After a thorough review of the facts of both appeals, the Board noted, importantly, that long term opioid users, although given the protection of Subject Number 046 – 457, were still required to come into compliance with the NAP Guidelines.  The Board specifically held that the Subject Number and the Guidelines are not in conflict with each other, but rather the Guidelines make clear that the goal for long-term opioid users is to be transitioned into the standards of care set forth within the NAP Guidelines.