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Provider Pharmacy Resources

Opioid Management Program

True Health New Mexico members are subject to the CVS/Caremark Opioid Management program. This program limits the dose/quantity of opioids that members can receive. If a member exceeds the limitations, prior authorization is required. In general, prior authorization can be satisfied by providing a copy of the member’s current treatment plan, a risk assessment evaluation, and a copy of the member’s opioid contract. Prescribers may also attest to use of these specific tools. Prescribers should fax prior authorization requests for opioids to True Health New Mexico Pharmacy Services at 1-866-718-7938. Below are several resources to help True Health New Mexico providers manage their patients who are taking opioids. True Health New Mexico providers are not required to use these resources; they are offered as a convenience.