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5 vs 11.3; p0.001) along with the morphine milligram equivalents (MME) (152.5 MME vs. 83.3 MME; p0.001). The percentage of patients requiring opioid refill within 30days was similar (13.0% vs. 12.6%; p=0.71). 95.7% of patients surveyed were satisfied with their pain regimen. The total number of pills prescribed annually decreased from 34,130 in the control group to 13,888 in the ROPA group. A restrictive prescribing practice allows for a significantly lower number of opioids to be prescribed to postoperative patients while mainta