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Opiod survey online form English

Welcome to the peer review form of the International Opioid Survey

After having viewed the data from your country, please fill in the questions that need to be amended
ONLY.

TO SAVE THE DATA ON THE ONLINE DATABASE CLICK ON THE BUTTON SUBMIT AT THE END OF THE FORM

We recommend that you downolad the questionnaire and prepare the data before filling the form online.

ATTENTION, IF YOU DO NOT WORK ON THE FORM FOR 60 MINUTES, YOU WILL LOOSE ALL THE DATA ALREADY INSERTED!

Personal

 

Review information



If yes (please fill ONLY the questions to be amended)

If no (please go directly to submit button)

 

General Questions

 

Drug availability

AVAILABLE On Formulary


Cost of medications to patient (what proportion of the full retail price does the patient have to pay)

Is there a maximal permissible daily dose that can be legally prescribed?

 

Actual availability when needed
(Can patient actually get it when they need it)

 

Affordability

 

Prescribing

Can opioids be prescribed for cancer patients in the following settings?

 

Who has the authority to prescribe opioid medications for a cancer patient?

 

Prescriptions and dispensing

If Yes…

 

Where can the patient with a valid prescription for an opioid have it filled?

 

 

Pharmacy regulations

 

Stigma

If Yes, which terms are used?




 


Please read the form once more and if it is complete, please submit it .

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