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Use of Opioids from Multiple Providers (UOP)

HEDIS Measure

Use of Opioids From Multiple Providers (UOP)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative

Measure Description

The proportion of members 18 years and older, receiving prescription opioids for ≥15 days during the measurement year, who received opioids from multiple providers.

Three rates are reported.

  • Multiple Prescribers. The proportion of members receiving prescriptions for opioids from four or more different prescribers during the measurement year.
  • Multiple Pharmacies. The proportion of members receiving prescriptions for opioids from four or more different pharmacies during the measurement year.
  • Multiple Prescribers and Multiple Pharmacies. The proportion of members receiving prescriptions for opioids from four or more different prescribers and four or more different pharmacies during the measurement year

*Inverted Measure

Numerator Compliance

Multiple Prescribers - Members who received opioids from four or more prescribers, identified by their NPI number, during the measurement year.

Multiple Pharmacies - Members who received opioids from four or more different pharmacies, identified by their NPI numbers, during the measurement year.

Multiple Prescribers and Multiple Pharmacies – Members who received opioids from four or more different prescribers and four or more different pharmacies during the measurement.

Best Practices

  • Reference the CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016: https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm