Cost of Opioids: Equianalgesic Dose
(using morphine 30 mg q 4 h as the base
based on average wholesale price (AWP), 2001
click here to view table
Isn't this an incredible premium that has to be paid for the formulation of controlled released medication? And I had no idea of how expensive regular oxycodone was in relation to morphine!
I heard at a seminar once again about methadone and what a shame it is that nobody in this country uses it because there are about 20% of the population who cannot effectively metabolize morphine. I'm told it isn't used because of the stigma associated with it being used to treat drug addiction, and because doctors don't know how to use it. No pharmaceutical rep will ever recommend it because there is no profit to be made on it.
If even a few patients on the census were using methadone instead of oxycontin just think of the savings! What extra services could your hospice offer with the money that would be saved?