1. Department of Health Professions 11/16/2007 VIRGINIA’S PRESCRIPTION MONITORING PROGRAM 2002-2007 and Beyond

2. Department of Health Professions www.dhp.virginia.gov Prescription Monitoring Program Mission: To promote the appropriate use of controlled substances for legitimate medical purposes while deterring the misuse, abuse, and diversion of controlled substances.

3. Department of Health Professions www.dhp.virginia.gov WHAT IT IS NOT INTENDED TO DO Not to prevent people from getting drugs for legitimate medical purposes Not to decrease the number of prescriptions for pain management Not to target patients, prescribers, or pharmacies for investigation

4. Department of Health Professions 60 MINUTES ON OUR DOORSTEP Lee County, Virginia was highlighted in an April 2001 CBS news story concerning Oxycontin abuse.

5. Department of Health Professions www.dhp.virginia.gov Reporting Area 2002 General Assembly passed legislation establishing a pilot Prescription Monitoring Program in Planning Region III

6. Department of Health Professions www.dhp.virginia.gov Requests June 2004 522 requests as of 6/2/04 46 prescribers had utilized the program 280989 records in the database

7. Department of Health Professions Drug Diversion Unit and the PMP Data from the Drug Diversion Unit showed that illegal activity had moved outside the program area. Complaints received statewide by the unit increased 26% while decreasing in the program area by 47%.

8. Department of Health Professions www.dhp.virginia.gov EVALUATION REPORT Advisory Committee 11 recommendations Statewide program Include Schedules II-IV controlled substances Access for pharmacists Provide for unsolicited reports

9. Department of Health Professions www.dhp.virginia.gov EXPANSION 2005 General Assembly passed legislation incorporating all 11 recommendations of the Advisory Committee

10. Department of Health Professions www.dhp.virginia.gov Requests by Year

11. Department of Health Professions www.dhp.virginia.gov PROGRAM UPDATE Prescriptions in Database (in Millions)

12. Department of Health Professions www.dhp.virginia.gov PROGRAM UPDATE Requests for Information

13. Department of Health Professions www.dhp.virginia.gov ARCOS DATA

14. Department of Health Professions www.dhp.virginia.gov THEFT/LOSS REPORTS

15. Department of Health Professions www.dhp.virginia.gov PROGRAM UPDATE TEDS DATA for Virginia Primary non-heroin opiates/synthetics admissions Includes codeine, hydrocodone, hydromorphone, oxycodone, meperidine, etc.

16. Department of Health Professions www.dhp.virginia.gov DRUG DEATHS IN VIRGINIA

17. Department of Health Professions www.dhp.virginia.gov DRUG DEATH BREAKDOWN DrugCentral 2003 Central 2004 Central 2006 Northern 2003 Northern 2004 Northern 2006 Oxycodone8121711 15 Methadone92031171825 Hydrocodone21092225 Fentanyl1694411 Subtotal:204866345556 Total Drug Deaths10614114410883125 DrugTidewater 2003 Tidewater 2004 Tidewater 2006 Western 2003Western 2004Western 2006 Oxycodone62214463748 Methadone161518886978 Hydrocodone61310475941 Fentanyl23422 25 Subtotal:305346203187192 Total Drug Deaths101118132223202264

18. Department of Health Professions www.dhp.virginia.gov ACCESS TO OTHER PROGRAMS West Virginia: https://65.78.228.163https://65.78.228.163 Kentucky: https://ekasper.chfs.ky.gov/accessrequest https://ekasper.chfs.ky.gov/accessrequest –www.chfs.ky.gov/kasperwww.chfs.ky.gov/kasper Tennessee: https://prescriptionmonitoring.state.tn.us https://prescriptionmonitoring.state.tn.us

19. Department of Health Professions www.dhp.virginia.gov RESOURCES Locate substance abuse services in Virginia www.dmhmrsas.virginia.gov/SVC-default.htm www.dmhmrsas.virginia.gov/SVC-default.htm Buprenorphine Physician Locator www.buprenorphine.samhsa.gov/bwns_locator/index.html Drug Enforcement Agency-Diversion Control www.deadiversion.usdoj.gov/ State Police Drug Diversion Unit (804) 674-2779, Euniqueca Reed

20. Department of Health Professions www.dhp.virginia.gov PROGRAM CONTACT INFORMATION Program Phone #: 804-367-4566 Fax 804-527-4470 Email- pmp@dhp.virginia.govpmp@dhp.virginia.gov www.dhp.virginia.gov/dhp_programs/pmp/def ault.aspwww.dhp.virginia.gov/dhp_programs/pmp/def ault.asp

21. Department of Health Professions www.dhp.virginia.gov AND BEYOND Coming in 2008 –Enhanced system performance –24/7 access Education outreach –Project Remote –Partnerships with other agencies –Chronic Nonmalignant Pain Management-Online!