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Jun 2026
Understanding Medication for Opioid Use Disorder: A Proven Solution
Note: This article provides general information to support reflection and continued learning about integrating PMP checks and results review into practice.
The Texas Prescription Monitoring Program (PMP) can connect you with information and resources to guide patients through their recovery from opioid use.
MOUD vs. MAT: What’s the Difference?
Medication for opioid use disorder (MOUD) refers to FDA-approved medications — buprenorphine, methadone or naltrexone — that manage the symptoms of opioid use disorder and help sustain recovery. They address brain chemistry changes associated with addiction, reduce withdrawal symptoms and cravings, and lower the risk of recurrence and overdose. Medication-assisted treatment (MAT) is a broader term that combines medications with therapy and counseling to help people navigate their condition and move toward recovery. The Substance Abuse and Mental Health Services Administration (SAMHSA) has established comprehensive guidelines for MAT and MOUD use to ensure effective and standardized care.
Refer to SAMHSA's TIP 63: Medications for Opioid Use Disorder for more information.
MOUD Can Impact Texas PMP Scores: Interpret with Clinical Context
MOUD lowers the risk of clinical overdose and can lead to falsely elevated Texas PMP scores.
Keep the following factors in mind when interpreting results:
- Updated dosing guidelines. The recommended maximum daily dose for buprenorphine has increased to 24 mg daily.
- Prescription supply patterns. Because of MOUD cost, patients may purchase only a few days’ supply at a time instead of a full 30-day prescription. This can create overlapping prescription fills, which could falsely elevate scores in the PMP.
- Other medical needs. Consider and document additional patient needs to support safe and timely access to care such as acute pain management while on MOUD.
- Documenting MOUD purpose. MOUD is associated with a lower overdose risk. Clearly documenting its indication on e-prescriptions and portals helps prevent confusion among other health care providers reviewing the score.
Using Texas PMP to Connect Patients to Treatment
Texas PMP offers more than controlled substance prescription histories. If a patient is a candidate for MOUD, you can use the MAT Providers feature accessible through the Other Resources button within a PMP report to:
- Find treatment providers near them for timely referrals.
- Provide education materials to help patients understand their options.
If you have questions about whether you can prescribe MOUD or how to become eligible to do so, review the Waiver Elimination (MAT Act) to determine your eligibility.
