Payers & Insurance Companies

You need to provide your members with the most effective care while managing costs. Ameritox pain medication monitoring solutionsSM goes beyond standard urine drug testing to provide physicians with a more complete picture of your members’ pain medication use. With this unique insight, your organization can optimize patient outcomes, reduce health care costs and improve the overall quality of care.

Why pain medication monitoring?

U.S. retail pharmacies dispensed 245 million prescriptions for opioid pain relievers in 2014. That same year, more than 9 million people were prescribed opioids for long-term use.

However, a recent national study showed that, for a variety of reasons, the majority of pain patients may not be using their pain medication properly.2 This pervasive misuse or abuse is due to everything from patients simply choosing not to take their medication to taking too much medication because of inadequate pain control or addiction. While this information and insight is important to treating physicians for the better care of their patients, it’s also critical for payers. The medical costs of misuse and abuse are very high.

  • The average patient receiving chronic opioid therapy (COT) creates $25,000 or more each year in total medical costs.3
  • Patients with no reported abnormalities in their urine drug tests save $3,300 in annual medical costs.
  • A study of more than 2 million insureds found that patients who abused opioids were responsible for $14,000 more in direct medical costs than non-abusers.4
  • Another study concluded that patients who are likely adherent to their prescription regimens (with no evidence of misuse or diversion of illicit drugs) were responsible for 8-10 percent lower medical costs than those who were likely non-adherent.3

Ameritox—The power to understand more

As the leading provider of pain medication monitoring, Ameritox offers insight that helps physicians determine if a patient is taking his or her pain medication correctly. This critical insight and knowledge allows all those involved to make more informed decisions regarding pain management and achieve better outcomes. When patients are taking their medication as prescribed, payers can control—even reduce—costs, optimize patient outcomes and improve the overall quality of chronic pain management for all their members.

To learn how Ameritox pain medication monitoring solutionsSM can help you lower costs while providing more efficient and effective chronic pain management, call our Managed Care Support Team at (888) 494-2165 or email

The Ameritox Rx GuardianSM process

Most urine drug testing simply determines the absence or presence of a drug. The Ameritox Rx GuardianSM process with Rx Guardian CDSM is the only urine drug monitoring solution that uses a proprietary normalization algorithm and compares patient results to a comprehensive reference database of pain patients who are clinically assessed as adherent. Comparing patient results against this reference database of chronic pain patients gives payors and clinicians added assurance in assessing whether patients are taking their medications correctly.

Ameritox can help payors better manage outcomes for chronic pain patients. Learn more about:

As a pioneer in pain medication monitoring solutions, only Ameritox offers the comprehensive solutions physicians need to achieve the best possible outcomes. From our superior laboratory services and innovative technologies to our exceptional service and support, we provide the vital information and assurance necessary to manage chronic pain effectively.

Unmatched support for physicians and payers

Ameritox pain medication monitoring solutionsSM have been designed to make urine drug monitoring as easy and efficient as possible for physicians, patients and payers.

Our support is unsurpassed, going far beyond the service offered by traditional labs. We deliver extensive training and support services, resources, tools and reporting—all to bring pain treatment costs under control and improve your chronic pain management programs. For physicians and clinical staff, we offer:

  • Dedicated Sales Consultants help to integrate urine drug monitoring into clinicians' continuum of chronic pain management.
  • Ameritox Online ServicesSM to bring added efficiency to requisitions and reporting.
  • Rx Guardian AutoReminderSM to independently and randomly selects patients for monitoring based on a protocol selected by the practitioner to eliminate guesswork and potential bias.
  • Ameritox Practice ProfilesSM to provide vital indicators of both patient and practice progress.
  • Experienced Ameritox Toxicology Specialists' available for consultation on results.
  • Direct billing support is available for patients.

Ameritox also works with payers to maximize the value of pain medication monitoring, and minimize the time required to monitor. We provide:

  • A dedicated Ameritox Account Management team for ongoing consultation and administrative support.
  • Extensive patient data, customized practice profiles and reports for better pain care management strategies and programs.

Only Ameritox combines expertise, laboratory science and innovation with exceptional service support. It’s a combination that is proving essential for improving the quality and cost effectiveness of chronic pain management.


1APF Pain Facts: Overview of Pain Surveys, 2007

2 Couto JE, Goldfarb NI , Leider HL , Romney MC , Sharma S. High rates of inappropriate drug use in the chronic pain population. Population Health Manag. 2009;12(4):185-190.

3Leider, H.L., Dhaliwal, J., Davis, E.J., Kulakodlu, M., Buikema, A. (2011). Healthcare costs and nonadherence among chronic opioid users. Journal of Managed Care; 17 (1): 32-40.

4Journal of Managed Care Pharmacy, 2005;11(6): 469-79.