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Walmart is making its opioid policy more strict, limiting the duration of such prescriptions and requiring that they be filled electronically.The company announced on Monday that within 60 days, it will only fill first-time acute opioid prescriptions for seven days or less nationwide, and it will limit the dosage to 50 morphine milligram equivalents, or MMEs, per day. The CDC publishes?MME conversion guides to help pharmacists figure out the right dosage for each type of prescribed opioid.There are more than 5,300 Walmart and Sam's Club locations in the United States.The new restrictions follow recommendations from the Centers for Disease Control and Prevention. A CDC study found that people who were prescribed at least one day of opioid therapy had a 6% chance of being addicted a year later — but for those prescribed eight or more days of treatment saw that chance spiked to 13.5%. The CDC also notes that patients who are prescribed higher dosages are more likely to die from an overdose.Some states already limit prescriptions to seven days or fewer. Walmart will go by state law when the cap is lower than one week.Walmart also said that starting in 2020, it will require e-prescriptions for controlled substances. The company explained that online prescriptions will help prevent prescription fraud and minimize error.The new measures are an extension of Walmart's efforts to fight the US opioid epidemic.In January, the company introduced a way to safely destroy leftover opioids at home. DisposeRx is a powder that, when combined with water and the pills, creates a gel that is difficult to remove from its container. The mixture can be thrown out at home or left at a drop off location. The company said on Monday that it will make DisposeRx available online.Plus, Walmart and Sam's Club pharmacists will continue to recommend the anti-overdose drug naloxone, which is available over the counter in some states, to customers who may be at risk of an overdose. They will complete a pain management curriculum by the end of August.Other companies are making similar efforts to help fight the epidemic.Aetna started waiving co-pays for the anti-overdose drug Narcan, a branded version of the naloxone nasal spray, and limiting first-time opioid prescriptions to seven days in January. And CVS Caremark, the prescription benefit manager for CVS Health, began capping first-time prescriptions at seven days in February.Purdue Pharma, which makes the opioid OxyContin, said in February that it will stop promoting the addictive painkiller to doctors.The CDC said in March that more than 63,000 Americans died of a drug overdose in 2016, and that nearly two-thirds of those overdoses involved either a prescription or illegal opioid, like heroin and fentanyl. 2830

WASHINGTON (AP) — First lady Melania Trump expressed support for the care that migrant children separated from their families received in U.S. detention centers and cast doubt on the authenticity of some immigrants' stories of fleeing danger in their home countries during a series of recordings aired Thursday. The tapes aired on CNN come from Stephanie Winston Wolkoff, a former aide to the first lady who released a book last month entitled "Melania and Me: The Rise and Fall of My Friendship with the First Lady." The tapes, which were exclusively aired on Anderson Cooper's show, were secretly recorded in 2018 by Wolkoff.In the tapes, Melania is also recorded bashing the Christmas decorations.The White House has been critical of the book and says the first lady is focused on her family and serving the country. 827

WASHINGTON — A foreign dignitary who is expected to visit the United States and other countries Thursday night will have special protection from the Secret Service.On Wednesday, the agency announced the activation of protection for "Mr. S. Claus, codename 'Big Red'."According to the Secret Service, Wednesday's announcement follows a similar announcement from the Director of the agency.Further updates on protections for "Big Red" are expected to be released on social media via the #BigRedDetail hashtag. 515

VISTA, Calif. (KGTV) — Vista Unified School District union workers say they are worried their jobs are on the line and say the district could be looking at bankruptcy.Union workers rallied Thursday ahead of a district board meeting over a million budget shortfall. Union President Bill Faust represents 1,400 support staffers at Vista Unified, including custodians, secretaries and food service workers who are concerned for their jobs since those are historically among the first to be cut. Faust says the board approved almost million to add unnecessary 8th periods to two high schools and another 1,000 to fire the district's superintendent two weeks ago. He says the board is spending money it doesn't have."We are concerned. With this board mismanaging funding," Faust said. "How are we are going to keep our job when they add add add and we don't have any money and you are looking at .5 million."10News reached out to the superintendent's office for comment but have not heard back.No decisions have been made as to where the cuts will come from. 1074

WASHINGTON (AP) — Navy officials said Wednesday they are pulling achievement medals from prosecutors who argued the case against a decorated Navy SEAL who was acquitted in the death of a wounded Islamic State captive after President Donald Trump intervened.Trump tweeted earlier Wednesday that he had directed the secretary of the Navy and the chief of naval operations to "immediately withdraw and rescind" the Navy Achievement Medal from prosecutors who argued the case against Special Operations Chief Edward Gallagher, who was acquitted by military jurors earlier this month."The Prosecutors who lost the case against SEAL Eddie Gallagher (who I released from solitary confinement so he could fight his case properly), were ridiculously given a Navy Achievement Medal," Trump complained, adding, "I am very happy for Eddie Gallagher and his family!"Navy spokesman Cdr. Jereal Dorsey said that on Wednesday, after Trump's tweet, Navy Secretary Richard Spencer rescinded the awards. As secretary, he has that authority, Dorsey said. 1042