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Less is More: Fulfillment of Opioid Prescriptions Before and After Implementation of a Modifier 22 Based Quality Incentive for Opioid-Free Vasectomies

  • Prior to implementation of the modifier 22 opioid sparing vasectomy incentive, 32.5% of men filled an opioid prescription following a vasectomy. After implementation, only 12.6% of men filled an opioid prescription, which is a 19.9% absolute decrease and 61% relative decrease.
  • Estimated the equivalent of 8,743 fewer oxycodone 5mg pills were dispensed in Michigan from July 7, 2019 to November 16, 2020.

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Nam, C. S., Lai, Y. L., Hu, H. M., George, A. K., Linsell, S., Ferrante, S., Brummett, C. M., Waljee, J. F., & Dupree, J. M. (2022). Less is More: Fulfillment of Opioid Prescriptions Before and After Implementation of a Modifier 22 Based Quality Incentive for Opioid-Free Vasectomies. Urology, S0090-4295(22)00868-8. Advance online publication. https://doi.org/10.1016/j.urology.2022.09.023