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Talk:Republic Drug Store

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Within the prescriptions filled over the investigation period, prescriptions for opiate doses greatly over the 540 morphine milligram equivalent daily recommended limit. Morphine milligram equivalents are used to convert between opiate dosages and identify patients at risk of overdose.[1] A number of prescriptions were placed in combination with preexisting or new prescriptions which when filled became parts of various "trinities" such a "gaba trinity", an anticonvulsant plus opiate and benzodiazepine, or a "holy trinity", an opiate plus benzodiazepine and a muscle-relaxant.[2] Other prescriptions were paired, which could be used for speedballs or "oxymethodone".[2] Of further concern were instances where no checks were taken when refills were sought earlier than the seven day window before a previous months supply should have run out.[2]

References

  1. ^ "Morphine Equivalent Units/Morphine Milligram Equivalents". www.asam.org. Archived from the original on 2021-10-19. Retrieved 2019-11-10.
  2. ^ a b c Barker, Richard (October 2, 2023). "Ferry County Hospital District Agrees to Pay $15,000 Penalty and Implement Corrective Actions to Address Improper Opioid Dispensing Practices at Republic Pharmacy" (Press release). Spokane, Washington: U.S. Attorney's Office, Eastern District of Washington. U.S. Attorney's Office, Eastern District of Washington. Retrieved 2024-08-02.