Prescription Monitoring Program (PMP) FAQ's

Date: 
02/21/2020
Document Text Version

PMP FAQs
GENERAL FAQs
Question: What is the Iowa Prescription Monitoring Program (PMP)?
Answer: The Iowa PMP collects records of controlled substances (Schedules II through
IV) prescriptions dispensed by Iowa-licensed pharmacies and dispensing prescribers
and makes that information available to registered prescribers and pharmacists
(practitioners) to assist those practitioners in making informed decisions about a
patient’s care and treatment. The PMP provides another resource to assist the
practitioner in identifying potential diversion, misuse, or abuse of controlled substances
without impeding the appropriate medical use of controlled substances.
Question: Who is responsible for oversight and operation of the PMP?
Answer: The Iowa Board of Pharmacy co-manages the Iowa PMP with the PMP
Advisory Council.
Question: What is the website or web address for the PMP?
Answer: https://iowa.pmpaware.net/login
Question: How is the confidentiality of prescription information protected?
Answer: Before anyone is permitted to access the PMP, the individual must complete
and submit a registration application. Qualifications of the individual, including
professional license number, DEA registration number, and other identifiers are verified
prior to approval of the registration and the granting of login credentials. All registrants
agree to the terms of use and confidentiality before accessing or requesting any
information from the PMP. PMP data is protected by the highest data security standards
and access to data is restricted to authorized, registered individuals.
Question: What is the legal authority for the PMP?
Answer: The PMP was established and operates pursuant to the provisions of Iowa
Code sections 124.550 through 124.558.
Question: As a patient, can I opt out of having my data in the PMP?
Answer: No. Iowa Code section 124.552 requires that dispensers report all controlled
substance prescriptions, unless prohibited under federal law, to the PMP. The Code
does not include provisions for opting out of including a patient’s controlled substance
prescriptions in the PMP data.
Question: What information is contained in the Iowa PMP database?
Answer: Records of all Schedule II through IV controlled substance prescriptions
dispensed to patients by Iowa pharmacies and dispensing prescribers are included in
the PMP. In addition, records of prescriptions for and the administration of opioid
antagonists, such as naloxone, are included in the Iowa PMP.
Question: Who is submitting the prescription data?
Answer: Iowa-licensed pharmacies, including in-state and nonresident pharmacies,
submit prescription data. Dispensing prescribers report controlled substances dispensed
to patients by the prescriber. Any pharmacy, prescriber, or first responder who
dispenses or administers an opioid antagonist, such as naloxone, also submits those
records to the PMP.
Question: How long is information retained in the PMP database?
Answer: Information and records are maintained in the PMP for at least four (4) years
from the date of the record.
Question: Who has access to the PMP data?
Answer: Pharmacists and prescribers may access a patient’s PMP records if the
pharmacist or prescriber is actively engaged in the patient’s healthcare.
Question: Are prescribers and/or dispensers required to use the PMP database?
Answer: Prescribers are required to register to use the PMP but neither prescribers nor
pharmacists are required to use the PMP unless use is required by the individual’s
professional licensing authority. Note, as of February, 2020, The Iowa Boards of
Medicine, Nursing, Physician Assistants, Optometry, Podiatric Medicine and Iowa Dental
Board all have mandates requiring the use of the PMP before authorizing an opioid
prescription. Please see respective licensing Board regulations for requirements and
exceptions (e.g., hospitalized patients, hospice patients, long-term care residents, et al).
Question: Can Law Enforcement request PMP data?
Answer: Pursuant to an order, subpoena, or other means of legal compulsion based
upon a determination of probable cause in the course of a specific investigation of a
specific individual, PMP data can be released to law enforcement.
Question: Can a patient request their own PMP (prescription history) data?
Answer: Yes. The form to be completed by the patient or the patient’s legal agent is
available on the Board’s website at
https://pharmacy.iowa.gov/sites/default/files/documents/2018/05/form_patient_request_f
or_pmp_information_with_id_certification_page.pdf.
Question: Can a person request prescription history be sent to a third party (e.g., attorney’s
office)?
Answer: Yes, a person may request their own prescription history be sent to the person’s
legal agent.
