{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:34:32Z","timestamp":1747182872477,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T00:00:00Z","timestamp":1670803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UM1DA049412 (New York)","UM1DA049412"],"award-info":[{"award-number":["UM1DA049412 (New York)","UM1DA049412"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study is to examine whether the March 2020 New York State (NYS) SARS\u2010CoV\u20102 emergency orders were associated with an initial surge in opioid dispensing and a longer\u2010term reduction in access to medications for opioid use disorder (MOUD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Time\u2010series analyses of the dispensing of non\u2010MOUD opioid and MOUD prescriptions using IQVIA's longitudinal prescription claims database (<jats:italic>n<\/jats:italic>\u00a0=\u00a016\u2009087\u2009429) in NYS by week, from 1 January 2018 to 31 July 2020. IQVIA is a multi\u2010national company that provides biopharmaceutical development and commercial outsourcing services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and Participants<\/jats:title><jats:p>NYS Zone Improvement Plan (ZIP) codes (<jats:italic>n<\/jats:italic>\u00a0=\u20091218) in which prescriptions were dispensed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurement<\/jats:title><jats:p>For each ZIP code, for each week, the following dispensing measures were calculated: total weekly morphine milligram equivalents\/day (MME\/day), total weekly MME\/day dispensed via prescriptions for \u2264\u20097\u2009days and the count of MOUD prescriptions dispensed. Differences in dispensing metrics, comparing each week in 2020 with corresponding weeks in 2019, were calculated for each ZIP code.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, weekly MME\/day per ZIP code of dispensed non\u2010MOUD opioids steadily declined. Compared with the difference in dispensing between 2019 and 2020 during the first week in 2020, there was a significantly larger drop in dispensed weekly total MME\/day beginning 21\u2009March 2020, and lasting until the week of 17\u2009April (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05 for each week). Mean weekly total MME\/day dispensed from 21\u2009March to 17\u2009April 2020 was 17.07% lower [95% confidence interval (CI)\u2009=\u200913.97%, 20.17%] than in the 4\u2009weeks before 21\u2009March almost entirely due to a drop in MME\/day dispensed for prescriptions of \u2264\u20097\u2009days. There was not a discernable drop in MOUD dispensing associated with the period of the emergency orders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>New York State emergency orders in March 2020 to reduce SARS\u2010CoV\u20102 transmission and preserve hospital capacity appeared to be associated with a decline in dispensing of opioids not used as MOUD. Access to MOUD appeared to be unaffected by the orders, probably because of policy initiatives by the Substance Abuse and Mental Health Services Administration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.16087","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T08:55:44Z","timestamp":1668761744000},"page":"711-718","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impacts of the New York State COVID\u201019 disaster emergency orders on prescription dispensing for opioids and medication for opioid use disorder"],"prefix":"10.1111","volume":"118","author":[{"given":"Abhinav","family":"Suri","sequence":"first","affiliation":[{"name":"Mailman School of Public Health, Department of Epidemiology Columbia University  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Feaster","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Department of Public Health Sciences University of Miami  Miami FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond R.","family":"Balise","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Department of Public Health Sciences University of Miami  Miami FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Quinn","sequence":"additional","affiliation":[{"name":"Mailman School of Public Health, Department of Epidemiology Columbia University  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2055-3425","authenticated-orcid":false,"given":"Edward V.","family":"Nunes","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute  New York NY USA"},{"name":"Columbia University Irving Medical Center, Department of Psychiatry Columbia University  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louisa","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Columbia University School of Social Work Columbia University  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabila","family":"El\u2010Bassel","sequence":"additional","affiliation":[{"name":"Columbia University School of Social Work Columbia University  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0211-7707","authenticated-orcid":false,"given":"Andrew G.","family":"Rundle","sequence":"additional","affiliation":[{"name":"Mailman School of Public Health, Department of Epidemiology Columbia University  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"volume-title":"No. 202: Executive Order, Declaring a Disaster Emergency in The State of New York","year":"2020","author":"Coumo A","key":"e_1_2_8_2_1"},{"volume-title":"Additional Medicaid Pharmacy Guidance Regarding the Declared Disaster Emergency in the State of New York over COVID\u201019","year":"2020","author":"Zucker H","key":"e_1_2_8_3_1"},{"volume-title":"Emergency executive order no. 100","year":"2020","author":"Blasio B","key":"e_1_2_8_4_1"},{"volume-title":"No. 202.10: continuing temporary suspension and modification of laws relating to the disaster emergency","year":"2020","author":"Cuomo A","key":"e_1_2_8_5_1"},{"volume-title":"No. 202.31: executive order continuing temporary suspension and modification of laws relating to the disaster emergency","year":"2020","author":"Cuomo A","key":"e_1_2_8_6_1"},{"key":"e_1_2_8_7_1","unstructured":"LynchL.AARP answers: coronavirus and prescription drugs.2020; Available at:https:\/\/www.aarp.org\/health\/drugs-supplements\/info-2020\/rx-drugs-coronavirus-faq.html(accessed April 2021)."},{"key":"e_1_2_8_8_1","unstructured":"Chain Drug Review.APhA urges insurers PBMs to remove barriers on Rx refills for COVD\u201019 preparedness.2020. 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