In response to the opioid crisis that has gripped the country, the Michigan Legislature passed a set of bills in 2017 that imposes new requirements in 2018 on individuals and entities who prescribe and dispense opioids and controlled substances (“CS”).
The new laws impose restrictions and requirements on a wide range of prescribing and dispensing activities, including:
- Providing information on substance use disorder services for overdose victims
- Limitations on initial, refill and partial fills of CS prescriptions
- Bona fide patient relationship and follow-up care requirements for CS prescribers
- Providing specified information about opioids to all patients before prescribing
- Special informed consent requirements and forms that must be used when prescribing opioids to minors
- Mandatory registration with Michigan Automated Prescription Service (“MAPS”)
- Requirements to query MAPS before writing certain CS prescriptions
- Requirements to report specified CS dispensing to MAPS
- 7-Day limit on opioid prescriptions for acute pain
Compliance with the new requirements is tied to the standards for professional conduct in the Michigan Public Health Code for licensed prescribers and dispensers. Violation of these new requirements may result in professional disciplinary action against a licensed prescriber or dispenser. The new requirements have varying effective dates; implementation started on February 11, 2018, and continues to full implementation by July 1, 2018.