Question: I received my prescription history report and the information is incorrect, how do I get
the information corrected?
Answer: Please contact the pharmacy or dispensing prescriber that reported the
incorrect information and request they verify and resubmit a corrected record.
Question: Won’t the PMP limit a patient’s access to prescription drugs?
Answer: The PMP is designed as a clinical tool to provide practitioners with additional
patient level information. A primary goal of the PMP is to lead to more rational
prescribing and better patient care. In some instances, this may mean either a decrease
or an increase in the prescribing of controlled substances for an individual patient as
determined by the prescriber.
Question: Is data maintained in the PMP database used to identify “inappropriate” prescribing
by practitioners?
Answer: Not directly. Prescribing information and practices are not “policed” for the
purpose of identifying inappropriate or indiscriminate prescribing or dispensing. A
regulatory agent may request pertinent information from the PMP when the agent attests
to and provides a subpoena, order, or warrant, based on a determination of probable
cause, in the course of an existing investigation of a specific individual.
PMP REGISTRATION FAQs
Question: Who is required to register for the PMP?
Answer: Iowa practitioners (excluding veterinarians and researchers) who hold an Iowa
Controlled Substances Act (CSA) Registration are required to register for the PMP at the
time they renew or are issued a new CSA registration. Iowa-licensed pharmacists who
are involved in patient care are required to register for the PMP at the time they become
licensed or renew their license.
Question: What is the website to register for the PMP?
Answer: https://iowa.pmpaware.net/login
Question: Does it cost anything to register for the PMP?
Answer: No, there is no cost to register for the PMP.
Question: Do I need to renew my PMP registration on a periodic basis?
Answer: No, you do not need to renew your PMP registration.
Question: I am a fully-licensed practitioner but I do not have my own DEA number. Can I
register to use the PMP? If so, what role do I select during the registration process?
Answer: Yes. You may register under the role “Prescriber-Institution Affiliate/No
Independent DEA Number.” You will be required to enter your institution’s DEA number
followed by the unique suffix (e.g., CLP or NPI) they have assigned you.
Question: I am a resident physician and prescribe under my hospital’s institutional DEA and
CSA number. Can I register to use the PMP? How do I register?
Answer: Yes. You may register under the role “Medical Resident with Prescriptive
Authority.” You will be required to enter your institution’s DEA number followed by the
unique suffix (e.g., CLP or NPI) they have assigned you.
Question: I am registered as a medical resident but am now a licensed physician. Do I need to
register again?
Answer: No. The role on your existing account can be changed. Please contact a PMP
administrator at 515-281-5944 or pmp@iowa.gov with your permanent professional
license number and personal DEA number.
Question: How do I register as a delegate?
Answer: All users, including delegates, register online at
https://iowa.pmpaware.net/login. Delegate users will select the role “Prescriber Delegate
- Licensed.” You will be required to provide your license/certification/registration number
as a healthcare professional and identify at least one supervising provider by entering
their PMP email address. The supervising provider(s) will receive an email notifying
them that you have registered. The supervising provider(s) must then log into their PMP
account and approve you.
(For more information, see (Delegate user FAQs)
Question: Can out of state pharmacists have access to the PMP?
Answer: Yes. If they are dispensing to Iowa patients, they may register under the role
“Out of State Pharmacist.” They must provide their professional license number and
employer DEA number.
Question: Can out of state prescribers have access to the PMP?
Answer: Yes. They may register under the role “Out of State Prescriber.”
Question: I am new to practicing or prescribing controlled substances in Iowa and do not have a
DEA or Iowa CSA yet. How do I register?
Answer: You will need to first apply for and be issued your Iowa CSA registration and
then federal DEA registration before you will be permitted to register to use the PMP.
Question: When trying to renew my Iowa CSA registration online, I get a message that I am not
PMP registered. What should I do?
Answer: Please contact a PMP administrator at 515-281-5944.
Question: What should I do if I tried to create a new account and got an error message that
said, “There was a problem with the email you attempted to use. If you believe there is already
an account associated with this email address, use the reset password feature to continue your
registration.”?
