Attorney General Walker Joins 17 States Urging Pharmacies To Address Opioids

Attorney General Claude Walker in an April photo, testifying at a V.I. Senate hearing.. (Photo by Barry Leerdam, provided by the V.I. Legislature)
Attorney General Claude Walker in an April photo, testifying at a V.I. Senate hearing.. (Photo by Barry Leerdam, provided by the V.I. Legislature)

V.I. Attorney General Claude Walker joined 17 of his counterparts across the country in letters sent Monday to 15 pharmacy-related health care companies encouraging them to implement programs to mitigate prescription opioid abuse, according to the V.I. Department of Justice.

There has been a sharp spike in opioid addiction and related deaths in recent years including addictions with abused prescription medications.

Walker also reportedly sent a letter to the president and CEO of CVS Health Corporation applauding the company’s recent program that automatically enrolled all commercial, health plan, employer and Medicaid clients in an opioid abuse mitigation program.

Although he said the territory has not experienced the opioid epidemic, Walker said he strongly believes that taking a proactive approach may help to stymie a potential opioid crisis.

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“So far, the Virgin Islands has not been hit by this epidemic,” Walker said, “but we have to proactive and need not wait for it to come before we take action because a number of states are being ravaged by it.”

Walker said he recently spoke to the of Connecticut Attorney General George Jepsen, one of the primary sponsors of the letter, who told him the New England states have been hit particularly hard by the opioid epidemic. For instance, New Hampshire has perhaps the highest rate of opioid deaths, per capita, in the nation, Walker said.

He said the voluntary practice instituted by CVS should be commended as it puts people above profit and is a model for all other pharmacies, including those in the Virgin Islands.

“The CVS policy includes limiting to seven days the supply of opioids dispensed and the dosage for certain prescriptions for patients who are using opioids for the first time, which will help to prevent addiction,” Walker said.

In their letters, the attorneys general asked that the companies adopt similar measures as CVS, which include requiring the use of immediate-release formulations of opioids before extended-release opioids are dispensed. The CVS program’s requirements are similar to the opioid prescribing guidelines recently issued by the Centers for Disease Control and Prevention.

The letters were sent to Argus Health Systems, Inc.; Benecard Services LLC; Envision Pharmaceutical Services LLC; Envolve Health; Express Scripts, Inc.; Humana, Inc.; Magellan Rx Management; MedImpact Healthcare Systems, Inc.; Vitus Health Solutions LLC; Optum, Inc.; PerformRx; Prime Therapeutics, Inc.; ProCare Rx; RxAdvance and WellDyneRx.

“While there are no doubt additional measures that prescription benefit managers could take to combat prescription opioid abuse, we believe over-prescribing of opioids could be curtailed by the implementation of a CVS-type program,” the attorneys general wrote.

“The opioid epidemic is the most pressing public health crisis our country faces,” the letter continues. “It affects every state and has a devastating impact on communities – tearing apart families and stretching the budgets of local law enforcement and first responders as they do the difficult work on the front lines. For our part, attorneys general are pooling resources and coordinating across party lines to address the crisis.”

Opioids, both prescription and illicit, are now the main driver of drug overdose deaths nationwide. According to the CDC, opioids were involved in 33,091 deaths in 2015 and opioid overdoses have quadrupled since 1999.

Along with Walker, those joining one or both of Monday’s letters include attorneys general from Alabama, Arizona, Connecticut, Delaware, Georgia, Indiana, Iowa, Louisiana, Maine, Michigan, Montana, New Hampshire, Rhode Island, South Carolina, Utah, Virginia, West Virginia and the District of Columbia.

President Donald Trump declared a public health emergency to deal with the opioid epidemic Oct. 26.

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