virginia prescription monitoring program c.a.r.e presentation february 27, 2015 ralph orr director,...
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VIRGINIA PRESCRIPTION MONITORING PROGRAM
C.A.R.E Presentation
February 27, 2015Ralph Orr
Director, Virginia Prescription Monitoring Program
Marijuan
a
Pain Reli
evers
Tranquiliz
ers
Ecstas
y
Stimulan
ts
Cocaine
Inhalants LSD
Heroin
Sedati
ves
PCP0
500
1000
1500
2000
2500
3000
2427
1539
1180
751603 601 563
482
169 12832
Past Year Initiates of Specific Illicit Drugs among Persons Aged 12 or Older: 2013
Source: SAMHSA, NSDUH, 2013
Num
bers
in T
hous
ands
2007 2008 2009 2010 2011 2012 20130
100
200
300
400
500
600
700
800
900
1000
721 735 713 690
819 800
912
495
562510
561
636
572
634
Number of Fatal Prescription Drug Overdose Compared to All Drug/Poison Deaths by Year, 2007-2013
All Drug/Poison DeathsPrescription Drug Deaths
Year
Nu
mb
er
of
De
ath
s
1 One or more drugs/poisons from different drug categories may have caused or contributed to death
Source: Virginia Office of the Chief Medi-cal Examiner 2104
www.dhp.virginia.gov
Prescription Monitoring Program• 24/7 Database of Schedule II – IV Prescriptions
• Pharmacies, dispensing physicians report within 7 days
• Reporting exemptions include: samples; emergencies;
administration of covered substances; dispensing to
patients in nursing homes, hospitals, hospice;
veterinarians; narcotic maintenance treatment program
• PMP is interoperable with 17 states, including WV, KY &
TN
Who May Get PMP Information?
• Prescribers and Pharmacists for their patients• Investigators for licensing boards, if there is an open
investigation• Certain law enforcement agents, if there is an open
investigation• Patients for their own prescription history• PMP may provide unsolicited reports on recipients to their
prescribers or law enforcement, if criteria for potential misuse are met
• PMP may not provide unsolicited reports on prescribers to DHP investigators or law enforcement
www.dhp.virginia.gov
Days Pt ID Rx #
30 8177 02009062
30 8177 02009063
30 8854 04474070
7 8177 04419624
30 546 04104201
30 8177 04018997
30 8854 00722052
30 8854 00722053
5 8177 04419371
30 8177 04018997
30 8854 837796
30 6566 0926544
30 6566 0926545
14 6566 0926546
30 8854 837796
7 8854 836139
30 546 04103006
30 9021 02008205
30 9021 02008206
30 9021 04017819
30 546 04103006
30 8177 02007971
30 8177 02007972
30 8177 04017301
30 546 04102362
30 8177 02007747
30 8177 02007748
30 8177 04016781
5 VA 24637 , PHONExxxxxxxx3892 VA 24630 , PHONExxxxxxx14
95 24651 , PHONExxxxxxxx7712 VA 24073 , PHONExxxxxxxx37
4 VA 24630 , PHONExxxxxxxx0056 VA 24134 92 VA 24630 , PHONExxxxxxxx37
89 VA 24651 Pharmacies that dispensed prescriptions listed
15 VA 24651 , PHONExxxxxxxx71
27 VA 24641
22 WV 24870
12 WV 24740
36 WV 26554
53 WV 25801
N/R: N=New R=RefillPay:01=Private Pay 02=Medicaid 03=Medicare 04=Commercial Ins. 05=Military Inst. and VA 06=Workers Comp 07=Indian Nations 99=Other Total Prescriptions: 70Prescribers for prescriptions listed
92
03/16/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 53 03/16/2012 N 92
03/16/2012 OXYCODONE HYDROCHLORIDE, 5 MG, TABLET 210.00 53 03/16/2012 N
15
03/16/2012 OXYCODONE HYDROCHLORIDE, 15 MG, TABLET 150.00 53 03/16/2012 N 92
03/26/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 02/28/2012 R
92
04/16/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 53 04/16/2012 N 92
04/16/2012 OXYCODONE HYDROCHLORIDE, 15 MG, TABLET 120.00 53 04/16/2012 N
15
04/16/2012 OXYCODONE HYDROCHLORIDE, 5 MG, TABLET 120.00 53 04/16/2012 N 92
04/25/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 04/25/2012 N
92
05/15/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 53 05/15/2012 N 92
05/15/2012 OXYCODONE HYDROCHLORIDE, 5 MG, TABLET 120.00 53 05/15/2012 N
15
05/15/2012 OXYCODONE HYDROCHLORIDE, 30 MG, TABLET 120.00 53 05/15/2012 N 92
05/23/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 04/25/2012 R
95 01
06/05/2012 ALPRAZOLAM, 1 MG, TABLET 30.00 89 06/05/2012 N 95 01
