TO ADMINISTRATION** **IMMEDIATE RELEASE CONTROLLED SUBSTANCE CAPSULES SHOULD BE PULLED APART AND ADMINISTERED IN POWDER FORM** **Total daily dose for the treatment of neuropathic pain should not exceed 20mg/day**** **Medical Referral Center (MRC) Initiation Only** **MLP Requires Cosign**

Dr. M Blatstein

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