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Veterans were included in the cohort for years in which they received <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> outpatient care; those receiving hospice or palliative care were excluded. Concurrent prescriptions were defined as \u22651\u00a0days of overlap between outpatient prescriptions for opioids and\/or sedative\u2010hypnotics (categorized as benzodiazepines vs. non\u2010benzodiazepines).<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Among 5,882 veterans who filled opioid or sedative\u2010hypnotic prescriptions at <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> pharmacies, 1,036 (17.6 percent) filled concurrent prescriptions from non\u2010<jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> pharmacies. Within drug class, 15.1, 8.8, and 4.6 percent received concurrent <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> and non\u2010<jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> opioids, benzodiazepines, and non\u2010benzodiazepines, respectively. Veteran demographics and clinical diagnoses were associated with the likelihood of concurrent prescriptions, as was enrollment in the Veterans Choice Program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A considerable proportion of post\u20109\/11 veterans receiving <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> care in Oregon filled concurrent prescriptions for opioids and sedative\u2010hypnotics. Fragmentation of care may contribute to prescription drug overdose risk among veterans.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.13025","type":"journal-article","created":{"date-parts":[[2018,8,8]],"date-time":"2018-08-08T03:14:17Z","timestamp":1533698057000},"page":"5285-5308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Linkage of VA and State Prescription Drug Monitoring Program Data to Examine Concurrent Opioid and Sedative\u2010Hypnotic Prescriptions among Veterans"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9261-7742","authenticated-orcid":false,"given":"Kathleen F.","family":"Carlson","sequence":"first","affiliation":[{"name":"HSR&amp;D Center to Improve Veteran Involvement in Care (CIVIC) VA Portland Health Care System Portland OR"},{"name":"Oregon Health and Science University \u2010 Portland State University School of Public Health Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tess A.","family":"Gilbert","sequence":"additional","affiliation":[{"name":"HSR&amp;D Center to Improve Veteran Involvement in Care (CIVIC) VA Portland Health Care System Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J.","family":"Morasco","sequence":"additional","affiliation":[{"name":"HSR&amp;D Center to Improve Veteran Involvement in Care (CIVIC) VA Portland Health Care System Portland OR"},{"name":"Department of Psychiatry Oregon Health and Science University Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dagan","family":"Wright","sequence":"additional","affiliation":[{"name":"Oregon Health and Science University \u2010 Portland State University School of Public Health Portland OR"},{"name":"OCHIN Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua Van","family":"Otterloo","sequence":"additional","affiliation":[{"name":"Prescription Drug Monitoring Program Public Health Division Oregon Health Authority Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldona","family":"Herrndorf","sequence":"additional","affiliation":[{"name":"HSR&amp;D Center to Improve Veteran Involvement in Care (CIVIC) VA Portland Health Care System Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence J.","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Critical Care University of Utah Salt Lake City UT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.01.013"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.01.011"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.1673"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1943-278X.2011.00028.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000722"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318202aa27"},{"key":"e_1_2_7_8_1","unstructured":"Brandeis University Heller School for Social Policy and Management Prescription Drug Monitoring Program Training and Technical Assistance Center (PMDP TTAC).2016. \u201cPDMP Prescriber Use Mandates: Characteristics Current Status and Outcomes in Selected States\u201d [accessed on April 30 2018]. 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