PRESCRIPTION MONITORING PROGRAM USING THE CONNECTICUT PRESCRIPTION MONITORING AND REPORTING SYSTEM (CPMRS)

PRESCRIPTION MONITORING PROGRAM USING THE CONNECTICUT PRESCRIPTION MONITORING AND REPORTING SYSTEM (CPMRS)

Presenters Connecticut Department of Consumer Protection, Prescription Monitoring Program Nana Kittiphane, HPA I & Xaviel Soto, Program Manager

Objectives Program Overview o Background o CPMRS Data o Connecticut Legislation Patient Queries - CPMRS (PMP AWARxE) o https://connecticut.pmpaware.net

Background In 2006, legislators enacted CGS: Section 21a-254 providing for a PMP. The PMP became fully operational in February 2008. July 1, 2008, the CPMRS went live. Funding through the U.S. Department of Justice (DOJ) and the U.S. Department of Health & Human Services (HHS)

CPMRS Data # of Controlled Substance Prescriptions/Year 6,300,000 6,200,000 6,100,000 6,000,000 5,900,000 6,064,563 6,249,637 2012 2013 2014 2015 5,800,000 5,700,000 5,829,240 5,990,233 5,600,000 # of Prescriptions/Year

# of Controlled Substance Prescriptions/County 2015

CPMRS Data Most Prescribed Controlled Substances - 2015 600000 500000 400000 300000 200000 Alprazolam Oxycodone & Acetaminophen Zolpidem Tartrate Clonazepam Lorazepam 100000 0 2015

What is the CPMRS? CT Prescription Monitoring and Reporting System Collection of prescription data for Schedule II-V drugs Data stored in centralized, relational database Data collection began in July 2008 Data submission o Over 600 in-state pharmacies o 400 out-of-state mail order and Internet pharmacies 3 years of accessible data

What Kind of Drugs Are Reported? SCHEDULE II Oxycontin, marijuana, methadone, morphine, Ritalin SCHEDULE III Lortab, Vicodin, testosterone, Tylenol with Codeine SCHEDULE IV Valium, Xanax, Darvocet-N100, Ambien SCHEDULE V Lomotil, Robitussin AC *Complete list of scheduled drugs is available at the U.S. Food and Drug Administration s (FDA) website.

Who Can Access Information? Prescribers for their patients only Delegates (licensed and unlicensed) Pharmacists for their patients only Authorized Law Enforcement/Regulatory Personnel may obtain information from the system only when there is an active investigation.

Mandatory Registration Public Act 13-172 (Effective 6/21/2013) Signed into law on June 21, 2013. Mandatory Reporting by prescribers dispensing controlled substances from their practice or facility All prescribers in possession of a Controlled Substance Practitioner (CSP) registration, will be required to register as a user with the Connecticut Prescription Monitoring and Reporting System (CPMRS) at https://connecticut.pmpaware.net/login.

Continue Public Act 13-172 (Effective 6/21/2013) Any prescribers who dispense controlled substances from their practice, or facility, etc., will be required to upload dispensing information into the CPMRS Data Collection website at https://pmpclearinghouse.net. No person or employer shall prohibit, discourage or impede a prescribing practitioner or pharmacist from requesting controlled substance prescription information. Identify other products or substances to be included in the electronic prescription drug monitoring program. Requires pharmacies to report weekly instead of twice a month.

Mandatory Usage Public Act 15-198 (Effective 10/01/2015) Prior to prescribing greater than a 72-hour supply of any controlled substance (Schedule II - V) to any patient, the prescribing practitioner or such practitioner's authorized agent who is also a licensed health care professional shall review the patient's records in the CPMRS at https://connecticut.pmpaware.net. Whenever a prescribing practitioner prescribes controlled substances for the continuous or prolonged treatment of any patient, such prescriber, or such prescriber's authorized agent who is also a licensed health care professional, shall review, not less than once every 90 days, the patient's records in the CPMRS.

June Special Session Public Act 15-5, Sec. 354 (Effective 10/01/2015) On and after July 1, 2016, each pharmacy, nonresident pharmacy, outpatient pharmacy in a hospital or institution, and dispenser shall report all controlled substance prescriptions dispensed immediately upon, but in no event later than the next business day after, dispensing such prescriptions. Collection website at https://pmpclearinghouse.net.

Public Act 16-43 (Effective 07/01/2016) Daily reporting will not apply to veterinary dispensaries. For veterinary dispensaries, dispensation reports are still due weekly. User roles in the CPMRS has been expanded to include both licensed and unlicensed delegates. Patient query must be conducted at least once a year for prescription of Schedule V nonnarcotic controlled substance, for the continuous or prolonged treatment of any patient, such prescribing practitioner, or such prescribing practitioner's authorized agent, shall review, not less than annually, the patient's records in such prescription drug monitoring program.

Connecticut Prescription Monitoring & Reporting System (CPMRS) Register to become a user. Log-in Page visit https://connecticut.pmpaware.net/ If first time user, click on Create an Account.

CPMRS Registration Page Registration Tutorial Required Fields

CPMRS Registration Page Not Complete Form Upload Required Documents

Include a government issued I.D. Card CPMRS Registration Page PMP Fax Number Have form notarized by a license notary Auto-Registration is now available in the CPMRS Sign and upload or fax the notarized form to DCP at (860) 622-2608.

CPMRS Login Page Login

CPMRS Home Page Prescriber /Pharmacist Dashboard Delegate Dashboard CPMRS Home Page

CPMRS Patient Request Tutorial Include First Name & Last Name. Check Partial Search You may change the time frame here Prescribers attest the information is for a patient they are providing treatment.

CPMRS Patient Report Patient s Name Summary PDF & Excel Prescriber Name & Address Pharmacy Name & Address

USE OF THE REPORT: Things You May Do The practitioner may: o Discuss the findings of the report, not the contents of the report, with; The patient, Another health care provider treating the patient A dispenser who has dispensed or will dispense medications to the patient

USE OF THE REPORT: Thing(s) You Can t Do You may NOT share the actual report with anyone not involved in the treatment of the patient.

Continue CPMRS Data The data is not perfect. The report is based on search criteria entered and data entered by the dispensing pharmacy. For more information on a prescription, contact the dispensing pharmacy or the prescriber.

CPMRS Request History Select Name Refresh & View Click to see results

CPMRS MyRx User DEA # Include Date Range

CPMRS MyRx PDF & Excel DEA # Patient Info

CPMRS - Features Existing Clinical Alerts (Threshold, MME/d, Opiod/Benzodiapine) Upcoming Prescriber Reports Mobile Application Patient Alerts

QUESTIONS?

Program Contact Information Presented By: Nana Kittiphane, HPA I Xaviel Soto, Program Manager Program Phone #: (860) 713-6073 Fax #: (860) 622-2608 Email: dcp.pmp@ct.gov DCP PMP Website: www.ct.gov/dcp/pmp CPMRS Website: https://connecticut.pmpaware.net PMP Clearinghouse: https://pmpclearinghouse.net.