Dayton Daily News

DeWine: Drug makers must reach settlement

State’s drug-tracking database getting 834K queries a day from docs.

- By Laura A. Bischoff

Ohio is showing COLUMBUS — positive signs in the opioid addiction crisis a 22% drop in fatal

— drug overdoses in 2018, a substantia­l increase in doctors and pharmacies using Ohio’s powerful prescripti­on monitoring database, and new state funding for prevention programs in K-12 schools, Gov. Mike DeWine said Friday.

“Overall trend lines are down as far as deaths but it’s clear that we certainly are not where we want to be. Where we want to be is where we have no deaths in Ohio,” DeWine said.

The Ohio Automated Rx Reporting System exceeded one million queries on Feb. 22 and April 1 from doctors and pharmacist­s checking patient records before writing and filling prescripti­ons for highly addictive painkiller­s and other controlled substances.

In 2011, under then-governor JohnKa si ch, Ohio started implementi­ng rules to mandate use of OARRS and linking OARRS directly to electronic medical records and pharmacy dispensing systems so that it’s easier to use.

Nearly 1,500 stores from 11 chains and 233 independen­t pharmacies are tied directly into OARRS and another major chain is expected to join soon, according to the Ohio Board of Pharmacy.

Queries to OARRS soared from 65,000 a day in 2015 to 834,000 a day now on average.

The American Medical Associatio­n ranks OARRS as the most utilized prescripti­on drug monitoring program in the country. Every state except Missouri has such programs.

“We know that prescripti­on drug monitoring programs save lives,” said U.S. Drug Czar Jim Carroll, who is visiting Ohio to learn about the state’s efforts to address the opiate addiction crisis.

The number of prescripti­on opioid-related overdose deaths dropped nearly 28% from 2011 to 2017, reflecting Ohio’s efforts to curb over-prescribin­g and doctor shopping. Between 2012 and 2017, the total number of opioid doses dispensed to Ohio patients dropped 28 percent, or by 225 million doses.

Preliminar­y data from the Centers for Disease Control and Prevention show a 22.1% decline in fatal drug overdose deaths in Ohio in the 12 months ending in December 2018 over December 2017. Deaths dropped from 5,138 to 4,002, the data show.

DeWine said he would be sending letters to all Ohio school districts’ superinten­dents, announcing state funding for drug abuse prevention programmin­g. “Our goal is that every child every year in every grade, K through 12, every school in the state of Ohio” will receive prevention education, he said.

More than 2,000 state, local and tribal government­s — including Ohio — have sued members of the drug industry in the biggest and possibly most complicate­d litigation of its kind ever in the U.S. Data kept by the U.S. Drug Enforcemen­t Administra­tion and released as part of the federal lawsuits shows that 76 billion oxycodone and hydrocodon­e pills were shipped to U.S. pharmacies from 2006 to 2012.

Carroll said the data shed light for the public to see “some of the harm that the pharmaceut­ical companies did.”

In May 2017, DeWine, as Ohio attorney general, sued five pharmaceut­ical companies that marketed powerfully addictive prescripti­on pain medication.

Without speaking to specific litigation, DeWine said Friday that it’s time for the drug makers to settle the lawsuits or risk heavy verdicts.

“What is now public in the last two weeks, what these pharmaceut­ical companies have done, there can be no doubt in anyone’s mind that they are responsibl­e for this. There is no doubt that they knew that these drugs were addictive, there is no doubt they lied to the public,” he said. “They lied about it and they did it for a long period of time. So, it’s time, handwritin­g is on the wall. It’s time for them to reach a settlement.”

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