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 <a href="https://thelomad.com/getmad.today/wp-contentwww.getmad.today/blog/2013/07/did-you-know-the-third-department-holds-that-medical-treatment-which-is-not-specifically-included-in-the-mtg-is-presumptively-not-medically-necessary/">treatment with opioid medications</a>