NJ A289

Limits opioid prescriptions for acute pain to a seven-day supply maximum, increased from the current five-day limit under existing New Jersey law.

Requires practitioners to wait at least six days (up from four) after issuing an opioid prescription before issuing a subsequent prescription, which is also capped at a seven-day supply.

Allows practitioners to exceed the seven-day limit if they determine it medically necessary for acute conditions or chronic pain management, provided they document the condition and note that non-opioid alternatives were inappropriate.

Removes the concept of "initial prescription" from the law, applying the seven-day limit to all opioid prescriptions for acute pain rather than only first-time prescriptions.

Maintains existing exemptions for patients receiving cancer treatment, hospice care, palliative care, long-term care facility residents, and those in substance abuse treatment programs.