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Tiers for Post-Op Prescriptions

By Dan Mass, MD

Our group has created a uniform way to attack the Opioid Crisis.  All elective cases sign consents for surgery and our nurses have them sign a drug use understanding.  We do not allow residents to renew narcotics.  We also use tiers for post-op prescribing.  They are:

Tier 1:

Tylenol 500 mg (qty: 56)

Tramadol 50 mg (qty 10)

Tier 2:

Tylenol 500 mg (qty: 56)

Naproxen 500 mg (qty: 30)

Oxycodone 5 mg (qty: 15)

Gabapentin 100 mg (qty: 7)

Tier 3:

Tylenol 500 mg (qty: 56)

Naproxen 500 mg (qty: 50)

Oxycodone 5 mg (qty: 30)

Gabapentin 100 mg (qty: 14)


We are considering a Tier 0 with just Tylenol and Naprosyn.

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