1. What’s New with KASPER A Lot! Facilitator: Dr. Michelle Lofwall, UK Associate Professor of Psychiatry Panelists: Dave Hopkins, KASPER Program Manager Van Ingram, Executive Director, Kentucky Office of Drug Control Policy Dr. Ryan Stanton, Medical Director ER, UK Good Samaritan Hospital

2. Controlled Substances Dispensed Cabinet for Health and Family Services

3. KASPER Reports Requested Cabinet for Health and Family Services

4. Top Prescribed Controlled Substances by Therapeutic Category by Doses - 2012 Hydrocodone 41.5% Lortab Lorcet Vicodin Alprazolam 11.8% Xanax Tramadol 6.9% Ultram Oxycodone 15.9% OxyContin Percodan Percocet Clonazepam 6.6% Klonopin Diazepam 4.5% Valium Phentermine 2.4% Adipex-P Amphetamine 2.7% Adderall Zolpidem 3.5% Ambien Lorazepam 4.0% Ativan

5. Cabinet for Health and Family Services KASPER Stakeholders Licensing Boards – to investigate potential inappropriate prescribing by a licensee. Practitioners and Pharmacists – to review a current patient’s controlled substance prescription history for medical and/or pharmaceutical treatment. Law Enforcement Officers, OIG employees, Commonwealth’s attorneys, county attorneys - to review an individual’s controlled substance prescription history as part of a bona fide drug investigation or drug prosecution. Medicaid – to screen members for potential abuse of pharmacy benefits and to determine “lock-in”; to screen providers for adherence to prescribing guidelines for Medicaid patients. A judge or probation or parole officer – to help ensure adherence to drug diversion or probation program guidelines.

6. Cabinet for Health and Family Services KASPER Usage 2012 Law Enforcement =.4% (17% of KY LE have accounts) Prescribers = 97.9% (83% of KY prescribers have accounts) Pharmacists = 1.6% (83% of KY pharmacists have accounts) Judges, Other =.1%

7. Cabinet for Health and Family Services eKASPER Master Accounts 12/31/201104/24/201207/20/201212/31/2012 Doctor*5,470 5,680 11,923 16,740 APRN690 781 1,523 1,866 Pharmacist1,385 1,450 3,602 4,888 Total7,545 7,911 17,048 23,494 *Includes physicians, dentists, optometrists and podiatrists

8. Cabinet for Health and Family Services HB1 Early Results DrugAug-Nov 2011Aug-Nov 2012Change Hydrocodone81,125,72171,372,106-12.0% Oxycodone29,768,54626,256,240-11.8% Oxymorphone679,621380,353- 44.0% Alprazolam24,877,99821,277,555-14.5% Methylphenidate3,551,1293,722,988+ 4.8% Amphetamine 4,528,8054,873,753+ 7.6% All Controlled Substances 251,848,764222,487,691-11.7% Figures shown in doses dispensed

9. KASPER Web Site: www.chfs.ky.gov/KASPER