• The Ohio Automated Rx Reporting System (OARRS) provides physicians with all parametric  data related to pain prescriptions.  It DOES NOT record the circumstances under which the prescriptions were issued.  This oversight allows the physician to use the data in one of two ways.  

  • ADVERSARY - THE STATE OF OHIO has created a system of checks and balances that penalizes physicians for prescribing opioid pain medication, regardless of the circumstances.   Physicians MUST reduce their liability by refusing to write prescriptions or risk losing thier license.  Data from the OARRS system can be used to justify these decisions without investingating the circumstances.  In many instances the physician acts as the ADVERSARY for the STATE OF OHIO and does NOT represent the patient.

  • ADVOCATE - In reality, it is the responsibility of the physician to represent the needs and concerns of the patient IN COMPLIANCE WITH THE GUIDELINES ESTABLISHED BY THE STATE OF OHIO.  It is the physicians DUTY to provide the patient with ETHICAL medical care.  After LISTENING to the patient, the physician often learns that the circumstances leading to a high OARRS number are often the result of numerous unsuccessful attempts to find a physician who is willing to address the underlying problem.


  • NOTE: Before the STATE OF OHIO passed the current legislation, patients were routinely medicated for acute pain prior to obtaining diagnostic studies based on the physicians initial assessment.  The current trend requires diagnostic studies to support the clinincal decision to mediate for pain.  This has lead to hours,  and often days, of un-necessay pain and sufferring  by patients in acute pain.