Prescription Drug Monitoring Programs (PDMPs)
Prescription drug monitoring programs (PDMPs)
are electronic databases that keep track of the prescribing and dispensing of controlled prescription
drugs. PDMPs are maintained at the state level and are used to identify sources of prescription drug
diversion such as forgery, visiting numerous primary care providers to obtain prescriptions, and
improper prescribing or dispensing practices. Most PDMPs are administered by the state's Board of
Each state creates regulations that specify what drugs are monitored and who has access to the
information. Typically, law enforcement representatives, healthcare professionals, state Medicaid
programs, medical examiners or coroners, and some research organizations have access to the
information, with most states allowing practitioners and pharmacists to obtain PDMP data about their
Evidence shows that allowing prescribers and pharmacists to see
a patient's prescription history
through a PDMP helps prevent overprescribing of opioids to individuals at risk for opioid use
The PDMP Training and Technical Assistance Center provides
key resources to agencies and providers who are working with PDMP data. The Substance Abuse and
Mental Health Services Administration developed a
resource for using PDMP data to
support prevention planning. For example, in addition to preventing overprescribing of opioids,
PDMP data can inform surveillance efforts for emerging trends in prescription drugs.
Considerations for Implementation
While PDMPs may play a crucial role in the prevention of overdose morbidity and mortality, these databases are
maintained at a state level and local-level agencies may have little input into their design or accessibility.
PDMP data are often not accessible in real-time and are not always easy to use. In locations where a state
closely borders another state, patients may be able to circumvent identification in a PDMP by filling
prescriptions in a neighboring state where prescribers would not have access to interstate-level information.
States have increased data-sharing among PDMPs through the National Association of Boards of Pharmacy's InterConnect®
program. As of 2020, 45 states are using InterConnect to securely transfer data about prescriptions.
Resources to Learn More
Prescription Drug Monitoring Program (PDMP) Training and
Technical Assistance Center (TTAC)
Provides PDMP reports, recommendations, and trainings. Includes a database of PDMP profiles for each
state, with information on which drugs are monitored, data collection frequency, legislation updates,
and other relevant information.
Prescription Drug Monitoring Programs
Provides detailed information for states about PDMP practices and policies. Includes examples of
successful implementation in selected states.
Organization(s): Centers for Disease Control and Prevention
Prescription Monitoring Information eXchange (PMIX)
Provides an overview about the mission of PMIX to support the sharing of prescription drug
information between PDMPs and stakeholders through the establishment of guidelines, policies, and
standards. Includes information about security standards, the roles of healthcare prescribers,
implementation considerations, and offers frequently asked questions (FAQs) for additional
Organization(s): Prescription Drug Monitoring Program Training and Technical Assistance Center (PDMP