Answer: At the PMP website, click “Reset Password.” You will be required to enter the
email address associated with your existing PMP account. A link will be emailed to you
to set up a new password.
Question: What should I do if I am retired, have moved out of state, allowed my CSA registration
or pharmacist license to lapse, or am reaching out on behalf of a deceased provider?
Answer: Please contact a PMP administrator at 515-281-5944 or pmp@iowa.gov for
deactivation of your account.
Question: Why am I required to select a healthcare specialty when registering with the PMP?
Answer: Practitioners are required to select a healthcare specialty when registering for
the PMP to facilitate comparison reports, research and data analytics.
PMP ACCESSING AND USING FAQs
Question: I’m registered with the PMP, but I don’t remember my password. What should I do?
Answer: At the PMP website, click “Reset Password.” You will be required to enter the
email address associated with your PMP account. A link will be emailed to you to set up
a new password.
Question: I no longer have access to the email address on my account and my password has
expired. What should I do?
Answer: Please contact a PMP administrator at 515-281-5944 or pmp@iowa.gov.
Question: How do I reactivate my account?
Answer: Please contact a PMP administrator at 515-281-5944 or pmp@iowa.gov.
Question: Can I view data from other states?
Answer: PMP users registered as healthcare professionals (i.e. prescriber, pharmacists,
delegates) may query other states’ PMPs by selecting those states at the bottom of a
patient request in the section titled “PMP InterConnect Search.” To set up your patient
request to automatically select other states, log in to your account and at the top right,
click your name, then “Default PMPi States.” Select which state(s) you would like to
automatically include in every patient request.
Question: As a prescriber, can I search for prescriptions dispensed with my DEA number?
Answer: Yes. When logged in to your PMP account, click "Menu", then click "MyRx"
(under "RxSearch") and enter the date range you would like to search.
Question: Why do I not see a prescription dispensed for my patient when I know my patient
filled the prescription?
Answer: If you know which pharmacy filled the prescription, please contact the pharmacy
to verify the prescription record and the pharmacy’s submission to the PMP.
Question: What if a prescription reported to the PMP was reported or dispensed incorrectly?
Answer: The prescriber should contact the dispensing pharmacy or dispensing provider
for additional details about the prescription. Upon notification of a potential error in PMP
information, the pharmacy or dispensing prescriber is required to promptly correct the
record in the PMP.
Question: What if a patient has had prescriptions filled under multiple names?
Answer: Patient IDs can be manually consolidated by PMP administrators. Please
contact PMP administrator at 515-281-5944 or pmp@iowa.gov.
Question: Can I place a copy of the PMP report in the patient’s EHR/EMR?
Answer: Yes, it is acceptable to copy and place a PMP report or a synopsis into a patient
chart if the purpose of doing so is related to that patient’s healthcare, subject to the
privacy policy and procedures of your facility, office or pharmacy.
Question: Does the PMP include data from the Veterans Administration (VA) Pharmacies?
Answer: Yes, VA pharmacies are required to submit prescription data to the PMP.
Question: What should I do if I am concerned about my patient’s controlled substance use?
Answer: Discuss your concerns with the patient and other practitioners involved in the
patient’s care. The NarxCare® Report contains resources such as communication with
the patient’s other providers and links to treatment facilities. If prescription fraud is
suspected, contact your local law enforcement.
Question: How far back in a patient’s prescription history can I request a PMP report?
Answer: PMP data is retained and can be queried up to 4 years from the date of the
request.
Question: What is a NarxCare® Report?
Answer: NarxCare® is a tool and care management platform that helps prescribers and
dispensers by automatically accessing the PMP data, analyzing and scoring it, and
generating an interactive report that enables providers to quickly comprehend the
patient’s controlled substance use history.
PMP REPORTING FAQs
Question: Which prescriptions must be reported to the PMP?
Answer: “Reportable prescription” means the record of a controlled substance
dispensed by a practitioner and the record of an opioid antagonist dispensed by a
practitioner or administered by a first responder.
Question: What prescription information is reported to the PMP?
