* Inn and Spa at Loretto * Understanding and Using The - - PDF document

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* Inn and Spa at Loretto * Understanding and Using The - - PDF document

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4/7/13 * Inn and Spa at Loretto * Understanding and Using The Prescription Monitoring Program; * State and Federal Controlled Substances Rules * 1 4/7/13 * PRESCRIPTION DRUG ABUSE IN NEW MEXICO PRESCRIPTION DRUG ABUSE IN NEW

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Inn and Spa at Loretto

*

*

*

Understanding and Using The Prescription Monitoring Program;

*

State and Federal Controlled Substances Rules

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* PRESCRIPTION DRUG ABUSE IN

NEW MEXICO

0.0 5.0 10.0 15.0 20.0 25.0 30.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Age-adjusted rates per 100,000 persons

Drug Overdose Death Rates by Manner, New Mexico and U.S., 2001-2011

Unintentional Suicide Undetermined US Source: New Mexico Vital Records and Health Statistics; CDC Wonder.

PRESCRIPTION DRUG ABUSE IN NEW MEXICO

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0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 U.S. Cibola Luna McKinley Los Alamos San Juan Dona Ana Sandoval Lea Otero Chaves Lincoln New Mexico Colfax Santa Fe Socorro Torrance Taos Eddy Valencia Bernalillo Grant San Miguel Sierra Rio Arriba Age-adjusted rates per 100,000 persons

Drug Overdose Death Rates by County, New Mexico, 2007-2011 and U.S., 2009

Source: BVRHS; CDC Wonder.

* PRESCRIPTION DRUG ABUSE IN

NEW MEXICO

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*

* PRESCRIPTION DRUG ABUSE IN

NEW MEXICO

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* PRESCRIPTION DRUG ABUSE IN

NEW MEXICO

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* PRESCRIPTION DRUG ABUSE IN

NEW MEXICO

*

Prescription Painkiller Use at Record High for Americans

* By JIM AVILA (@JimAvilaABC News) and MICHAEL MURRAY

* April 20, 2011

* It is unclear if Americans are suffering from more pain than ever, but

they are definitely getting more prescriptions for it. The use of

Vicodin, the most popular pain relief drug in the country, has grown dramatically from 112 million doses prescribed in 2006, to 131 million in the U.S. today, according to a national survey

done by the consulting firm IMS Health.

* The United States makes up only 4.6 percent of the world's

population, but consumes 80 percent of its opioids -- and 99

percent of the world's hydrocodone, the opiate that is in Vicodin.

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YEAR ¡

2006 ¡ 2007 ¡ 2008 ¡ 2009 ¡ 2010 ¡ 2011 ¡ 2012 ¡

SCHEDULE 2 PAIN PILLS ¡

25,431,500 ¡ 30,016,350 ¡ 34,896,300 ¡ 38,866,750 ¡ 48,842,200 ¡ 47,654,800 ¡ 44,904,503 ¡

SCHEDULE 3 PAIN PILLS ¡

28,816,300 ¡ 36,491850 ¡ 40,531,500 ¡ 44,302,850 ¡ 47,454,300 ¡ 48,971,400 ¡ 45,786,374 ¡

% CHANGE ¡

  • ---------- ¡

22.6 ¡ 13.4 ¡ 10.2 ¡ 13.6 ¡ 0.34 ¡

  • ­‑-­‑6.1 ¡
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*

*

“Prescription Monitoring Program” means a centralized system to collect, monitor, and analyze electronically, for controlled substances, prescribing and dispensing data submitted by pharmacies and dispensing

  • practitioners. The data are used to support

efforts in education, research, enforcement and abuse prevention.

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*

*

N.M. dispensers will submit dispensing information to the Board every 7 days.

*

Information from the system can be released to qualified individuals.

*

This will be a report of prescriptions for a patient, or prescriptions by a prescriber.

*

*

Information is confidential and not subject to open records laws.

*

Requests for information may be made electronically.

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*

*

User will submit request thru web site

*

Data is collected by patient name, address and date of birth

*

Program will automatically process request and return report within 4-5 seconds.

*

Report can be printed or saved

*

*

Most current data will be from previous week.

*

Reports can be for any time period for records in the data base.

*

Data base will keep previous 24 month period at minimum

*

Report default is for previous 12 months

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https://pmp-web.rld.state.nm.us

*

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*

*

ALERTS

*

Posted to system by users

*

Identifies doctor shoppers, forgers, etc.

*

If you request a patient report on a person who has an alert in the program, a yellow triangle will appear on the screen.

*

Clicking on the triangle will open the alert for your review

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 ALER

ERTS

  • Poste

ted to to syste tem by users

  • Identi

tifies docto tor shoppers, forgers, etc tc.

  • If you request

t a pati tient t report t on a person who has an alert t in th the program, a yellow tr triangle will appear on th the screen. screen.

  • Clicking on th

the tr triangle will open th the alert t for your review

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*

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*

PRESCRIPTIVE AUTHORITY

*

C.S. PRESCRIBING

*

Professional license

*

Prescriptive authority from board

*

NM Controlled Substance Registration

*

DEA Registration

*

C-II PRESCRIBING

*

WRITTEN/PRINTED

*

MANUALLY SIGNED

*

ELECTRONIC PRESCRIBING MEETING DEA CERTIFICATION REQUIREMENTS

*

NO REFILLS

*

PHARMACY REQUIRES HARD COPY PRIOR TO DISPENSING (except E-prescription)

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*

C-II PRESCRIBING

*

HOSPICE/TERMINAL ILLNESS

*

WRITTEN/PRINTED PRESCRIPTION

*

MANUALLY SIGNED

*

MAY FAX TO PHARMACY

*

FAX SERVES AS ORIGINAL

*

WHAT HAPPENS TO ORIGINAL?

