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Evaluate beliefs and behaviors pertaining to abuse-deterrent opioids (ADFs). Survey in 2019 by invitation to all licensed physicians. Commonwealth of Kentucky. 374 physicians. Descriptive statistics, and hypothesis test that early adopter prescribers would have greater endorsement of opioid risk management. Of all prescribers, 55% believed all opioid analgesics should have ADF requirements (15% were unsure); 74% supported mandating insurance coverage. Only one-third considered whether an opioid was ADF when prescribing, motivated by patient family d