Virginia

For Virginia, initial supply days is 14-day supply; applies to is Controlled substances containing an opioid, for acute and subacute pain (Board of Medicine regulation); exception provision is unless extenuating circumstances are clearly documented in the medical record; mme limit is Prescriber must document reasons to exceed 50 MME/day and provide justification or consult a pain management specialist before exceeding 120 MME/day; citation is 18VAC85-21-40, recorded from its source on 2026-08-18.

Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.

What the source says

A prescriber providing treatment for acute or subacute pain shall not prescribe a controlled substance containing an opioid in a quantity that exceeds a 14-day supply, unless extenuating circumstances are clearly documented in the medical record. 2. An opioid prescribed as part of treatment for a surgical procedure shall be for no more than 14 consecutive days and within the immediate perioperative period, unless extenuating circumstances are clearly documented in the medical record. B. Initiation of opioid treatment for all patients shall include the following: 1. The practitioner shall carefully consider and document in the medical record the reasons to exceed 50 MME/day. 2. Prior to exceeding 120 MME/day, the practitioner shall document in the medical record the reasonable justification for such doses or refer to or consult with a pain management specialist.

— law.lis.virginia.gov, retrieved 2026-08-18

Source

• law.lis.virginia.govhttps://law.lis.virginia.gov/admincode/title18/agency85/chapter21/section40/

Last verified against source: 2026-08-18. Due for re-check by 2027-08-18. This page as Markdown · OKF bundle · full dataset as JSON.