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  1. I'm a ambulatory care pharmacist working in primary care in rural WI and see patients with our providers to manage (mainly) chronic disease. Initially I found myself being used as a resource for a lot of pain patients with polypharmacy and slid into a role helping with suboxone initiation and maintenance with our only suboxone provider in the clinic. I see a handful of patients on Suboxone who almost exclusively had been found to be misusing their prescription opioids. We recently established with a young patient with multiple substance abuse (including heroin [primary] and meth). Their needs
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