Thank you for your question regarding CMS506v6, Safe Use of Opioids – Concurrent Prescribing. The intent of this measure is to identify patients who are prescribed, or continued to receive, two or more opioids OR an opioid and benzodiazepine concurrently at discharge. Pended medications should not be included in the measure. Based on the information you have provided, the patients flagged by your EMR should not be included in the measure's initial population. We recommend you consult with your EHR vendor and clinical partners to better understand why this is occurring, as the medications were pended but not confirmed for discharge.