A NEW ERA OF PREVENTION

Save Money.
Save Lives.

We use clinical intelligence to stop dependency before it starts, protecting both patient lives and healthcare plan bottom lines.

According to the NIH

75% of people entering treatment for Opioid Use Disorder report starting with a valid prescription from a doctor’s office.

On average, the cost for counties and businesses to cover these treatments is close to $15,000 per person each year.

The Clinical Blind Spot

Traditional healthcare tools, including TPA’s, PBM’s, and PDMP’s help track how many pills are prescribed. However, they have no ability to answer the critical clinical question:

When to stop the prescription?

Starting an Opioid Prescription

OBJECTIVE DATA

Physicians have clear data on when to begin therapy:

Stopping an Opioid Prescription

SUBJECTIVE GUESSWORK

Without tools, decisions are driven by emotion & pressure:

At OpioidRx, we’ve spent years crafting a solution that serves patients, supports doctors, and saves healthcare plan resources for counties and businesses.

Our Proven Solution: How OpioidRx Works

We move beyond simple “Risk Identification” to true “Clinical Resolution.”

1. Identification

Our proprietary algorithm identifies rising-risk patterns and the prescribing provider that standard PBMs miss, separating true physical pain from emotional dependency.

2. Intervention

We don’t target employees. We intervene directly with the provider, offering CDC-based guidance and tools for tapering and discontinuation.

3. Resolution

By answering "When to stop," we prevent addiction and eliminate 6–8% of unnecessary medical spending.

Zero Administrative Burden

Launching a new health initiative shouldn't require months of IT integration. OpioidRx requires no new software, no PHI, and no disruption to your existing plan.

View Onboarding Guide

Measurable Results

Results are tracked using prescriptions per 100 residents and claims-based methodologies.

75%

Reduction in high-risk
opioid prescriptions

56%

Reduction in cost per
high-risk member

41%

Reduction in ER
visits & hospitalizations

99%

Provider adoption of
CDC standards

Proven Financial & Clinical Outcomes

See how self-insured plans are using AI-driven clinical insights to reduce high-risk prescriptions and eliminate millions in avoidable medical spend.

Association Health Plan

$2.14M Annual Plan Savings

A 6,000-member plan utilized OpioidRx-AI to reduce their high-risk opioid population by 80%, resulting in an 88% reduction in health plan cost per member.

Read Case Study

Third Party Administrator

$2.28M Annual Plan Savings

By identifying underlying clinical risk rather than relying solely on PBM analytics, this 10,000-member plan reduced high-risk opioid prescriptions by 75%.

Read Case Study

Florida School District

$1.45M 9-Month Savings

OpioidRx pharmacists successfully educated the provider network, driving a 98% adoption of CDC guidelines and reducing related hospitalizations by 39%.

Read Case Study

Validated by Leaders in Public Health

6-8%

Medical Savings

100%

HIPAA Compliant

Zero

Employee Friction

Endorsed by Gov. Tommy Thompson & Hon. Patrick J. Kennedy

Stop the Silent Drain on Your Organization.

Estimates indicate that 4% of your plan members account for 15% of your healthcare costs due to opioid abuse. Your PBM can’t fix this—but our predictive analytics can.

 

Why OpioidRX?

Our initial report is free.

Fill out the form below to see your organization’s projected savings. 

Name

Our mission is simple: Save Money. Save Lives. We use clinical intelligence to prevent addiction and eliminate unnecessary healthcare costs before they start.

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Contact Information
Opioid Clinical Management, Inc.

6151 Thornton Ave, Suite 600, Des Moines, Iowa 50321

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