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General Background Data Indian States General Formulary and Cost 7 - PowerPoint PPT Presentation

The international collaborative project to evaluate the availability and accessibility of opioids for the management of cancer pain in Africa, Asia, Latin America and Middle East Preliminary results for peer review: INDIAN STATES Nathan I


  1. The international collaborative project to evaluate the availability and accessibility of opioids for the management of cancer pain in Africa, Asia, Latin America and Middle East Preliminary results for peer review: INDIAN STATES Nathan I Cherny Project coordinator Chair, ESMO Palliative Care Working Group Member, EAPC research steering committee Norman Levan Chair in Humanistic Medicine Dept Oncology Unit Head: Cancer pain and palliative Medicine Shaare Zedek Medical Center, Jerusalem, Israel Chernyn@Netvision.net.il

  2. General Background Data

  3. Indian States General

  4. Formulary and Cost 7 essential opioids Codeine Morphine, Oral Immediate Release (MoIR) Morphine, Oral Controlled Release (MoCR) Morphine, injectable (MoINJ) Oxycodone, Oral Immediate Release (OcIR) Methadone, Oral (MoPO) Fentanyl, transdermal patch (FentTD)

  5. Formulary and Cost: Indian States

  6. Actual Availability 7 essential opioids

  7. Actual Availability: Indian States

  8. Eligibility Restrictions (Patient permits)

  9. Eligibility Restrictions : Indian States

  10. Restrictions of prescribing authority

  11. Prescription Privileges: Indian States

  12. Prescription restriction: Number of days supply that can be prescribed

  13. Days allowed/prescription: Indian States

  14. Restrictions on “As needed” (PRN) prescribing

  15. Indian States: PRN prescriptions Not Allowed Allowed

  16. Prescription restriction: Increased bureaucratic burden with multiple copies or special forms

  17. Prescription forms: Indian States

  18. Pharmacist restrictions

  19. Pharmacist Restrictions: Indian states

  20. Dispensing restrictions

  21. Dispensing: Indian States

  22. Negative laws regarding medical use of opioids

  23. Laws: Indian States

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