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Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science

Advisor

Dr. Bartley Rust

Abstract

America is facing one of the worst opioid use disorder (OUD) epidemics in modern times. The Comprehensive Addiction and Recovery Act allows advanced practitioner providers (APP) to obtain an x waiver by the Drug Enforcement Agency (DEA) to prescribe buprenorphine for medication-assisted treatment (MAT). Substance use disorder is a chronic relapsing disease requiring both medications and effective behavioral modification. Physician Assistants (PAs) and Nurse Practitioners (NPs) are uniquely trained and qualified to actively participate in addressing our national opioid healthcare crisis. Buprenorphine has experienced difficulty in expansion for maintenance due to reduced numbers of prescribers and failed to overtake methadone.

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