Opioid Management

Wellmark and CVS Address Opioid Management Issue

April 2018 

Wellmark and CVS/caremark® are strengthening their utilization management (UM) program when it comes to prescribing and use of opioids. Beginning April 1, 2018, all customers will have their utilization management updated. Wellmark says the effort is intended to encourage clinically appropriate use of opioid painkillers and greater pharmacist counseling for patients filling an opioid prescription for the first time.  

The program includes prescribing limitations consistent with guidelines issued by the Centers for Disease Control and Prevention and the National Governors’ Association Opioid Briefing. The program is intended to ensure smaller quantities of opioids are dispensed for short-term pain needs. It is not designed to affect members with chronic pain or those undergoing care for serious illness.

If you have questions about your specific pain control situation, please contact Wellmark Blue Cross and Blue Shield at (800) 524-9242.