AGENT IN CHARGE Brian Veazey OKC Diversion AIC Brian Veazey - - PowerPoint PPT Presentation

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AGENT IN CHARGE Brian Veazey OKC Diversion AIC Brian Veazey - - PowerPoint PPT Presentation

Jun 12, 2023 48 likes •332 views

AGENT IN CHARGE Brian Veazey OKC Diversion AIC Brian Veazey Oklahoma Bureau Chief Div. Mark Stewart Of Narcotics Protect ectin ing g Oklah lahom omans ans Prescr escription iption Drug g Abuse Protecting the security of

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

AGENT IN CHARGE Brian Veazey OKC Diversion

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

 Prescr

escription iption Drug g Abuse

 Mexica

can n Cartel els

 Methamphetamine

hamphetamine Labs

 Huma

man n Trafficking icking

 Syn

ynthe thetic tic Drugs gs

. Protecting the security

  • f

citizens against foreign and domestic threats to their lives, well-being, and the prosperity of

  • ur communities.

Protect ectin ing g Oklah lahom

  • mans

ans

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

 DIVERSION  ENFORCEMENT  HUMAN TRAFFICKING/MONEY LAUNDERING  TRAINING/EDUCATION  LEGAL

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

 OBN Divers

rsion ion overs rsee ees s more

e than n 19,00 ,000 doctor

  • rs,

, pharmaci acists ts, , and hospit ital al prescri cription tion licens enses. es.

 OBN Divers

rsion ion investi stiga gate tes s allega egations tions of prescript ription ion fraud a.k.a. . “Doctor Shopping” and other forms of prescription diversion.

 OBN Divers

rsion ion maint ntains ains the nation’s only Real-Time

Time Prescri cripti ption

  • n Monit

itoring

  • ring Program

ram (PMP) that began on July

ly 1, 2006.

  • 6. PMP provid

ides s regis istrant trants s and profess ssional ional board investi stigat gator

  • rs with

h direct ct comput uter er access ss to a database that tracks s and mainta tains ins controll trolled prescri cription tion infor

  • rma

mation. tion.

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

 The deviation from legitimate use of prescription drugs

for illegal purposes (obtaining, using and/or selling)

 Types: “doctor shopping”, forged/altered prescriptions,

employee theft;

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

  • Manufacturer to Wholesaler
  • Wholesaler to Distributor
  • Distributor to Pharmacy, Hospital, or

Doctor’s Office

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

2013 - 5th overdose deaths 19.4 per 100,000 and 3rd in use number of pain pills prescribed per capita

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

OBN L Baker 6/16/2016 Source: State ME 2015 Data is not complete.

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

31% 31% 69% 69%

Street Pharmaceutical

OBN L Baker 6/16/2016 SOURCE : STATE ME 2015 Data is not complete

Pharmaceutical deaths: there is at least one prescription drug or over the counter drug

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

122 122 70 70 73 73 80 80 158 158 135 135 270 270 61 61 50 50 Alpr Alpraz azolam

  • lam

Oxy Oxycod codone

  • ne

OBN L Baker 6/16/2016 Source: State ME 2015 Data not complete

STATE OF OKLAHOMA

2015 DRUG OVERDOSE DEATHS INVOLVING THE TOP 9 ABUSED DRUGS

The majority of all drug overdose deaths are due to a combination “cocktail” of drugs rather than just one specific drug. This chart reflects the total number of deaths each drug was involved in, even though another drug may have been the primary cause of death.

Met Methamphetamine hamphetamine Hy Hydr drocodone

  • codone
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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

462 462 460 460 452 452 493 493 496 496 346 346 390 390 370 370 377 377 364 364 100 200 300 400 500 600 2011 2012 2013 2014 2015

MALE LE

462 462 460 460 452 452 493 493 490 490

FEMALE ALE

346 346 390 390 370 370 377 377 360 360 NUMBE BER R OF DEATHS HS

OBN L BAKER 6/16/2016 SOURCE: STATE M.E. 2015 Data is not complete

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

Overdose Deaths Middle Aged Men 45-55 Nearly half of young people who inject heroin surveyed reported abusing prescription

  • pioids before starting to use

heroin. Some individuals reported taking up heroin because it is cheaper and easier to obtain than prescription opioids. Non Medical Usage 16-25

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

 The US makes up only 4.6% of the world’s population

but consumes 80% of the worlds opioids.

