AZ SB1247

Prohibits health professionals from prescribing more than 90 morphine milligram equivalents per day of Schedule II opioids for patients outside health care institutions, with specific exceptions for surgical procedures, cancer patients, hospice care, and other conditions.

Requires consultation with a board-certified pain physician or an opioid assistance and referral call service before prescribing above the 90 MME daily limit, unless the prescriber is themselves board-certified in pain management.

Mandates that patients prescribed more than 90 morphine milligram equivalents per day must also receive a prescription for naloxone or another FDA-approved opioid antagonist, except for patients in hospice or end-of-life care.

Allows prescriptions exceeding the 90 MME limit if issued within 60 days as a continuation of a prior prescription, or following surgery with a maximum 14-day supply.

Permits pharmacists to dispense prescriptions over the 90 MME limit without verification from the prescriber.