Outpatient Care, Self-Insured Employers Drive Growth Of Non-Opioid Pain Meds

Opioids are cheap, but the economics of clinical practice, including the shift of care from inside the hospital to outpatient or ambulatory facilities, are creating new opportunities for Pacira BioSciences’ non-opioid treatments for pain. Improved reimbursement and increased usage among anesthesiologists are the biggest revenue drivers for the company’s two marketed products.

Pacira BioSciences office building

Pacira BioSciences’ two products – Exparel (bupivacaine liposome injectable suspension), indicated for postsurgical analgesia in adults and children over six years, and Iovera, a handheld device that delivers cryoanalgesia, or a freezing of nerves, intended for patients undergoing total knee arthroplasty – represent alternatives to opioid therapies. With record numbers of opioid-related deaths in 2020, and increasing evidence suggesting that patients can become addicted, even after using a prescribed opioid as intended, it is not surprising that effective non-opioid pain relief is a goal pursued by a growing number of drug developers.

In May, Heron Therapeutics received FDA approval for Zynrelef (bupivacaine and meloxicam), for the treatment of post-operative pain; the company plans to take on Pacira directly, by pricing Zynrelef at...

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