Nevada. Contact Information. State Registrant Totals and Population

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1 Statistics website: Long, Yenh - Program Administrator 431 W Plumb Ln Reno NV Office: (775) Fax: (775) ylong@pharmacy.nv.gov Nevada PDMP name: Prescription Controlled Substance Abuse Prevention Task Force Agency responsible: Nevada Board of Pharmacy Agency type: Pharmacy Board PDMP pmp@pharmacy.nv.gov PDMP website: Enrollment website: Query website: Data upload website: Contact Information Pinson, Larry - Executive Secretary 431 W Plumb Ln Reno NV Office: (775) Fax: (775) lpinson@pharmacy.nv.gov PDMP region: West State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 12,326 State population: 3,056,824 DEA registered dispensers: 497

2 Prescriber access to patient history Prescriber access to own history Prescriber access to patient query history Prescriber access to registrant query history Licensing Board access to patient history Licensing Board access to licensee history Licensing Board access to patient query history Licensing Board access to registrant query history Summary data on/with patient reports Customized reports by user type Peer comparison reports PDMP annual reports Data dashboards Other types of reports: PDMP Available Reports Dispenser access to patient history Dispenser access to own history Dispenser access to patient query history Dispenser access to registrant query history Law Enforcement access to patient history Law Enforcement access to prescriber history Law Enforcement access to dispenser history Law Enforcement access to patient query history Law Enforcement access to registrant query history Statewide statistics Lost/stolen prescription information Drug trend reports Geomapping of prescription data Prescriber report cards PDMP deidentified Bi-ennial report to the Governor; reports provided to patients with patient request form; looks like patient report sent to doctor 2018 PDMP Budget and Staffing Source of Funding and Percent of Total State general fund Licensing fee Controlled substance registration fee Regulatory board fund Agreed settlement Harold Rogers grant CDC grant SAMHSA grant NASCSA grant Other funding Staff Category and Number of FTEs Total Staff: 2.50 # of employees - Operational: 2.5 # of employees - Technical: 0 # of employees - Analytical: 0 # of employees - Other: 0

3 Policies and Procedures Key PDMP Dates Legislation enacted: PDMP operational: Initial user access: Summer 1997 On-line access: Summer 1997 Electronic reporting: Relevant Statutes and Rules Statute website: Statute citation: NV Rev Statute ; ; Regulation citation: NV Admin Code Dr shopper statute: NRS Pill mill statute: Pain clinic statute: Disclosure statute: Opioid guidelines: Data Monitored or Accessible Reporting frequency: next business day Reporting frequency for veterinarians: Require zero-reporting? Zero-reporting frequency: Daily Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Naloxone administering information Collectors: Health Department Reporters: Naloxone dispensing information Collectors: Reporters: Marijuana data Collectors: Reporters: Marijuana data available in PDMP Opioid-related drug overdoses or deaths Reporters: Registrant's disciplinary history/status Patient lock-in information Lost/stolen prescription drug reports Arrest/conviction data Authority to monitor other substances Removed from monitoring ARCOS data Drug manufacturers or distributors data Frequency of reporting: Access method: Data elements: Reciprocal agreements with external data sources:

4 Mandatory E-Prescribing (EPCS) Payment method captured Patient ID required to be presented to dispenser Patient ID captured ID of person dropping off captured ID of person picking up captured Ability to identify prescriber specialty Patient consent required before data release Required notification to patients Mandated use of advisory group Number of delegates allowed Required enrollment - Prescriber Required use - Prescriber 2 for prescriber Frequency unsolicited alerts/reports generated: Weekly Delivery method for unsolicited alerts/reports: US mail Veterinarian access to owner's prescription history Criteria for veterinarian queries: Patient access to query list details: Requirements for patients to get own report: Miscellaneous Capabilities and Policies Required PDMP Enrollment and Use Required enrollment - Dispenser NRS Every practitioner or other person who dispenses any controlled substance within this State or who proposes to engage in the dispensing of any controlled substance within this State shall obtain biennially a registration issued by the Board in accordance with its regulations. A person must present proof that he or she is authorized to access the database of the program established pursuant to NRS before the Board may issue or renew a registration. Required use - Dispenser Ability for users to set thresholds for alert notices Ability for users to do user-led alert notices Ability to search for multiple patients in one query Maximum number of patients in one query: 1 Supervisor review/audit of delegate accounts Ability to de-identify data Authority to release de-identified data Authority to release for epi or educational purposes Engaged in release for epi or educational purposes A practitioner, other than a veterinarian, shall, before issuing an initial prescription for a controlled substance listed in schedule II, III or IV and at least once every 90 days thereafter for the duration of the course of treatment using the controlled substance, obtain a patient utilization report regarding the patient from the computerized program established by the Board and the Investigation Division of the Department of Public Safety pursuant to NRS The practitioner shall: (a) Review the patient utilization report to assess whether the prescription for the controlled substance is medically necessary; and (b) Determine whether the patient has been issued another prescription for the same controlled substance that provides for ongoing treatment using the controlled substance. If the practitioner determines from the patient utilization report or from any other source that the patient has been issued such a prescription, the practitioner shall not prescribe the controlled substance. Authority to enforce PDMP mandates: Regulatory/Licensing Board Unsolicited alerts to practitioners not enrolled in PDMP Veterinarians in Nevada are not permitted to access the Nevada PMP. must complete the patient "Authorization to Release Patient Health Information" form with notarization.

