By law, physicians now must set up an account with the Texas PMP, known as PMP Aware and check the PMP prior to prescribing opioids, benzodiazepines, barbiturates and carisoprodol. An account allows physicians to check a patient’s prescription history for information that indicates illicit activity, drug abuse, drug diversion, or doctor shopping.
Appriss Health, the state’s PMP vendor, provides the software, NarxCare, which is integrated with the EHR so that physicians do not need to leave the EHR to query the PMP. NarxCare, is an analytics tool and care management platform that helps prescribers and dispensers analyze real-time controlled substance data from PMPs and manage substance use disorder. NarxCare automatically analyzes PMP data and a patient’s health history and provides patient risk scores and an interactive visualization of usage patterns to help identify potential risk factors. NarxCare is delivered to the EHR using PMP Gateway. That means authorized prescribers can access PMP data and NarxCare analytics within their daily workflow for clinical decision support.
Not all EHRs are integrated at this time. View the list of EHR vendors that are currently integrated with NarxCare and the PMP database.
If you haven’t paid your fees to keep your electronic health record (EHR) integrated with Texas' prescription monitoring program (PMP), the state’s PMP vendor may have deactivated your connection, in which case you’ll need to pay to reactivate it.
To help you document those checks, PMP Aware allows you to download PDFs that you can add to a patient’s medical record.
Texas Prescription Monitoring Program The Texas PMP collects and monitors outpatient prescription data for controlled substances dispensed by a pharmacy in Texas. It is a patient care tool that can be used to inform prescribing practice and to address prescription drug misuse, diversion, and overdose.
This toolkit is designed to assist you in having productive conversations with patients about the Texas PMP and the safe and effective alleviation of pain.
How to Talk to Patients About the PMP (Texas Medicine Today, Jan. 31, 2020)
You Write Scripts? You Better Sign Up With the PMP
In this video recorded at the Texas Medical Association Fall Conference in September, 2019, Troy Fiesinger, MD, Lindsay K. Botsford, MD, and Adam Bruggeman, MD, explained the legal requirements for physicians who prescribe controlled substances, and how clear and consistent office procedures can improve pain management care.
Got prescription monitoring program questions? Call or email the Knowledge Center.
Mar. 1, 2020:Checking the Texas PMP Required
Jan. 1, 2021: E-Prescribing of Controlled Substances Required
The Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics covers important issues to consider when changing a patient’s chronic pain therapy, including issues to consider prior to making a change, when initiating a change, and as a patient’s dosage is being tapered.
Read the Complete Guide Here
Get access to information about medication-assisted treatment (MAT) for opioid use disorder.The Substance Abuse and Mental Health Services Administration (SAMHSA) has identified MAT as one of three priority ways to solve the current opioid overdose crisis. Find out more.
Links below provide timely information from fellow health care leaders in addressing the opioid epidemic:
American Academy of Family Physicians (AAFP) Chronic Pain Resources
AAFP Pain Management and Opioid Abuse
American Academy of Orthopedic Surgeons (AAOS)
American Society of Clinical Oncology (ASCO)
American Society of Interventional Pain Physicians (ASIPP)
American Society of Anesthesiologists
American College of Emergency Physicians
American College of Surgeons
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