UPDATED June 2019: Pill Limit Law Best Practice Guidelines Released


The provisions housed within SB 848 (opioid pill limit “clean-up legislation”) are now in effect. This legislation better clarifies last year’s SB 1446 which placed a pill limit on opioids prescribed by a physician. The law places a 7-day limit for an initial prescription of opioids narcotics prescribed for acute pain. In cases involving major surgery or a “confined to home” status, second 7-day prescription may be issued at the same time as the initial prescription, but cannot be filled until after the first prescription expires. Subsequently, if deemed necessary by the physician, prescriptions associated with a pain management plan need to be reviewed and a three-month “course of treatment" must be established. 

In order to help doctors better navigate the intricacies of this law, the Oklahoma State Medical Association worked closely with the State Medical Licensure Board, Board of Osteopathic Examiners, Attorney General’s Office, Bureau of Narcotics and Dangerous Drugs, Oklahoma Osteopathic Association, Oklahoma Hospital Association and other interested parties to revise and update the COMPLIANCE AND BEST PRACTICE FOR AN ACT REGULATING THE USE OF OPIOID DRUGS. This document provides a “Best Practices” guideline while referencing Oklahoma Statute requirements.

The following documents have been created with input from these entities, physicians and medical specialty groups. We will continue to keep you updated as new developments arise.

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