Description

Buy Oxycontin 80mg tablets online.Oxycontin (oxycodone ER) is a full opioid agonist. is indicated for the management of severe pain where

around–the–clock opioid treatment is needed and alternative pain relief options are not adequate.

is contraindicate in significant respiratory depression, acute or severe bronchial asthma in an unmonitore setting, known
or suspects gastrointestinal obstruction, including paralytic ileus, or hypersensitivity to oxycodone. Oxycontin has a
black box warning for addiction, abuse and misuse. Continuing assessment and monitoring of patients on Oxycontin .

POLICY STATEMENT

This policy involves the use of oxycodone ER (Oxycontin) 80 mg. Prior authorization recommends for pharmacy benefit
coverage of oxycodone ER (Oxycontin) 80 mg. Conditions Not Recommended for Approval  list following the

recommends authorization criteria. Some members may also be subject to the long acting opioid step therapy.

Requests for uses not listed in this policy will be reviewed for evidence of efficacy and for medical necessity on a case–by–
case basis.

Because of the specialize skills require for evaluation and diagnosis of patients treat with oxycodone ER (Oxycontin)
80 mg as well as the monitoring require for adverse events and long–term efficacy, initial approval requires oxycodone ER

(Oxycontin) 80 mg be prescribed by or in consultation with a physician who specializes in the condition being treated. All

approvals for initial therapy are provided for the initial approval duration noted below; if reauthorization is allowed, a

response to therapy is require for continuation of therapy unless otherwise noted below. Documentation may be require.

RECOMMENDE AUTHORIZATION CRITERIA

Coverage of oxycodone ER 80 mg is recommended in those who meet the following criteria:
1. Hospice, cancer, or terminal illness. Approve.
2. Initial: Severe Chronic Pain. Approve in patients who meet the following criteria (a through m):
A. Member is at least 11 years of age or older; AND
where the perceived pain located or a pain specialist; AND
C. The member has pain that requires–around–the clock treatmen