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Statistics website: Rodriguez, Cieni - Program Manager Carr. No. 2 Km 8.2, Bo. Juan Sanchez Bayamon, PR 00960 Office: (787) 763-7575 Fax: (787) 763-3152 Email: cieni.rodriguez@assmca.pr.gov Puerto Rico PDMP name: PR PDMP PDMP region: Agency responsible: Mental Health and Anti-Addiction Services Administration Agency type: Substance Abuse Agency PDMP email: pdmp@assmca.pr.gov PDMP website: http://www.assmca.pr.gov/pages/default.aspx Enrollment website: https://puertorico.pmpaware.net/login Query website: https://puertorico.pmpaware.net/login Data upload website: https://pmpclearinghouse.net/users/sign_in Contact Information Maldonado, Keysha - Program Coordinator Carr. No. 2 Km 8.2, Bo. Juan Sanchez Bayamon, PR 00960 Office: (787) 763-7575 Fax: (787) 763-3152 Email: keysha.maldonado@assmca.pr.gov South State Registrant Totals and Population Statistics year: 2017 DEA registered prescribers: 10,669 State population: 3,337,177 DEA registered dispensers: 1,110

Prescriber access to patient history Prescriber access to own history Prescriber access to patient query history Prescriber access to registrant query history 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 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: 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

Reporting frequency: 15 days Schedule II controlled substances Schedule III controlled substances Schedule IV controlled substances Schedule V controlled substances Policies and Procedures Legislation enacted: 8-5-2017 PDMP operational: 6-27-2018 Initial user access: 6-27-2018 Statute website: Statute citation: Regulation citation: Dr shopper statute: Pill mill statute: Pain clinic statute: Disclosure statute: Opioid guidelines: Require zero-reporting? Medida P S0033 Key PDMP Dates On-line access: 6-27-2018 Electronic reporting: 5-23-2018 Relevant Statutes and Rules http://www.oslpr.org/legislatura/tl2017/tl_busca_avanzada.asp?rcs=p%20s0033 Data Monitored or Accessible Reporting frequency for veterinarians: Zero-reporting frequency: Authority to monitor other substances Removed from monitoring 15 days Naloxone administering prescriptions Collectors: Reporters: Naloxone dispensing prescriptions Collectors: Reporters: Marijuana data Collectors: Department of Health Reporters: Marijuana Dispensary 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 ARCOS data Drug manufacturers or distributors data Frequency of reporting: Access method: Data elements: Reciprocal agreements with external data sources:

Miscellaneous Capabilities and Policies Mandatory E-Prescribing (EPCS) Ability for users to set thresholds for alert notices Payment method captured Ability for users to do user-led alert notices Patient ID required to be presented to dispenser Ability to search for multiple patients in one query Patient ID captured Maximum number of patients in one query: ID of person dropping off captured Superviser review/audit of delegate accounts ID of person picking up captured Ability to de-identify data Ability to identify prescriber specialty Authority to release de-identified data Patient consent required before data release Authority to release for epi or educational purposes Required notification to patients Engaged in release for epi or educational purposes Mandated use of advisory group Unsolicited alerts to practitioners not enrolled in PDMP Number of delegates allowed 10 Frequency unsolicited alerts/reports generated: Delivery method for unsolicited alerts/reports: Veterinarian access to owner's prescription history Criteria for veterinarian queries: Patient access to query list details: Requirements for patients to get own report: Required PDMP Enrollment and Use Required enrollment - Prescriber Required enrollment - Dispenser Required use - Prescriber Authority to enforce PDMP mandates: Required use - Dispenser

PDMP Accounts Automatic enrollment with license renewal or application Enrollment method: Online enrollment Prescriber account criteria: DEA registration number or PR registration number Dispenser account criteria: DEA registration number or PR registration number Regulatory Board account criteria: Law Enforcement account criteria: Law Enforcement Requirements Law Enforcement Access Methods Active investigation Subpoena Court order/approval Probable cause Search warrant Proper need/upon request On-line/web portal Written request Other method: Other: Minimum data elements: Patient last name, date of birth, date range 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 Patient last name, date of birth, date range Patient address, patient telephone number, patient identification 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: 4 years

ASAP Versions Accepted ASAP 1995 ASAP 1997 ASAP 3/2005 ASAP 4/2007 ASAP 4-1/2010 ASAP 4-2/2011 Technological Capabilities Electronic data transmission Fax data transmission Other Data Transmission Methods Allowed Mail data transmission Media data transmission 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: States engaged: Impediments: via Health Information Exchange via Electronic Health Record via Pharmacy Dispensing System Exact match Probablistic match Probablistic/manual match Web Portal/On-Line Data Collection, Storage, Generation and Access Interstate Data Sharing PMPi Hub RxCheck Hub HIE method Impediments Impediments: Impediments: Certified as CMS Specialized Registry Require information on e-prescriptions Data dashboards on website Data Integration Patient Matching Other match method for queries Miscellaneous User-friendly interfaces Data analysis software Online user guides/educational materials Department of Defense

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

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