Nebraska’s Prescription Drug Monitoring Program What Do I Really Need to Know? Amy Reynoldson, DHHS Kevin C. Borcher, PharmD,NeHII, Inc.

 Federal Funding Awarded to DHHS ◦ CDC Prescription Drug Overdose Prevention for States (PDO PfS) Grant  $771,249 per year – 4 year grant ◦ Department of Justice – Harold Rogers Grant  $250,000 per year – 2 year grant

 Enhance and maximize the PDMP  Establish statewide pain management guidelines  Create awareness about expanded access to Naloxone

 Collaboration with Stakeholders ◦ PDMP Work group  Collaboration within DHHS Divisions ◦ Division of Behavioral Health ◦ Division of Medication Long Term Care ◦ Division of Public Health  Collaboration with Contractors ◦ PDMP Contractor – NeHII ◦ External Evaluator ◦ Information System and Technology Contractor

 Signed by Governor Ricketts and enacted on 2/25/2016 (emergency clause)  Purpose of PDMP Legislation ◦ Prevent the misuse of controlled substances ◦ Allow prescribers and dispensers to monitor the care and treatment of patients to ensure prescription drugs are used for medical appropriate purposes ◦ State of Nebraska remains on the cutting edge of medical information technology  January 1, Controlled substances dispensed  January 1, All dispensed prescriptions

 No patient opt out  Allow prescribers, dispensers, dispenser designees to access the PDMP at no cost  Establishes Veterinary Prescription Monitoring Program Task Force

 February 25, 2016 – LB471 became law  June – August, 2016 – Pharmacies contacted  August – December, 2016 – Work with dispensers, pharmacies to test and submit data  October, 2016 – Training for dispensers  December, Training for prescribers  January 1, 2017 – PDMP Reporting Requirements Effective ◦ Mandatory reporting of controlled substances  January 1, 2018 – Full medication history ◦ Mandatory reporting of ALL prescriptions dispensed

 Who has to report? ◦ Pharmacies which dispense controlled substances ◦ Physicians with a Dispensing Practitioner Pharmacy License  Is anyone exempted from the law? ◦ There are 4 exemptions in the law for 2017 ◦ ** ALL prescriptions to be submitted by January 1,2018  How do I get my data to the PDMP? ◦ Contact pharmacy system vendor ◦ Refer them to Nebraska PDMP Dispenser’s Implementation Guide  How often do I need to submit my data? ◦ Daily (within one calendar day of the prescription being dispensed)  How do I submit my dispensing data if I don’t have a pharmacy computer system ◦ Web portal  How do I use the PDMP to perform a search for my patient?

 Is it mandatory to look at patient’s PDMP report? ◦ No, but it is encouraged ◦ Patient safety benefits  How do I get signed up? ◦ Register through NeHII ◦ Education/Training ◦ Receive user ID/password ◦ Log in  How do I get more information on the PDMP?

 PDMP website ◦ Coming September 2016 ◦ Dispenser’s Implementation Guide ◦ PDMP Information ◦ User FAQ ◦ Forms  Registration Request  Exemption Information Form  Nebraska DHHS  NeHII

 Kevin Borcher – PDMP Program Director, NeHII ◦  Rachel Houseman – Project Manager, NeHII ◦  Deb Bass – CEO, NeHII ◦  NeHII Support ◦  Amy Reynoldson, Prescription Drug Overdose Prevention Coordinator, DHHS ◦ Like us on Facebook Follow NeHII on