Prescription Drug Monitoring Program (PDMP)

Applications and Forms

Online Applications for Licensure

Now available for the following:

• PDMP Dental
• PDMP Medical
• PDMP Nursing
• PDMP Optometry
• PDMP Pharmacy
• PDMP Physician Assistant
• PDMP Veterinary

Online applications are filed through your MyAlaska account.
Filing via the MyAlaska account allows for email notifications about your application status.

Please review the instructions for filing an Initial Application online via MY LICENSE.

Steps for initial access to the PDMP

1. Obtain an Alaska professional license and hold a valid DEA registration #.
2. Initiate a registration request online at the PMP AWARxE platform and be sure to
   verify your email address by clicking on the verification link sent to you from the
   no-reply-pmpaware@globalnotifications.com. Click HERE to see a sample of this email.
3. Do not proceed to this step unless you have created an account in AWARxE (step 1). There are two options for this step:
   Option 1.) Fill out the initial registration form and submit the payment. (Form #08-4760)
   Option 2.) Apply via myAlaska - MYLICENSE at My.Alaska.Gov. Instructions for the MYLICENSE option can be found HERE.
4. Return registration form and payment via mail or fax only. NO EMAIL.
   The estimated processing time is 8-10 weeks for initial registrations and 10-14 weeks for renewals from the date received. Those with existing registrations will not lose access to the PDMP due to this delay.
   Address: Prescription Drug Monitoring Program, PO Box 110806, Juneau, Alaska, 99811-0806
   Fax: (907)465-2974
5. Wait for administrative processing of your registration form and payment.
6. Wait for a notification that your account with AWARxE has been approved.
7. Login using the email address associated with your AWARxE account.

Additional instructions for PMP AWARxE:

• Click here for practitioners and pharmacists.
• Click here for delegate users regulated by AS 08.

Address: Prescription Drug Monitoring Program PO Box 110806
Juneau, Alaska 99811-0806.
Fax: 907-465-2974.

Registration and Renewal Forms

IHS, VA, military, or other federal providers who do not have a professional license under AS 08 are exempt from the fee at this time. Submit the form and select the federal exemption box. You must also include a copy of your license from another jurisdiction.

• Initial Registration - For licensees NOT already registered with the PDMP
  (Must first initiate a PDMP registration request via alaska.pmpaware.net)
  08-4760, revised 11/20/19
• Renewal Registration - For licensees ALREADY registered with the PDMP
  (Only submit at license renewal time. Click here for license expiration dates)
  08-4761, revised 11/20/19
• DEA Registration Status Change Notification
  08-4763, revised 05/10/18
• PDMP Account Status Change
  08-4768, New 06/12/18
• Delegate Account Deactivation
  08-4767, new 06/12/18
• PDMP Exemption Statement for Non-Dispensing Pharmacists
  08-4805, new 03/28/19

PDMP Record Request Forms

• Data Access for the Alaska Department of Health and Social Services
  08-4766, New 06/12/18
• Request for Paper Submission of Data
  08-4591, revised 05/28/14
• Patient Request for Record Correction
  08-4598, revised 05/28/14
• Patient Rx Record Request
  08-4599, revised 10/30/19
• Law Enforcement/Regulatory Agency/Board Rx Request
  08-4596, revised 04/11/19