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WAC 246-919-915

Written agreement for treatmentChronic pain.

The physician shall use a written agreement that outlines the patient's responsibilities for opioid therapy. This written agreement for treatment must include the following provisions:
(1) The patient's agreement to provide samples for biological specimen testing when requested by the physician;
(2) The patient's agreement to take medications at the dose and frequency prescribed with a specific protocol for lost prescriptions and early refills;
(3) Reasons for which opioid therapy may be discontinued;
(4) The requirement that all opioid prescriptions for chronic pain are provided by a single prescriber or a single clinic, except as provided in WAC 246-919-965 for episodic care;
(5) The requirement that all opioid prescriptions for chronic pain are to be dispensed by a single pharmacy or pharmacy system whenever possible;
(6) The patient's agreement to not abuse alcohol or use other medically unauthorized substances;
(7) A violation of the agreement may result in a tapering or discontinuation of the prescription; and
(8) The patient's responsibility to safeguard all medications and keep them in a secure location.
[Statutory Authority: RCW 18.71.017, 18.71.800, 18.71A.800 and 2017 c 297. WSR 18-23-061, § 246-919-915, filed 11/16/18, effective 1/1/19.]
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