With new data from Castlight Health Inc. revealing that opioid abusers cost employers nearly twice as much ($19,450) in medical expenses on average annually than non-abusers ($10,853), the onus is shifting to employers to implement health plan designs that will help to address the opioid epidemic.

The study, based on anonymous information covering nearly one million Americans who use the Castlight’s health benefits platform, also shows that nearly one out of three opioid prescriptions subsidized by U.S. employers is being abused. Medications relieving pain that fall within this class include Vicodin, OxyContin, Percocet, codeine and other related drugs.

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