5 Automatic enrollment with license renewal or application Enrollment method: On-line enrollment Prescriber account criteria: Dispenser account criteria: Regulatory Board account criteria: Law Enforcement account criteria: Active investigation Subpoena Court order/approval PDMP Accounts To register, a provider should have their DEA number, state controlled substance registration, and NPI number. must have a current registration with the Board of Pharmacy must have an open investigation must have an open investigation Law Enforcement Requirements Probable cause Search warrant Proper need/upon request Other: officer s primary responsibility is drug investigations, the officer has been approved by his or her supervisor to have such access, the officer has completed a required training course, and the employer has submitted a certification for the officer to the board Law Enforcement Access Methods On-line/web portal Written request Other method: Some law enforcement agencies have direct access whereas others are required to submit a written request. Minimum data elements: Last name, first name and dob Partial data elements: Optional data elements: Data retention policy All information purged Record retention details: De-Identified data retention details: Training website: Prescriber Dispenser Law Enforcement Regulatory Board Available Training Prescriber information purged Dispenser information purged Attorney General Patient Researcher Criteria to Query PDMP Data Retention PDMP Requestor Training Prescriber Dispenser Law Enforcement Regulatory Board Patient information purged Drug information purged Training Required Before PDMP Use Attorney General Patient Researcher Other Retain de-identified data Retention time: 3 years Nevada maintains active data in a retrievable form for 3 years. We have raw data from the time the program began collecting data, 1997.

6 ASAP Versions Accepted ASAP 1995 ASAP 1997 ASAP 3/2005 ASAP 4/2007 ASAP 4-1/2010 ASAP 4-2/2011 Technological Capabilities Data Transmission Methods Allowed Electronic data transmission Mail data transmission Fax data transmission Media data transmission Other Dispensers can complete an online dispensing activity form for each rx filled. Some low volume dispensing practitioners utilize this option. Pharmacy in-state Pharmacy out-state/mail order Pharmacy out-state/other Dispensing doctor Veterinarian Veterans Administration Indian Health Services Other: Required Data Transmitters Data collection entity: Vendor Vendor name: Appriss Data storage entity: Vendor Vendor name: Appriss Report generation entity: Vendor Vendor name: Appriss Data access entity: Vendor Vendor name: Appriss Data access method: Web Portal/On-Line Data Collection, Storage, Generation and Access Interstate Data Sharing PMPi Hub RxCheck Hub HIE method Jurisdictions engaged AZ, AR, CO, CT, ID, IL, IN, KS, LA, ME, MA, MI, MN, MT, NM, ND, OH, OK, SC, SD, UT, WV, WI Impediments: via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Exact match Probablistic match Probablistic/manual match Impediments Impediments: Funding Impediments: Funding Certified as CMS Specialized Registry Require information on e-prescriptions User-friendly interfaces Data Integration Patient Matching Other match method for queries Miscellaneous Data analysis software Online user guides/educational materials Department of Defense

7 Healthcare Regulatory Law Enforcement Public and Private Insurers Other Requestors and Reports Authorized to Generate Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate (licensed) Dispenser Delegate (licensed) Prescriber Delegate (unlicensed) Dispenser Delegate (unlicensed) Medical Residents Interns Medical Facility/Institution Patient Drug Treatment Provider Licensing/Regulatory Board State Health Department Peer Review Committee Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Third-party Payer Researchers Marijuana Dispensary Other PDMP Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

8 Healthcare Regulatory Law Enforcement Public and Private Insurers Other Requestors and Reports Being Generated Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate (licensed) Dispenser Delegate (licensed) Prescriber Delegate (unlicensed) Dispenser Delegate (unlicensed) Medical Residents Interns Medical Facility/Institution Patient Drug Treatment Provider Licensing/Regulatory Board State Health Department Peer Review Committee Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Medical Examiner/Coroner Drug Court Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Third-party Payer Researchers Marijuana Dispensary Other PDMP Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State