Answer: The information required for each prescription includes, at a minimum, the
following items:
a. Dispenser DEA number.
b. Date the prescription is dispensed or administered.
c. Prescription number or unique identification number.
d. NDC number of the drug dispensed or administered.
e. Quantity of the drug dispensed or administered.
f. Number of days of drug therapy provided by the drug dispensed or administered.
g. Patient legal first and last names.
h. Patient address including street address, city, state, and ZIP code.
i. Patient phone number.
j. Patient date of birth.
k. Patient gender.
l. Prescriber name and DEA number.
m. Date the prescription was issued by the prescriber.
n. Method of payment.
o. Form of transmission of prescription origin.
p. Refill number.
q. Number of refills authorized.
r. Indication as to whether the prescription is new or a refill.
Question: How frequently must data be submitted to the program?
Answer: A record of each reportable administration or prescription dispensed
must be submitted by each dispenser no later than the next regular business day
following administration or dispensing.
Question: Are hospital pharmacies required to report to the PMP when dispensing for inpatient
use?
Answer: No, the dispensing by a licensed hospital pharmacy for the purposes of
inpatient hospital care is exempt.
Question: When is reporting to the PMP not required?
Answer: Reporting of dispensing or administration of a controlled substance is not
required when dispensed for inpatient hospital care, for long term care or hospice facility
patient care, or when administered by a prescriber for outpatient procedures or
treatment.
Question: Is anyone exempt from reporting to the PMP?
Answer: Yes, a pharmacy that does not dispense controlled substances to patients in
Iowa, a licensed veterinarian who administers or dispenses a controlled substance in the
normal course of professional practice, and a DEA-registered narcotic treatment
program subject to the record-keeping provisions of federal law are exempt from PMP
reporting.
Question: I have a pharmacy but I rarely dispense controlled substances. Do I still need to
report?
Answer: Yes, unless otherwise exempt, a pharmacy that did not dispense any reportable
prescriptions during a reporting period (i.e., a business day) is required to submit a zero
report no later than the next regular business day.
Question: Are dispensing prescribers required to report dispensations to the PMP?
Answer: Yes, unless otherwise exempt, a dispensing prescriber is required to submit to
the PMP a record of each reportable controlled substance dispensed no later than the
next regular business day. The prescriber shall be identified as the dispenser
(pharmacy) when reporting to the PMP.
Question: How do dispensing prescribers report to the PMP?
Answer: Dispensing prescribers have two options to report to the PMP. Records may
be submitted through the prescriber’s AWARxE® account: login to PMP AWARxE >
Click “Menu” > “Data” > “Rx Management” and “New Rx.” The prescriber shall be
identified as the dispenser (pharmacy).
Prescribers may also register for a PMP Clearinghouse account at:
https://pmpclearinghouse.net/users/sign_in. A registered prescriber or delegate can
submit records using an electronic Universal Claim Form or submit records via sFTP.
More information can be found at:
https://pharmacy.iowa.gov/sites/default/files/documents/2018/04/ia_data_submission_di
spenser_guide_v2.0_1.pdf.
Question: If a prescriber dispenses a "starter pack," would this be considered prescriber
dispensing?
Answer: Yes, starter packs otherwise meeting the definition of a reportable prescription
are required to be reported to the PMP.
Question: Are methadone treatment clinics required to report in-office dispensing?
Answer: DEA-registered narcotic treatment programs subject to federal record-keeping
provisions of 21 CFR Section 1304.24 are exempt from PMP reporting.
Question: Are prescriber in-office dispensations of Suboxone® required to be reported?
Answer: Yes, unless the prescriber is subject to federal record-keeping provisions of 21
CFR Section 1304.24.
Question: Do I have to notify patients that their prescription information is being reported to the
PMP?
Answer: No, although some entities do include such a notification in their HIPAA
disclosure.
Question: How do I correct an error in a previously submitted record? E.G., the prescription
was filled and previously reported using the wrong Dr. Smith.
Answer: Corrections may be made by data submitters by uploading a new file via sFTP,
having your software vendor submit a corrected report on your behalf or by logging
directly into your AWARxE® account. If making corrections in your AWARxE® account
(usually the easiest approach to correct a single prescription), login to PMP AWARxE,
Click “Menu” > “Data” > “Rx Management” and “Rx Maintenance” and submit the
changes.
