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	James L. Holly, M.D.

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Letters - Letter to 105 Pharmacies in our 5-county Area about CVS and Opioids

September 27, 2017

Director of Pharmacy

Dear Sir/Madame:

Enclosed you will find a copy of an “open letter” to the CEO of CVS CareMart. As you may know, he is proposing that as of January, 2018, CVS will, for certain patients, only fill a 7-day supply of opioids.

If you wish to review the enclosed letter in a manner where all of the hyperlinks work, you can go to www.jameslhollymd.com/inthenews/letters. There you will fine 296 letters written by SETMA about important matters. The letter to CVS’ CVA is letter number 1. The following is the link to it: CVS Plans to Change Prescriptions without Physician Approval - An Open Letter to CVS’ CEO.

This letter details SETMA’s steps toward contributing to the solution for resolving the opioid abuse in this country. It is not THE only solution but it is a large part of it.

I am hopeful that the CVS CEO will enter into a dialogue with us an others about how really to solve this problem. As my letter states, I think his proposal is illegal in many states.

I and SETMA has the highest regard for our pharmacist colleagues and we value their input to patient care. This is not a discussion about “turf,” but about how to effectively unite our efforts to solve this problem.

If you would be interested in participating in a public discussion about this problem, please let me know at jholly@jameslhollymd.com.

Please distribute a copy of this letter to all of your staff pharmacists, to your corporate offices and to any other participant in this process.

Thank you,

James (Larry) Holly, M.D.
C.E.O. SETMA
www.jameslhollymd.com

Adjunct Professor
Family & Community Medicine
University of Texas Health San Antonio
The Joe R. and Teresa Lozano Long School of Medicine

Clinical Associate Professor
Department of Internal Medicine
School of Medicine
Texas A&M Health Science Center

Related Articles

	CVS Health Controlling Dispensing of Opioids Through Caremark - Part I CVS Health Controlling Dispensing of Opioids Through Caremark - Part II CVS Plans to Change Prescriptions without Physician Approval - An Open Letter to CVS’ CEO The Opioid Epidemic: Part I The Problem The Opioid Epidemic: Part II Better Record Keeping The Opioid Epidemic: Part III - Electronic Prescribing of Control Substances The Opioid Epidemic: Part IV - Medication Reconciliation and the Electronic Medication History The Opioid Epidemic: Part V - The Real Surprise in Medication Reconciliation The Opioid Epidemic: Part VII - Public Health and Opioids The Opioid Epidemic: Part VI - Texas Medical Board and the Prescribing of Habituating Medications The Opioid Epidemic: Part VIII - What is the Solution
Related Tutorials

	Tutorial for Individual Provider Assessing Patients Screener and Opioid Assessment for Patients with Pain (SOAPP)
Related Letters

	CDC Checklist for Prescribing Opioids for Chronic Pain, Primary Care Providers Treating Adults 18+ CDC Guideline for Prescribing Opioids for Chronic Pain CVS Health and Opioids - Dr. Lembke’s Question About Pharmacists and Opioids and Dr. Holly’s Response CVS Health Dr. Lembke and Limiting Dispensing of Opioids to a Seven-Day Supply CVS Health Response to Troy Brennan Letter and Health Affairs Blog CVS Health Summary of September and October, 2017 Ten-Part Conversation About Opioids Abuse October 7, 2017 Response to Dr. Lembke’s Helpful Analysis CVS Health and Opioids Summary of Analysis and Recommendations About CVS Health’s Use of Their Pharmacy Benefits Management to Limit Opioid Dispensing Transmission Cover Letter for Final Summary of Analysis of CVS Health CareMark Opioid Plan Transmittal Letter to Final Copy of Analysis of CVS Health’s Opioid Abuse Plan and Why it Should be Rejected

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