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Colorado’s Prescription Drug Monitoring Program (PDMPs), Prescription Fraud Trap Deepens, Obtaining Controlled Substances By Fraud and Deceit: 18-18-415 – Last year I wrote about a database system that requires Pharmacists and other medical professionals to input their controlled substance prescriptions.
Colorado is one of many states that have passed laws to monitor prescription drug use. These PDMPs are intended to reduce “doctor shopping” through the use of data sharing by health care professionals both within a state and eventually across the country.
As usual the Federal Government is behind the tracking of Controlled Substances. In 2002 the U.S. Department of Justice created the Prescription Drug Monitoring Program “to help prevent and detect the diversion and abuse of pharmaceutical controlled substances, particularly at the retail level where no other automated information collection system exists.”
The overt and clearly stated purpose of a Prescription Drug Monitoring Program:
is to enhance the ability of regulatory and law enforcement agencies to collect and analyze controlled substance prescription data. While that sounds like a magnanimous – it means tracking and charging individuals with the kind of drug addiction to controlled substances that compel them to “doctor shop.”
In Colorado – Controlled Substances Prescriptions are controlled by the Colorado Board of Pharmacy at 1560 Broadway, Suite 1310, Denver, CO 80202-5143 Phone: 303-894-7754
Here is a link to their Website:
The Colorado State Board of Pharmacy is the chief regulatory agency for pharmacists, pharmacy interns, in-state and nonresident pharmacies. It oversees in-state and out-of-state prescription drug wholesalers, satellite pharmacies, specialized prescription drug outlets, other outlets, and limited licenses.
The controlled substances that are monitored by Colorado’s PMP include all Schedule II-V controlled substances and butalbital.
Here is a LINK to the Colorado Prescription Monitoring Program Website:
As of this writing (2015), the following states have Colorado Prescription Monitoring Programs have enacted legislation to establish a PDMP, but are in varying stages of completion)
Alabama, Arizona, California, Colorado, Connecticut, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Nevada, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, and Wyoming.
A number of programs in other states – Alaska, Arkansas, Delaware, Georgia, Maryland, Montana, Nebraska, New Jersey, South Dakota, Washington, and Wisconsin) and one U.S. territory (Guam)), are in varying stages of enacting this legislation.
The state-to-state sharing of information is also happening now and the sharing of information growing exponentially as between and among the states.
Colorado’s System Overview is called the Rx Sentry Program. The Rx program is a prescription drug monitoring program (PDMP) that was created by the Colorado State Board of Pharmacy (Board) to collect and store prescribing and dispensing data for controlled substances in Schedules II, III, IV, and V, and any other drugs specified by Colorado law as amended, that are dispensed in the State of Colorado or for patients residing in Colorado.
The Colorado PDMP program collects data that is intended to be used in the prevention of the diversion, abuse, and misuse of controlled substances.
Medical practitioners (clinics, hospitals, pharmacies, or any other healthcare facilities) and their employees and other delegates have the right to look up, view, and print controlled substance dispensing information on their specific patients.
Mandatory PDMP registration for pharmacists and Drug Enforcement Administration (“DEA”) registered prescribers who are licensed by the Division of Professions and Occupations have new deadlines for registering
Prescriptions written must now be entered DAILY to the Rx Entry Program for in-state and nonresident pharmacies and new deadlines have been set for 100% participation in the program. Here are the deadlines:
• Pharmacists and DEA-registered Advanced Practice Nurses: September 30, 2014
• DEA-registered Dentists, Veterinarians, Optometrists and Podiatrists: October 31, 2014
• DEA-registered Medical Board licensees: November 30, 2014
HB 14-1283 does the following things:
Allows an out-of-state pharmacist to obtain Colorado PDMP data in connection with a current patient to whom the pharmacist is dispensing a controlled substance or is providing clinical patient care services..
PERMITS LAW ENFORCEMENT TO ACCESS THE DATA
– Individual pharmacies are an eligible subject for information requests by law enforcement officials if the request for information is accompanied by a court order or subpoena beginning immediately.
The purpose of this [Act] is to reduce prescription drug abuse and fraud by providing a tool that will ensure that doctors making prescribing decisions have complete and reliable information about what, if any, other prescription drugs have recently been prescribed to their patients.
It is the purpose of this [Act] to provide reporting mechanisms – with full confidentiality protections – in which prescribers, dispensers and other health care practitioners report prescription information to a central repository, in order to identify patient and doctor behavior that gives rise to a reasonable suspicion that prescription drugs are being inappropriately obtained or prescribed, so that appropriate ameliorative and corrective action treatment for individuals suffering from drug and alcohol addiction – may be taken.
This Act is further intended to help detect, refer to law enforcement and regulatory agencies, and deter prescription drug fraud and diversion.
Information That Is Gathered On You And Your Prescription
Here is the information on Colorado’s PDMP Program:
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