Beginning March 1, Texas physicians will be required to check the Texas Prescription Monitoring Program (PMP) before prescribing or dispensing opioids, benzodiazepines, barbiturates, or carisoprodol.
Physicians (or their delegates) must check each patient’s prescription history within the PMP for evidence of doctor-shopping or drug diversion. The law does not apply to physicians prescribing for patients diagnosed with cancer or patients receiving hospice care.
The Texas State Board of Pharmacy manages the PMP and automatically creates PMP accounts based on information it receives from the Texas Medical Board. However, prescribers must manually finalize their accounts.
With your finalized account, you can find out if a patient is receiving Schedule II, III, IV, and V controlled substances. You can also receive email notifications when the system finds evidence of suspicious activity.
The Texas PMP can now be integrated into your electronic health records, allowing access to PMP data within your daily workflow. For more information about integrating the Texas PMP into your EHR system, visit txpmp.org/integration.
Using a delegate
At your discretion, you can delegate the task of checking the database to trusted staff. Once you are registered, you can assign medical staff to assist in querying the PMP. It is important that your delegate register for his or her own account in the system. Physicians should never share PMP log-in information with their staff or delegate.
In addition, physicians and staff should only query their own prescribing history or patients with whom they have an established relationship. Querying individuals who are not your patients is a violation of HIPAA.
To show that you are in compliance with this new law, document in the patient’s chart that you have checked the PMP before prescribing opioids, benzodiazepines, barbiturates, carisoprodol.
For more information
- A prescriber’s guide to using the PMP — offers guidance for physicians, along with talking points for patients.
- The PMP database is available at http://www.pharmacy.texas.gov/PMP/.
- Set up your PMP account at https://texas.pmpaware.net/login
- View the registration manual at http://www.pharmacy.texas.gov/files_pdf/Registration_Manual.pdf.
- PMP FAQs are available at https://texas.pmpaware.net/support; email the PMP at firstname.lastname@example.org, or call 512-305-8050.
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