​​​Thank you for your question on CMS506v7, Safe Use of Opioids--Concurrent Prescribing. This measure looks at the “Proportion of inpatient hospitalizations for patients 18 years of age and older prescribed, or continued on, two or more opioids or an opioid and benzodiazepine concurrently at discharge.” This measure does not distinguish between different medication scheduling or frequencies. Since, the patient in your example was prescribed two opioids at discharge they would fall into the numerator regardless of the instructions.