06/21/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 06/21/2012 N
56 04
07/15/2012 ALPRAZOLAM, 1 MG, TABLET 32.00 22 07/14/2012 N 56 04
07/15/2012 OXYCODONE HYDROCHLORIDE, 5 MG, TABLET 120.00 22 07/14/2012 N
95 01
07/15/2012 OXYCODONE HYDROCHLORIDE, 30 MG, TABLET 120.00 22 07/14/2012 N 56 04
07/17/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 06/21/2012 R
4
07/25/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 07/24/2012 N 92
08/04/2012 ALPRAZOLAM, .5 MG, TABLET 30.00 89 08/04/2012 N
12
08/11/2012 OXYCODONE HYDROCHLORIDE, 5 MG, TABLET 120.00 53 08/11/2012 N 12
08/11/2012 OXYCODONE HYDROCHLORIDE, 30 MG, TABLET 120.00 53 08/11/2012 N
15
08/21/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 07/24/2012 R 92
08/24/2012 ALPRAZOLAM, 1 MG, TABLET 120.00 27 08/24/2012 N
5 04
08/28/2012 CLONAZEPAM, .5 MG, TABLET 21.00 12 08/27/2012 N 4
09/06/2012 ZOLPIDEM TARTRATE, 5 MG, TABLET, FILM COATED 30.00 36 09/06/2012 N
92 04
09/11/2012 OXYCODONE HYDROCHLORIDE, 15 MG, TABLET 180.00 53 09/11/2012 N 92 04
09/11/2012 OXYCODONE HYDROCHLORIDE, 5 MG, TABLET 180.00 53 09/11/2012 N
PrescriptionsFill Date Product, Str, Form Quantity Prescriber Written N/R Pharm Pay
7227 WXXXXXX, PXXXXXXX xx/xx/1977 24651
7862 WXXXXXX, PXXXXXXX xx/xx/1977 24651
9021 WXXXXXX, PXXXXXXX xx/xx/1977 246309317
0546 WXXXXXX, PXXXXXXX xx/xx/1977 246511506
1535 WXXXXXX, PXXXXXXX xx/xx/1977 24651
6449 WXXXXXX, PXXXXXXX xx/xx/1977 24630
3201 WXXXXXX, PXXXXXXX xx/xx/1977 24651
0904 WXXXXXX, PXXXXXXX xx/xx/1977 24630
8177 WXXXXXX, PXXXXXXX xx/xx/1977 246309317
6566 WXXXXXX, PXXXXXXX xx/xx/1977 246309369
2641 WXXXXXX, PXXXXXXX xx/xx/1977 24651
9538 WXXXXXX, PXXXXXXX xx/xx/1977 246510000
Page: 1 of 1Search Criteria: First Name = pXXXXXX And Last Name = wXXXXXX And D.O.B. = xx/xx/1977 And Request Period '08/17/2011' To '09/17/2012'
Patients that match search criteria Pt ID Name DOB Address 8854 WXXXXXX, PXXXXXXX xx/xx/1977 246511506
Department of Health Professions
Phone:(804)367-4566 Email:[email protected] Fax:(804)527-4470
Patient RX History Report
Date: 09-17-2012
DAYS SUPPLY
Pay:01 = Private Pay02 = Medicaid03 = Medicare04 = Commercial Ins.05 = Military Inst. and VA06 = Workers Comp07 = Indian Nations99 = Other
1/1/134/1/13
7/1/13
10/1/131/1/14
4/1/147/1/14
10/1/141/1/15
0
5000
10000
15000
20000
25000
14654
16702
1884119734
20557
2237323742
1100612044
1333513955 14453
1567016628
29543869
4513 4690 4926 5311 5544
Registered Users of PMP DataCenter 1/1/13 - 12/31/14
Total Users
Prescribers
Pharmacists
2010 2011 2012 2013 20140
200000
400000
600000
800000
1000000
1200000
1400000
1600000
1800000
2000000
433450602294
859765
1313861
1870196
Annual Totals 2010 - 2014
Total Requests
Source: Virginia PMP
1-24
25-4
9
50-9
9
100-
249
250-
499
500-
999
1000
+
0
100000
200000
300000
400000
500000
600000
700000
800000
98806 121310
250687
637680 684263 739743
667474
4899 7227 1464942155 42444 55382
74459
Percent of Queries Made by Prescriber Group 4th Qtr 2014
Prescriptions Written by Prescriber Group
PMP Queries Made by Prescriber Group
% of Total Queries by Prescriber Group1-24 = 4.96%25-59 = 5.96%50-99 = 5.84%100-249 = 6.61%%250-499 = 6.2%500-999 = 7.49%1000+ = 11.16%
Governor’s Task Force on Prescription Drug and Heroin Abuse
• Five Workgroups• Initial Recommendations• Next meeting March19, 2015• See link to Task Force information at
www.dhp.virginia.gov
MANDATORY PMP REGISTRATION OF PRESCRIBERS
• § 54.1-2522.1. (Effective July 1, 2015)• Registration with the PMP upon filing an
application for licensure or renewal of licensure, if the prescriber is not already registered
• HB1841: Adds Pharmacist and allows for registration not tied to renewal (Eff. 1/1/2016)
MANDATORY USE OF PMP BY PRESCRIBERS
• The prescribing of benzodiazepine or an opiate anticipated to last more than 90 consecutive days and “for which a treatment agreement is entered into”*
• Or drugs approved for use in opioid addiction therapy shall, prior to or as a part of execution of a treatment agreement with the patient
QUESTIONS?