DELEGATE USER FAQs
Question: Can unlicensed staff (i.e. receptionist) register for the PMP as delegates?
Answer: No. Only health care professionals are eligible for PMP registration. Per Board
of Pharmacy rules, “Healthcare professional” means a person who, by certification or
licensure, is qualified to provide and is engaged in providing health care to patients.
“Healthcare professional” does not include clerical or administrative staff. A health care
professional shall be licensed, registered, certified, or otherwise credentialed in a
manner that permits verification of the healthcare professional’s credentials.
Question: Who can register as a PMP delegate?
Answer: Delegate PMP users may include, but are not limited to: RNs, LPNs, certified
medical assistants, radiologic technologists, paramedics, certified alcohol and drug
counselors, pharmacist-interns, and certified pharmacy technicians.
Question: The office I work in has numerous prescribers. Do I need to register as a delegate
user for each prescriber that I work under? Why is this important?
Answer: Yes. It is important that delegate users register under each prescriber for whom
they may need to request patient data. When delegate users begin a patient request,
they must select a supervisor/prescriber from the dropdown at the top of the screen. This
action will reflect that the identified prescriber requested the patient’s report.
Question: What if I am doing searchers for a prescriber who is not currently listed as one of my
supervisors?
Answer: You may not perform a search for a prescriber who has not authorized you as
their personal delegate.
Question: Why is it important to select the correct supervisor when conducting a PMP search?
Answer: It is vital that the PMP records correctly identify the prescriber who requested
the patient’s report. This is important to provide an audit trail and verify provider use of
the PMP. The identified prescriber is responsible for your actions when conducting a
PMP search.
Question: As a delegate, how do I add additional supervising providers?
Answer: In your PMP account, under “Menu” > “User Profile” > “My Profile,” additional
supervising providers can be added in the “Supervisors” section by entering the
provider’s PMP email address. The supervising provider(s) will receive an email notifying
them that you have registered as their delegate. The supervising provider(s) must then
log into their PMP account and approve you.
SUPERVISOR OF DELEGATE(S) FAQs
Question: Can a delegate access data on my behalf?
Answer: Yes. A delegate may perform PMP patient queries on behalf of an supervising
practitioner who has prescribed or is contemplating the authorization of a prescription for
the patient about whom information is requested. The delegate must log in to their own
account to perform the query and may not access the practitioner’s PMP account to run
the request.
Question: Can I have multiple delegates linked to my account?
Answer: Yes. A practitioner may authorize an adequate number of healthcare
professionals who actively work with the practitioner to act as their delegates to request
PMP information. A delegate shall be licensed, registered, certified, or otherwise
credentialed as a healthcare professional in a manner that permits verification of the
delegate’s credentials. The practitioner shall be responsible for the PMP information
accessed by their delegates.
Question: How do I approve a delegate?
Answer: You can approve a delegate by logging into your Iowa PMP AWARxE account,
click “Menu” > Select “Delegate Management.” The Delegate Management page will
display new delegates with a status of “Pending.” Click the delegate’s name to display
their information on the detail card at the bottom of the page. Click the “Approve” button
to approve the delegate. If you do not wish to approve a delegate request simply click
“Reject.”
Question: How do I reject or remove a delegate?
Answer: In order to remove a delegate you had previously approved, log into your Iowa
PMP AWARxE® account > Click “Menu” > Select “Delegate Management” > Click the
delegate’s name to display their information > Click the “Remove” button. Upon removal,
the delegate’s status will be returned to “Pending.” If you need to completely dissociate a
delegate from your account, select the former delegate, then click “Reject.”
Question: Is there a way to see which patients a delegate searched for under my
authorization?
Answer: Yes. Within the AWARxE® system, Click “Menu” > “Requests History” and the
Requests History page will be displayed. The “Requestor” column will list the name of a
delegate if the query was performed by someone other than yourself.
Question: I have removed/disabled a delegate(s), can I still audit or view the searches they
performed on my behalf?
Answer: Yes. Within the AWARxE® system, Click “Menu” > “Requests History” and the
Requests History page will be displayed. The “Requestor” column will list the name of a
delegate if the query was performed by someone other than yourself.
