Your claimant is at risk at 90 mg Morphine Equivalency Dose (MED) per day as per the American Medical Directors' Group (AMDG). Some studies are even suggesting that at 50 mg MED, the potential for opiate escalation is exponential. First Script utilizes a morphine equivalence calculator to determine the claimant's MED dose, aggregating both in- and out-of-network narcotic use to ensure that the claim manager has the most complete and accurate information.