Background: Over one hundred million American adults live with chronic non-cancer pain. While highly prevalent, both physicians and pharmacists consider chronic pain and opioid prescribing to be complex and challenging. Methods: Semi-structured telephonic interviews, consisting of 7 predetermined questions about providers’ thoughts on the opioid crisis and current chronic pain support strategies, were conducted among a sample of physicians and pharmacists in various disciplines and practice settings across North Carolina to identify needs and gaps in chronic pain care. Grounded theory with inductive approach was used to identify common underlying themes. Results: Participants (n=16, 8 physicians and 8 pharmacists) spoke for 30 to 35 minutes about chronic pain management. The most common reported gaps were: a need for improved interdisciplinary collaborations (75% physicians and 88% pharmacists); lack of training and education (75% physicians and 62.5% pharmacists); and complexity of patient population (62.5% and 50%). Half of physicians noted low provider self-efficacy, and a need for better therapy options (37.5%), common use of prescription drug monitoring programs (PDMPs) (87.5%), and drug screening measures (75%). Among pharmacists, 37.5% noted insufficient documentation and 50% reported difficulty communicating with physicians as a large barrier to providing better patient interventions. Ongoing pharmacy programs included strict monitoring of prescriptions (37.5%), providing naloxone standing orders (37.5%), and referring to PDMPs (37.5%). Conclusions: Both physicians and pharmacists are dissatisfied with the current systems for managing chronic pain. Complexity of chronic pain care, lack of education, low physician self-efficacy, and communication difficulties between health care professionals are some of the primary reasons for dissatisfaction.