Opioid-induced constipation (OIC) in patients with chronic non-cancer pain 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Member Information section. Enter the Member Name, Date of Birth, and Insurance ID#. Ensure all fields are completed accurately.
  3. Next, provide the Provider Information. Fill in the Provider Name, NPI#, Office Phone, and Office Fax. This information is crucial for processing your request.
  4. In the Medication Information section, specify the Medication Name and Strength. Indicate if you are requesting a brand and whether this is a continuation of therapy.
  5. Select the appropriate diagnosis under Clinical Information. Make sure to check 'Opioid-induced constipation (OIC) in patients with chronic non-cancer pain'.
  6. Document any medications that the patient has tried and failed, including dates where applicable. This helps establish treatment history.
  7. For reauthorization requests, confirm if there is documentation of a positive clinical response to Movantik therapy by selecting 'Yes' or 'No'.
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Opioid-induced dysfunction is a distressing condition that may persist indefinitely in the clinical setting. As we understand more about normal gastrointestinal (GI) physiology, we are also beginning to understand more fully how opioids cause dysfunction.
Other therapies include naloxegol, , and naldemedine. Naloxegol and naldemedine are both approved for treatment of OIC in patients with non-cancer pain. has only been approved to treat recalcitrant cases of postoperative ileus.
If the person has opioid-induced constipation: Do not prescribe bulk-forming laxatives. Offer an osmotic laxative and a stimulant laxative (or docusate is an alternative which also has stool-softening properties). Consider naldemedine as an option if other laxative treatments have been ineffective.

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