 99% of the world’s Hydrocodone is consumed by the

US (abcnews.go.com)

 More than half of all fatal overdoses involved a

“cocktail” of several prescription drugs. (Centers for

Disease Control and Prevention)

Opiate + Benzodiazepine + Muscle Relaxer “Trio” or “Trinity” – combination of Hydrocodone, Alprazolam, & Carisoprodol “Holy Trinity” – Oxycodone, Alprazolam, & Carisoprodol

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

Institute of Medicine Relieving Pain in America 2011

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

OpioidsIncreasing

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

  • Oxycodo
  • done

ne OxyContin Percocet

  • Hydrocodone

Vicodin Zohydro

  • Dilaudid
  • Fentanyl
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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

Opioid Side Effects

  • Mentally Impairing
  • Depression
  • Anxiety
  • Delay Recovery
  • Increase Medical Costs
  • Double the chance of Disability
  • Increase Falls
  • Cardiac
  • Neurobiological Changes
  • Addiction
  • Death
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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

Who is at Risk of Addiction from These Medications

  • Family History
  • Personal History of Addiction
  • Mental Health Diagnosis
  • Adverse Childhood Events
  • Stress
  • Prolonged Prescription
  • Diagnosis of:
  • Back Pain
  • Headaches
  • Fibromyalgia
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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

Summary

  • Opioids are not “powerful painkillers”
  • Ibuprofen is better
  • Opioids have many side effects that are much

worse than NSAIDS and Acetaminophen

  • Opioids cause brain changes
  • By reducing the prescribing of Opioids,

we improve pain treatment

  • Most people on chronic opioid therapy do better when

weaned off

  • Most people with addiction to Opioids need Methadone
  • r Buprenorphine
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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

Statewide electronic database that collects designated data on CDS from dispensers such as physicians, veterinarians, and pharmacists. The goal of the PMP is to provide a clinical tool for physicians to guard against prescription drug diversion and abuse.

Real- Time

Clinical Tool

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

 According to WCRI, 55 to 85 percent of all

injured workers in the United States received narcotic painkillers between 2008 and 2010, despite medical recommendations to limit such prescriptions to extreme pain or when

  • ther methods fail.
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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

2013 Oklahoma’s legislature successfully passed a comprehensive workers’ comp reform bill, Senate Bill 1062 the system from a court- based system to an administrative one, and creates an alternative insurance option for employers,

The bill also addresses the problem of controlled substances.

Calls for the adoption of guidelines to be drafted by the Physician Advisory Committee “for the prescription and dispensing of any controlled substance included in Schedule II of the Uniform Controlled Dangerous Substances Act” if those substances are not addressed in the current edition of the Official Disabilities Guidelines (ODG).

The bill also limits reimbursement to physicians who dispense prescription drugs to “no more than ten percent (10%) above cost.”

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

  • Drug monitoring programs helpful What payers in most states can — and

should — do to curb overprescribing is to ask workers comp physicians if they're accessing prescription drug monitoring programs, experts said.

  • Experts urge workers compensation payers to take steps to avoid
  • verprescribing or doctor shopping following a state Supreme Court's

decision allowing patients to sue physicians and pharmacies for contributing to their addiction to opioids.

  • Nearly 30 people filed eight civil actions in Mingo County, West Virginia,

Circuit Court between 2010 and 2012 that alleged three physicians and four medical centers “negligently prescribed and dispensed” drugs that led them to abuse and become addicted to opioids, court records show.

http://www.businessinsurance.com/article/20150521/NEWS08/150529964/opioid-addiction-suit-puts- workers-comp-payers-on-alert?tags=%7C75%7C79%7C92%7C304%7C309%7C329

Workers Comp and the PMP

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AIC Brian Veazey Chief Div. Mark Stewart

Oklahoma Bureau Of Narcotics

Brian Veazey 405- 530-3129 bveazey@obn.state.ok.us