First, What are Opioids?
An opioid is a synthetic substance that has similar, but not related, effects of substances called opiates. The most common opioids are medications used to treat pain.
If you have ever had a medical procedure, you may have been prescribed a type of opioid for pain management.
You may recall some of the more common drug brand names – Oxycontin, Oxycodone, Percocet.
We’re here to help you understand opioids better, learn about their use and possible misuse or abuse and discuss alternatives to treat long-term pain.
We also want to share what we are doing to battle the epidemic.
What are Signs of Possible Addiction?

Possible signs or symptoms of opioid misuse or possible addiction include:1
-
Using more of the prescribed drugs or using them longer than intended
-
Using while doing something dangerous, such as driving
-
Using despite physical or mental problems
-
Using despite legal or social problems
-
Can’t control or cut down use
-
Spending lots of time finding drugs or recovering from use
-
Skipping or cut down important activities
-
Having a strong desire or urge to use
-
Becoming tolerant – In other words, need more of the drug or need to take it more often
-
Having withdrawals – The presence of physical symptoms when trying to stop

What to Ask Your Doctor Before Taking Opioids: A Checklist
Opioids can have some very serious side effects. Use this checklist provided by the Food and Drug Administration (FDA) to ask your health care provider questions before taking opioids
How is Blue Cross NC Helping?
PREVENTION
Requiring providers to prescribe the safest options before progressing to stronger medications
Providing opioids risk screening / education
Participating in the NC Department of Health and Human Services (DHHS) Payers’ Council to partner on pharmacy policies
Partnering with the NC Medical Board to promote greater education
INTERVENTION
Requiring prior authorization / quantity limits on all extended release opiates
Contacting providers with significantly higher rates of opioids prescribing
Monitoring for patients who “prescription shop” with multiple providers / pharmacies
Alerting prescribers of high risk
TREATMENT
Coverage of addiction treatment
Coverage of non-drug pain management therapies (e.g., physical therapy, chiropractic care, aquatic therapy, steroid joint injections)
Medication-assisted therapy coverage
Covered telehealth options for behavioral health and substance abuse
Network of substance abuse professionals and facilities
Medical policies/prior review to ensure appropriate treatment
24-hour phone line for members to discuss opioids usage and get help with addiction
What Can You Do to Help?
In response to the Opioid Crisis in our state, Blue Cross NC is working with pharmacies and health care industry leaders to install medication drop-off points in almost every county. Help us keep our communities safe. Learn more about how you can store your prescriptions or dispose of them safely.
- Don’t share your medication with family or friends.
- Keep your medication in a locked box or cabinet. You can return unused opioid medications at any law enforcement office in North Carolina.
- Drop off unused medications at any of our partner pharmacy locations listed below.
Walgreens Drop-Off Locations
EASTERN NC
Greenville
Henderson
Lumberton
New Bern
Rocky Mount
Wilmington
Wilson
CHARLOTTE AREA
CENTRAL NC
Apex
Asheboro
Durham
Fuquay Varina
High Point
Sanford
Winston Salem
WESTERN NC
Asheville
North Wilkesboro
What Do I Do If I Need Help?
Call: 1-800-662-4357
Substance Abuse and Mental Health Services Administration National Hotline
Blue Cross NC members, call the Mental Health number on the back of your ID card.
Find a Pain Management Provider
Log in to Blue Connect and use our Find a Doctor tool to search for the right provider for you.
