PDMP FAQs 1. AWARxE, PDMP, and PDMP.Alaska.Gov - What are these websites and what can I find on them? What is the difference between AWARxE and the PDMP? These are the same; AWARxE and PDMP are used synonymously to reference the controlled substance prescription database located at alaska.pmpaware.net. AWARxE is the web-based platform provided by our vendor, Appriss Health, and "PDMP" is the acronym for the Prescription Drug Monitoring Program. This database is highly confidential and contains patient prescription information on federally scheduled II - IV controlled substances dispensed in Alaska. What is pdmp.alaska.gov? This is the state PDMP resource website that aims to provide timely and accurate instructions, information, resources, and necessary applications relevant to the state's controlled substance prescription database. How do I gain access to the PDMP at alaska.pmpaware.net? The registration process consists of two parts: an online submission request in AWARxE and a department application (Form #08-4760 or online application through MyAlaska). If a provider, read these Sign-up Instructions carefully. If a delegate, please review the Delegate Registration Instructions. First, you must initiate a registration request at alaska.pmpaware.net. Here, you will create login credentials using a secure email (typically the email address given to you by your employer) and a unique password only you know. If you are a provider working with the Indian Health Service or Tribal Health Organization, Veterans Administration, military, or other federal employer, visit the section on exemptions and read the instructions thoroughly before proceeding with your registration. After submitting the online registration request, you must verify your email by clicking on the link sent to you by a noreply email address--this is not spam. Second, submit the Initial PDMP Registration application ( form #08-4760) located on the Applications and Forms page. Once this is manually processed, your account in AWARxE will be approved and you can sign in using the credentials you created. You will also receive a hard copy PDMP registration in the mail. I've registered with the PDMP and have been granted access. Now what? Sign in to alaska.pmpaware.net. Read the reviewing and reporting requirements in the next section below and also visit the Registration and Instructions page to learn more. Can I renew my PDMP registration at alaska.pmpaware.net? There is no option to renew PDMP registrations online at this time through the AWARxE platform or MyLicense (DCCED's online renewal portal). You must submit the PDMP Renewal Registration application ( form #08-4761) via hard copy mail or fax. This form can be found at pdmp.alaska.gov. How do I find my PDMP Registration Number? The PDMP registration number was implemented in 2018 and many licensees have not yet been assigned one. PDMP registration numbers can be found HERE. Select ‘Prescription Drug Monitoring Program’ under the program drop-down menu If you know you have an existing account but are not able to find your registration, this does not mean you are not registered. If you are unable to locate your PDMP registration number, please just leave this field blank on your renewal registration form and we will assign one to you when your PDMP application is processed. The renewal of your professional license will not be held up due to delayed registration or renewal of your PDMP. 2. Registration, Reviewing, and Reporting Requirements Click HERE to view the Reviewing and Reporting Requirements Quick Guide Who is required to register? All practitioners who hold an active Alaska professional license and DEA registration valid to prescribe, administer, or directly dispense a federally scheduled II, III, or IV substance in any state or practice location. All Alaska licensed pharmacists dispensing federally scheduled II - IV controlled substances in the state are also required to register. If exclusively employed by a federal agency (IHS, THO, VA, military), please scroll down to the section on federal employment and visit the exemptions page. Who can access the PDMP on behalf of a provider? Only individuals who are regulated by our department, DCCED, under AS 08 are authorized to register as delegates. This includes individuals who hold a license, registration, certification, or permit by our department. Certified medical assistants are not regulated by DCCED at this time. Who is required to review patient prescription information? Alaska-licensed practitioners prescribing, administering, or directly dispensing a federally scheduled II or III controlled substance. Alaska-licensed pharmacists are not required to review patient prescription information but may elect to do so. Situational and supply-day exemptions may apply; see the list exemptions at the bottom of this page. If exclusively employed by a federal agency (IHS, THO, VA, military), please scroll down to the section on federal employment and visit the exemptions page. Who is required to report prescription information? The pharmacist-in-charge of a pharmacy is required to report prescription information for all federally scheduled II, III, or IV controlled substances dispensed; however, a pharmacist must report dispensation data if the pharmacist-in-charge is absent. Practitioners who directly dispense II - IV prescriptions are also required to report. If exclusively employed by a federal agency (IHS, THO, VA, military), please scroll down to the section on federal employment and visit the exemptions page. When must prescription information be reported? Information must be reported on a daily basis, excluding weekends and holidays. Where can I find more