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*

C-II PRESCRIBING

*

PRESCRIPTION FOR COMPOUNDED DRUG FOR INJECTION(IV/IM/SQ)

*

WRITTEN/PRINTED PRESCRIPTION

*

MANUALLY SIGNED

*

MAY FAX TO PHARMACY

*

FAX SERVES AS ORIGINAL

*

C-II PRESCRIBING

MULTIPLE C-II PRESCRIPTIONS *

ISSUED TO PATIENT AT ONE TIME

*

ALL DATED WITH ISSUE DATE

*

MAXIMUM TOTAL 90-DAY SUPPLY

*

INSTRUCTIONS TO PHARMACIST OF SPECIFIED DISPENSING DATE ON EACH PRESCRIPTION

*

i.e. “do not fill before June 20”

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*

*

LICENSING BOARD

*

BOARD OF PHARMACY ??

*

DEA ? ? ? ? ? ? ? ? ?

*

*

Practitioners are required to store stocks of Schedule II through V controlled substances in a securely locked, substantially constructed cabinet.

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Registrants should not employ as an agent or employee who has access to controlled substances:

* Any person who has been convicted of a felony offense

related to controlled substances

* Any person who has been denied a DEA registration * Any person who has had a DEA registration revoked * Any person who has surrendered a DEA registration for

cause

* Lastly, practitioners should notify the DEA, upon

discovery, of any thefts or significant losses of controlled substances and complete a DEA Form 106 regarding such theft or loss.

*

In addition to the required security controls, practitioners can utilize additional measures to ensure security. These include:

* Keep all prescription blanks in a safe place where they cannot be

stolen; minimize the number of prescription pads in use.

* Write out the actual amount prescribed in addition to giving a

number to discourage alterations of the prescription order.

* Use prescription blanks only for writing a prescription order and not

for notes.

* Never sign prescription blanks in advance. * Assist the pharmacist when they telephone to verify information

about a prescription order; a corresponding responsibility rests with the pharmacist who dispenses the prescription order to ensure the accuracy of the prescription.

* Contact the nearest DEA field office to obtain or to furnish

information regarding suspicious prescription activities.

* Use tamper-resistant prescription pads.

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*

  • DEA FIELD DIVISION

OFFICE FOR N.M.

  • 2660 FRITTS CROSSING SE

ALBUQUERQUE, NM 87106

  • Diversion Number: (505) 452-4500

Diversion Fax: (505) 873-9921

*

Each practitioner must maintain inventories and records of controlled substances.

*

Schedule II

*

Schedule III, IV, V

*

Inventory

*

Disposal

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*

Each inventory must contain the following information:

* Whether the inventory was taken at the beginning or close of

business

* Names of controlled substances * Each finished form of the substances (e.g., 100 milligram

tablet)

* The number of dosage units of each finished form in the

commercial container (e.g., 100 tablet bottle)

* The number of commercial containers of each finished form

(e.g., four 100 tablet bottles)

* Disposition of the controlled substances

*

*

A practitioner may dispose of

  • ut-of-date, damaged, or
  • therwise unusable or unwanted

controlled substances, including samples, by transferring them to a registrant who is authorized to receive such materials.

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*

* A prescription is an order for medication which is dispensed to or for an ultimate

  • user. A prescription is not an order for medication which is dispensed for

immediate administration to the ultimate user (for example, an order to dispense a drug to an inpatient for immediate administration in a hospital is not a prescription).

* A prescription for a controlled substance must be dated and signed on the date

when issued. The prescription must include the patient’s full name and address, and the practitioner’s full name, address, and DEA registration number. The prescription must also include:

* drug name * strength * dosage form * quantity prescribed * directions for use * number of refills (if any) authorized * A prescription for a controlled substance must be written in ink or indelible pencil

  • r typewritten and must be manually signed by the practitioner on the date when
  • issued. An individual (secretary or nurse) may be designated by the practitioner

to prepare prescriptions for the practitioner’s signature.

* The practitioner is responsible for ensuring that the prescription conforms to all

requirements of the law and regulations, both federal and state.

*

*

Schedule II controlled substances require a written prescription which must be signed by the practitioner. There is no federal time limit within which a Schedule II prescription must be filled after being signed by the practitioner.

*

While some states and many insurance carriers limit the quantity of controlled substance dispensed to a 30-day supply, there are no specific federal limits to quantities of drugs dispensed via a prescription. For Schedule II controlled substances, an oral order is only permitted in an emergency situation.

*

The refilling of a prescription for a controlled substance listed in Schedule II is prohibited

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*

*

A prescription for controlled substances in Schedules III, IV, and V issued by a practitioner, may be communicated either

  • rally, in writing, or by facsimile to the pharmacist, and

may be refilled if so authorized on the prescription or by call-in.

*

Schedule III and IV controlled substances may be refilled if authorized on the prescription. However, the prescription may only be refilled up to five times within six months after the date on which the prescription was issued. After five refills or after six months, whichever occurs first, a new prescription is required.

*

DEA FIELD DIVISION OFFICE FOR NEW MEXICO

*

2660 FRITTS CROSSING SE ALBUQUERQUE, NM 87106

*

Diversion Number: (505) 452-4500 Diversion Fax: (505) 873-9921

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http://www.deadiversion. usdoj.gov

*

*

ANY Y QUES ESTIONS???