A pain medication use agreement (or contract) is a formal document outlining the expectations for a patient on chronic opioid therapy. It mandates that patients use a single ___, refrain from obtaining pain medication from ___, and submit to random urine drug tests and pill counts. It also lists specific grounds for ___, including selling medication, forging prescriptions, and harassing staff.

• A. Pain medication use agreement (or contract); pharmacy; other providers; termination
• B. Treatment plan; physician; clinics; admission
• C. Medical clearance; hospital; family; suspension
• D. Opioid safety plan; pharmacist; online sources; exclusion

Answer: (A)

A pain medication use agreement is a formal contract used during chronic opioid therapy that sets clear expectations and monitoring to promote safe, responsible use. It specifies that the patient must use a single pharmacy so the prescriber can monitor all medications, and must not obtain pain medications from other providers. It also includes monitoring steps like random urine drug tests and pill counts to verify adherence and detect misuse. Finally, it lists specific grounds for action, such as selling medication, forging prescriptions, or harassing staff, which can lead to termination of the agreement and continued care.

The option that fits all of these elements names the document as a pain medication use agreement and includes a single pharmacy, avoidance of other providers, random drug testing and pill counts, and termination as a possible consequence. Other choices refer to different types of plans or actions that don’t align with this contract’s particular combination of requirements and consequences.