Question: I performed an audit on one of my delegate’s PMP queries and discovered
inappropriate searches, what do I do now?
Answer: It is at your discretion how to proceed. Best practice would be to remove the
delegate’s access to the PMP under your authority and to report the inappropriate use of
the PMP to the organization that licenses or credentials the delegate. (i.e. Board of
Nursing, American Association of Medical Assistants, Board of Pharmacy, etc.)
Question: Does the PMP notify supervisors of excessive or improper searches by their
delegates?
Answer: No. It is the responsibility of the supervising practitioner to actively maintain
their delegate list and monitor use or remove your delegated access as necessary.
PRESCRIBER ACTIVITY REPORT (PARs) FAQs
Question: What is a Prescriber Activity Report?
Answer: A Prescriber Activity Report (PAR) is a quarterly snapshot of a practitioner’s
prescribing practices involving Schedule II-IV medications over a six-month period. The
report is sent to registered users who have written at least one controlled substance
prescription during the prior six-month period. See the PAR user guide for additional
information:
https://pharmacy.iowa.gov/sites/default/files/documents/2019/01/par_user_guide_templa
te_updated_011719.pdf
Question: Why does the Board of Pharmacy’s Prescription Monitoring Program (PMP) send out
PARs?
Answer: The Prescriber Activity Report (PAR) is intended to give prescribers insight into
their controlled substance prescribing patterns by supplying a summary of their
prescribing along with a comparison to their practice specialty group peers.
Question: How will I receive the Prescriber Activity Report?
Answer: The Prescriber Activity Report is sent directly to your email that you have on
file with the Iowa PMP.
Question: How often will I receive a Prescriber Activity Report?
Answer: Approximately every three months.
Question: Is the Prescriber Activity Report (PAR) confidential?
Answer: Yes, the information in the prescriber activity report is privileged and
confidential.
Question: What information is included in the Prescriber Activity Report?
Answer: Information in the Prescriber Activity Reports includes summary data regarding
your prescribing of opioids, top medications prescribed by you, comparisons with
healthcare specialty peer groups, PMP usage (patient queries) by you and your
delegates, and various prescription and patient data for other controlled substances.
Question: Are prescriptions for Suboxone® included or excluded from the data in the Prescriber
Activity Report?
Answer: Prescriptions for Suboxone® dispensed from a pharmacy or non-exempt
treatment facility are included in the Prescriber Activity Reports.
Question: Who determined the healthcare specialty used in my Prescriber Activity Report?
Answer: The healthcare specialty was self-selected when you registered for a PMP
AWARxE® account.
Question: What if I selected multiple healthcare specialties?
Answer: The Prescriber Activity Report will use only your primary healthcare specialty for
peer comparisons.
Question: How do I change the Healthcare Specialty used in my Prescriber Activity Report?
Answer: You may update your Healthcare Specialty within your PMP AWARxE®
account. Log into the PMP site. Click “Menu” > Select “My Profile” under User Profile
and update your Healthcare Specialty. Changes will be reflected in the next distribution
of your Prescriber Activity Report.
Question: How can I view a list of the prescriptions included in my Prescriber Activity Report?
Answer: Log into the PMP site. Click “Menu” > Select “MyRx” Under RxSearch. Enter
the applicable six-month date range, and select the DEA number associated with your
Prescriber Activity Report. This will allow you to see a full list of prescriptions that were
included within the report metrics. 
Question: What if I believe there is an error on my MyRx prescription history?
Answer: Please contact the dispensing pharmacy directly and have them submit a
correction.
Question: What should I do if I suspect my DEA number is being used to forge prescriptions?
Answer: Please contact the dispensing pharmacy directly to verify. You should follow
up with the appropriate law enforcement agency and the Iowa PMP if you discover
forgeries have occurred.
Question: I have delegates conduct searches for all of my patients. Why are these searches not
credited in my delegate search count?
Answer: If your delegate has multiple supervisors, it is likely they selected the wrong
supervisor. When delegate users begin a patient search, they must select the
requesting supervisor/prescriber from the dropdown menu at the top of the screen. This
action will credit the selected prescriber with requesting that patient report. It is
important to remind delegates to select the correct supervisor when conducting a PMP
query.
