Thank you for the question.
Yes, absolutely. As the president of Purdue pointed out, no formulation is completely resistant to tampering, and even the newest formulation, of course, can be altered so that it can be injected or nasally insufflated, nasally inhaled. But even aside from that, the pills are designed to be swallowed. One way to harmfully misuse opioid medications and other medications like benzodiazepines is simply to swallow the pills, to swallow more than the prescribed amount or to swallow pills that you are not prescribed. There are some studies of people who have died of overdoses suggesting that actually in only a small fraction of deaths from overdose is there evidence of injection or nasal insufflation of the medication. The inference is, in many cases, that individuals are simply swallowing pills.