Buprenorphine - Does 3-Day Rule Apply Anymore to Hospitals?

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

1 post / 0 new
Perry Shafner
Perry Shafner's picture
Offline
Last seen: 2 hours 51 min ago
Joined: 02/08/2022 - 11:18
Buprenorphine - Does 3-Day Rule Apply Anymore to Hospitals?

Now that the Waiver Elimination (MAT Act) eliminated the need for providers to obtain an X waiver to prescribe buprenorphine for opioid use disorder, my understanding is that buprenorphine should be like any other drug.

Does this mean that the 3-day rule for patients that present to a hospital for opioid withdrawal now applies only to methadone, but not to buprenorphine?

Have other organizations relaxed the rules for buprenorphine use, or do you have a different interpretation on how this legal change affects hospitals?

(See https://www.samhsa.gov/medications-substance-use-disorders/waiver-elimin...)