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PDMP compliance: a prescriber guide

H2H DigitalRx Editorial ยท 6 min read

Prescription Drug Monitoring Programs (PDMPs) are state-run databases that track controlled-substance prescriptions. Most states now require prescribers to check the PDMP before prescribing certain medications. Here is how to meet the requirement without disrupting your workflow.

What a PDMP check involves

Before prescribing a controlled substance, the prescriber queries the state PDMP to review the patient controlled-substance history. This helps identify patients receiving overlapping prescriptions from multiple prescribers and supports safer prescribing decisions.

When checks are required

Requirements vary by state and often depend on the drug schedule and the clinical situation. Many states mandate a check for initial opioid prescriptions and at defined intervals thereafter. Because rules differ, building the check into every controlled-substance encounter is the safest approach.

Making compliance efficient

The friction in PDMP compliance usually comes from logging into a separate state portal. H2H DigitalRx integrates the PDMP query directly into the prescribing workflow, so the history appears in context and the check is timestamped and attached to the encounter for audit purposes.

Key takeaways
โœ“Most states mandate PDMP checks before prescribing controlled substances
โœ“Requirements vary, so checking on every controlled-substance encounter is safest
โœ“In-workflow PDMP access removes the separate-portal friction and documents the check

Frequently asked questions

Do I have to check the PDMP every time?
It depends on your state and the specific medication, but many states require it for controlled substances. Integrating the check into every relevant encounter ensures you never miss a requirement.
Does H2H DigitalRx support multiple states?
Yes. For prescribers licensed in multiple states or treating out-of-state patients, queries can be sent to multiple PDMP registries.
Is the check documented?
Yes. Each PDMP query is timestamped and attached to the encounter record to support audit and compliance requirements.

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