When the PDMP is down, pharmacist won’t fill prescriptions

It’s not enough for the pharmacist to talk directly to your doctor — they must also check the PDMP.  So when this database isn’t working for some reason, that’s just too bad.  How often do computer systems go down?

http://www.pharmaciststeve.com/?p=10806

http://adph.org/PDMP/Default.asp?id=1931

Frequently Asked Questions for PDMP (Alabama)

How do I report a patient that might be committing fraud?
If you suspect a patient is committing fraud, contact your local police department and file a report.

What does it mean when my patient(s) is not listed in the PDMP database? I contacted the pharmacy and was told the patient received their Rx.
There are several possible circumstances why a patient is not listed on a report:

The information in the PDMP database in not based on real time. There is a two week interval between the date of dispensing and your request. All searches should be a minimum of two weeks old…

Does the PDMP staff track consumer usage of controlled substances?
No. The PDMP database was established to assist state license regulators, practitioners, pharmacists and law enforcement to prevent diversion, abuse, and misuse of controlled substances. The goals of the PDMP are achievable through these professionals.

Is it “unauthorized disclosure” to place a PDMP Patient History Report into a current or prospective patient medical chart?
No. PDMP legislation does not have restrictions regarding the management of patient medical records…

Is it “unauthorized disclosure” if a patient request to review or receive the PDMP Patient History Report without signing a HIPPA release for his/her medical chart?
Yes. According to Title 20, Section 20-2-214 permitted users of the controlled substance database include: authorized representatives of the certifying boards, licensed practitioner (authorized to prescribe, dispense, or administer controlled substances), licensed pharmacist, and state and local law enforcement authorities.

http://bsd.dli.mt.gov/license/bsd_boards/pha_board/mpdr/MPDR_info.asp

(Montana)

The MPDR enforces very strict limitations, as defined by law, about who can access the information and what they can do with it (§37-7-1506 MCA). The following Montana-licensed health care providers can access the online MPDR service to view the prescription history of patients who are under their care or who have been referred to them for care: Physicians, Dentists, Naturopathic Physicians, Optometrists, Pharmacists, Physician Assistants, Podiatrists and APRNs with a Prescriptive Authority endorsement. Any individual can request a copy of their own prescription history from the MPDR. Authorized representatives of Medicare, Medicaid, Tribal Health, Indian Health Services and Veterans Affairs may also access the online MPDR service. In addition, law enforcement officers may subpoena information related to an active investigation, and Licensing Board investigators may request information related to an active investigation into alleged prescription abuse or diversion by a licensed health care provider.

http://www.pdmpassist.org/content/utah-state-profile

(Utah)

Who May Request Patient Information?
Prescribers: yes
Pharmacists: yes
Pharmacies: no
Law Enforcement: yes
Licensing Boards: yes
Patients: yes
If other requester (specify): Physician Assistant, Nurse Practitioner, Prosecutor, Medicaid Fraud and Abuse, Medicaid Drug Utilization and Review, Workers Compensation State, Medical Examiner, Correctional Supervision, Drug Treatment Provider, Researcher, Prescriber Delegate, Dispenser Delegate, Mental Health Therapists.

How confidential can the information be if all these people have access to it?

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