Question: Can my Prescriber Activity Report be used against me?
Answer: No, The Prescriber Activity Report is not subject to discovery, subpoena, or
other means of legal compulsion.
Question: Why is it referred to as a “quarterly report”, when it appears to be utilizing six months
of data?
Answer: The “quarterly report” refers to the time frame in which the reports are sent out,
i.e., approximately every three months or quarterly.
PROACTIVE PATIENT ALERT FAQs
Question: What is a Proactive Patient Alert or Threshold Report?
Answer: A Proactive Patient Alert (Threshold Report) is a notification indicating that one
or more of your patients has exceeded a set threshold and appears to be receiving
multiple Schedule II-IV prescriptions from multiple pharmacies and prescribers in a given
time period. Iowa Code gives the Iowa Board of Pharmacy, in collaboration with the PMP
Advisory Council, the authority to establish criteria, for reporting information about a
patient to practitioners involved with the prescriptions in question if the threshold criteria
are met.
Question: What are the differences between a Prescriber Activity Report (PAR) and a Proactive
Patient Alert (Threshold Report)?
Answer: A Prescriber Activity Report is intended to give prescribers insight into their
controlled substance prescribing patterns and a comparison with their peers. Reports 
are provided approximately every three months to all registered PMP users with an
active account, a defined role and specialty, who have written at least one controlled
substance prescription during the prior six-month period. The data represented includes
Schedule II-IV drugs reported to the state PMP during the report period.
A Proactive Patient Alert (Threshold Report) is sent to all prescribers and pharmacies
who have prescribed or dispensed controlled substances to patients who meet
predetermined thresholds. Proactive Patient Alerts (Threshold Reports) are
disseminated to help ensure that prescribers are aware of the scope of controlled
substance use by their patients, thus contributing to optimum patient care.
Question: Who determines the thresholds used to generate the Proactive Patient Alert
(Threshold Report)?
Answer: The Iowa Board of Pharmacy, in collaboration with the PMP Advisory Council,
determines the thresholds. The PMP Advisory Council is comprised of eight governorappointed healthcare professionals.
Question: What do I do if I receive a Proactive Patient Alert (Threshold Report)?
Answer: You are not obligated to take any action in response to the alert. You should
use your professional judgment in determining any subsequent action.
Question: What if the patient listed on the Proactive Patient Alert (Threshold Report) is not my
patient?
Answer: Data submitted to the PMP comes directly from the dispensing pharmacy. If you
did not prescribe to the individual in question, log in to the PMP and perform a MyRx
search. Identify the errant prescriptions attributed to your DEA number and contact the
dispensing pharmacy directly.
Question: Why should I have to perform a query once I receive a Proactive Patient Alert
(Threshold Report)? Can’t you just send the patient’s prescription history to me?
Answer: The PMP limits patient information sent electronically due to privacy issues.
Currently, the PMP does not have the functionality to run a query and save it in your
PMP account for you to view.
Question: What if I want to inform the police regarding an individual after receiving a Proactive
Patient Alert (Threshold Report)?
Answer: Proactive Patient Alerts (Threshold Reports) are not intended to get individuals
in trouble. However, if you confirm fraudulent prescriptions were written or a patient is
blatantly misusing the healthcare system, it is your decision on how you want to
proceed. Proactive Patient Alerts (Threshold Reports) cannot be shared with law
enforcement. Law enforcement can request PMP records, if warranted by an
investigation, with a subpoena or court order.
Question: Can I unsubscribe from receiving Proactive Patient Alerts (Threshold Reports)?
Answer: Currently, there is no opting out of receipt of Proactive Patient Alerts (Threshold
Reports). The legislature authorizes the Iowa PMP to send these alerts to prescribers
and dispensers for their patients exhibiting questionable controlled substance activity to
assist in informed determination of appropriate treatment. It is your choice on how to
respond to Proactive Patient Alerts.
 Click to submit a new FAQ to the Iowa PMP: PMP@iowa.gov

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Printed from the Iowa Board of Medicine website on October 31, 2020 at 7:56pm.