The criteria included identification of any prescriber or pharmacy with a patient over 2,000 Morphine Milligram Equivalents (MME) or a prescriber or pharmacy with 10 or more patients over 1,000 MME. On August 28, 2016, the advisory panel approved initial criteria to be used in generating prescriber reports in an effort to identify unusual occurrences or prescriber practices. During the 2016 Session of the Virginia General Assembly, Chapter 309 was passed, which amended Va Code § 54.1-2521 to require reports by dispensers be made to the PMP within “24 hours of dispensing or the dispensers next business day, whichever comes later.” The Director of the Department of Health Professions is assisted by an advisory panel to give guidance on analysis and reporting that can be obtained through the data submitted to the PMP. Initially, dispensers were required to report to the PMP within seven business days. The legislation was effective upon signature of the Governor and reporting requirements began on May 31, 2017. This was achieved by passage of House Bill 2164, patroned by Delegate Todd Pillion. During the 2017 Session of the Virginia General Assembly, legislation was passed to add Gabapentin (Neurontin) as a drug of concern. The “covered substances” that have to be reported to the PMP is defined to include Schedule II, III and IV drugs as well as all drugs of concern. “Dispense” is also a defined term and does not include the administration of controlled substances in settings such as inpatient hospitals. “Dispensers” is a defined term in Va Code § 54.1-2519 that generally applies to outpatient pharmacies, community pharmacies, mail order pharmacies, and physician licensed to dispense locations, such as urgent care centers and offices. Reports to the PMP are made by dispensers when covered substances are dispensed. Ralph Orr serves as Program Director for the PMP. The initiation and ongoing operation of the Program was financed through a settlement reached with Purdue Frederick. The Director of the Virginia Department of Health Professions is charged, pursuant to Va Code § 54.1-2520, with establishing, maintaining and administering Virginia’s Prescription Monitoring Program (PMP).
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