The authors discuss an opioid epidemic in America in relation to the U.S. Comprehensive Addiction and Recovery Act (CARA) which was passed in 2016 and contains a provision implementing drug management programs for at-risk beneficiaries (lock-in programs or LIPs) in Medicare Part D prescription drug plans beginning in January 2019. American public health interventions and drug overdose rates are examined, along with education and other services that are contained in LIPs.
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