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Expanding the Pharmacist's Role in Preventing Opioid Abuse: Understanding Abuse-deterrent Formulations and Identifying Risks

This educational activity is sponsored by Postgraduate Healthcare Education, LLC (PHE) and supported by an educational grant from Daiichi Sankyo, Inc.


Jeffrey Fudin, BS, PharmD, DAIPM, FCCP, FASHP
Chief Executive Officer & Chief Medical Officer, Remitigate, LLC Delmar NY
Clinical Pharmacy Specialist (WOC), Stratton VA Medical Center, Albany NY
Adjunct Associate Professor, Western New England University College of Pharmacy, Springfield MA
Adjunct Associate Professor of Pharmacy Practice & Pain Management, Albany College of Pharmacy & Health Sciences, Albany NY

Jeffrey J. Bettinger, PharmD
PGY1 Pharmacy Practice Resident
Stratton VA Medical Center, Albany NY

Mena Raouf, PharmD
PGY2 Pain & Palliative Care Pharmacy Resident
Stratton VA Medical Center, Albany NY


Jeffrey Fudin, BS, PharmD, DAIPM, FCCP, FASHP discloses the following financial relationships or relationships to products or devices with a commercial interest related to the content of this activity: Speaker's Bureau—Astra Zeneca, DepoMed, Endo, Iroko Pharmaceuticals; Consultant—Clarity, Collegium, Egalet, Endo; Advisory Board—Daiichi Sankyo, DepoMed, Egalet; Speaker—Pernix Therapeutics; Owner—Remitigate, LLC

Jeffrey J. Bettinger, PharmD and Mena Raouf, PharmD have no relevant affiliations or financial relationships with a commercial interest to disclose.

This article was not prepared as part of the authors' duties as federal employees.

The following reviewer, Darrell Hulisz, PharmD, hereby states he has no relevant affiliation or financial relationship or relationship to products or devices with a commercial interest related to the content of this activity to disclose.

Susanne Batesko, RN, BSN, Robin Carrino, as well as the planners, managers, and other individuals, not previously disclosed, who are in a position to control the content of Postgraduate Healthcare Education (PHE) continuing education (CE) activities hereby state that they have no relevant conflicts of interest and no financial relationships or relationships to products or devices during the past 12 months to disclose in relation to this activity. PHE is committed to providing participants with a quality learning experience and to improve clinical outcomes without promoting the financial interests of a proprietary business.


Postgraduate Healthcare Education, LLC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
UAN: 0430-0000-17-101-H01-P

Credits: 2.0 hours (0.20 ceu)
Published: December 22, 2017
Expires: December 31, 2019
Type of Activity: Knowledge
Media: Internet

Fee Information: There is no fee for this educational activity.

Estimated time to complete activity: 120 minutes


This accredited activity has been designed for pharmacists.


During the period December 22, 2017 through December 31, 2019, participants must 1) read the learning objectives and faculty disclosures; 2) view the educational activity; and 3) complete the post-test and evaluation form directly after the activity within a maximum of 60 days of participating in the activity. To answer the questions, click on your selected choice for each answer then proceed to the next question. Once completed, click on the Grade Exam button at the bottom of the page. Your post-test will automatically be graded. If you successfully complete the post-test (score of 70% or higher), your statement of participation will be made available immediately. Click on the View Statement of Participation link and print the statement for your records. If you receive a score lower than 70%, you will receive a message notifying you that you did not pass the post-test. You will have 2 opportunities to pass the post-test. To receive Credit, you must provide your date of birth and NABP number. All Credit information will be uploaded into CPE monitor within 30 days.


To educate pharmacists about opioid abuse, including identifying signs of abuse and misuse, techniques for communicating with patients and other care providers to optimize opioid use, and the use of abuse-deterrent formulations of opioid agents.


At the conclusion of this activity, the learner will be better able to:

  1. Appreciate the scope of opioid abuse, misuse, and addiction and develop strategies to identify these issues through patient communication in the pharmacy setting
  2. Differentiate behaviors that indicate inadequate pain management from those of opioid abuse and addiction to better manage patients with uncontrolled pain
  3. Identify abuse-deterrent properties of novel opioid formulations and their benefits to patients and the healthcare system
  4. Describe the Extended-release and Long-acting Opioid Analgesic Risk Evaluation and Mitigation Strategy and pharmacists' roles in the team-based implementation of this program
  5. Communicate with prescribers and other healthcare providers to mitigate risks and improve or maintain analgesic benefit of opioids


Please ensure the computer system you plan to use meets the following minimum requirements:

  • Operating System: Windows 98 or higher & Macintosh 2.2 or higher
  • Internet Browser (Mac &/Windows): Internet Explorer 6.0 or higher, Google Chrome, Safari 5.0.6 or higher, Firefox 3.0.3 or higher & Opera 5 or higher
  • Broadband Internet connection: Cable, High-speed DSL & any other medium that is internet accessible
  • Peripherals: Computer speakers or headphones
  • Monitor Screen Resolution: 320 x 480 or higher
  • Media Viewing Requirements: Adobe Reader, Microsoft PowerPoint, Flash Player & HTML5

Disclosure of Unlabeled Use and Disclaimer:

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Postgraduate Healthcare Education, LLC and Daiichi Sankyo, Inc. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients' conditions, and possible contraindications on dangers in use, (review of any applicable manufacturer's product information) and comparison with recommendations of other authorities.

The author, sponsor, and publisher of this continuing education activity have made all reasonable efforts to ensure that all information contained herein is accurate in accordance with the latest available scientific knowledge at the time of acceptance for publication. However, because information regarding drugs (their administration, dosages, contraindications, adverse reactions, interactions, special warnings, precautions, etc.) is subject to constant change, the reader is advised to check the manufacturer's package insert for information concerning recommended dosages and potential problems and cautions prior to dispensing or administering the drug. Special precautions should be taken when a drug is new, or highly toxic, or is unfamiliar to the dispenser or administrant. This educational activity may contain discussion of published and/or investigational uses of agents that are not approved by the U.S. Food and Drug Administration (FDA). Neither the publisher nor sponsor promotes the use of any agent outside of approved labeling. Statements made in this monograph have not been evaluated by the FDA. Nutritional products discussed are not intended for the diagnosis, treatment, cure, or prevention of any disease.