As such, in the situation of a new-to-opiates claimant, there must be failed pain management alternatives attempted by the provider prior to moving to pharmacological treatment with opioid medications.  (Practitioner’s point: Failure of the provider to make such a showing, or if the claimant has not undergone appropriate alternatives, an immediate objection to the billed treatment and an objection to any attempt to fill opioid medication should be filed.)