THE CRISIS

A brief history of the current challenges in opioid use disorder prescription methodology.

Each day individuals who are prescribed methadone for opioid use disorder run the risk of not receiving their daily methadone dose due to the logistical limitations of each administration site. Most controlled substances, including Suboxone, can be looked up other centralized electronic health record systems.

However, unlike other Schedule 2 drugs, methadone is not filled via a pharmacy and therefore not tracked within such platforms. This leaves an individual who requires their methadone dose outside the business hours of their clinics at a loss. As records between healthcare providers about methadone administration is not available from site to site, they must rely on archaic medical process-either retrieving their dosage information verbally via phone or in writing by fax. Oftentimes this proves futile due to multiple logistical challenges including a methadone clinic not being open, an unanswered phone, a fax machine malfunction, or an incorrect phone number. Without a confirmed methadone dose, the medical provider is not legally allowed to give a patient their daily methadone dose.

Our journey so far

We started out with the support of COBRE (Centers of Biomedical Research Excellence) which allowed us to secure an NIH grant and scale out our project and service offering. We continue to be supported by COBRE through their support networks for both research and development as well as in building partnerships with medical facilities in the New England area in the US.