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Culling and analyzing newly released data from the Centers for Medicare and Medicaid Services, C-HIT Senior Writer Lisa Chedekel found an interesting prescribing pattern: four nurse practitioners, all affiliated with a tiny Derby pain clinic, prescribed nearly all of the state's Medicare spending for the opioid painkiller Subsys. The nurses were responsible for 279 prescriptions for Subsys, at a cost of $2.3 million in 2014. Nationally, only 10 nurse practitioners prescribed Subsys - with the majority of prescriptions written by doctors.