information on PDMP registration and instructions? For more information, visit this page. 3. Federal Employee Exemption FAQs Click here to View the Registration Requirement Quick Guide . I work exclusively in an organization under the Indian Health Service as a prescriber. I’m told by my employer that I must register with the PDMP, but am contrarily told by the state PDMP office that I am not required to register. Which is correct? The state PDMP office has no jurisdiction over federal employees and therefore cannot require they be registered with the controlled substance prescription database, however Alaska Statute, AS 17.30.200(d)(11) allows access to individuals not licensed in Alaska so long as the individual holds a license in another state. The Registration and Use Exemptions page located on pdmp.alaska.gov acknowledges that there may be a directive from the federal employer requiring PDMP registration; follow the directive of your employer and when submitting a registration request through alaska.pdmpaware.net, select the user role, “IHS Prescriber”. The same is true for pharmacists; use the user role, “IHS Dispenser”. The same is true for Veterans Administration employees; use the user role “VA Prescriber” or “VA Dispenser”. Refer to FAQ #2 for guidance on how to register and whether a validation document is required for your federally-related user role. As an IHS, VA, military, or other federal prescriber or dispenser working exclusively in this sovereign capacity, and I am not licensed under AS 08, am I required to submit the PDMP fee for initial access (form #08-4760) and renewal of my registration (form #08-4761)? You are not required by AS 08 to submit the fee or forms (#08-4760)/(#08-4761); however, these forms were recently updated for federal prescribers or dispensers to select the no-fee option since federal providers are not required to submit payment under 12 AAC 02.107. Initial or renewal professional license applications may ask for your PDMP registration number; if you have not yet been assigned a number, submitting form 08-4760 or 08-4761 is the only way to receive one. See below for registration guidance specific to VA and Military user roles. Military Prescribers and Dispensers: AS 17.30.200(d)(3)(4) allows access to individuals not regulated by Alaska laws set out in AS 08; however, the individual must hold a license in another state. When submitting a registration request online through AWARxE, please upload a copy of your active license in another state. This will satisfy the validation documentation requirement. Validation documents will need to be submitted every two years to maintain access or your account will be deactivated. I do not work exclusively for a federal employer; I work both with the IHS, VA, military, or other federal employer and with a non-federal employer. Am I required to register? The state PDMP office has no jurisdiction over federal employees and therefore cannot require they be registered with the controlled substance prescription database; however, our office is aware of IHS and military directives indicating that registration with the state PDMP is binding upon its employees. If you do hold an active professional license under AS 08.08, have a DEA registration to prescribe controlled substances, and are working outside of federal employment, you are required to be registered with the PDMP and pay the initial and renewal fees. Please see form ( #08-4760) and renewal (#08-4761). Since I work as a federal prescriber or dispenser and also as a non-federal prescriber or dispenser, am I permitted to have more than one account? (Also see FAQ #5) Yes, if you are working in two different capacities, you can have two different accounts. 12 AAC 52.855 refers to login credentials to access the PDMP and applies to licensed practitioners or pharmacists required to register with the database (excludes federal employees); however, because AS 17.30.200(d)(11) allows access to IHS prescribers or dispensers, these individuals can have a separate account from or in addition to their required account. The same is true for VA, military or other federal employees. For the non-federal account, the initial ( #08-4760) and renewal (#08-4761) forms and fee are required. Only submit these via hardcopy mail or fax. How do I register with two different accounts? Your account is tied to the email address used to login to the PDMP. Use the email associated with your federal employer for one account and be sure to select the appropriate user role, e.g.: IHS Prescriber. For the other account, use the other email supplied by your non-federal employer or a secure personal email account. Select the appropriate role category, e.g.: Physician (MD, DO). For non-federal employees registering for the first time, please see the steps for initial access to the PDMP HERE. What if I no longer work with a federal employer due to moving out of state or because my employment is now exclusively with a non-federal employer—what should I do with my IHS, VA, military, or other federal PDMP account? Please contact the PDMP office at firstname.lastname@example.org if your employment status changes. If you no longer work with a federal employer, your PDMP account associated with this employer will be deactivated. If you will still be working in a non-federal capacity with a professional license issued by AS 08 and have a DEA registration (if a prescriber) or dispense federally scheduled II – IV controlled substances (if a dispenser), you will be required to comply with all registration and/or reporting requirements. 4. Unsolicited Prescriber "Report Card" FAQs What is an unsolicited prescriber report or "report card"? A prescriber "report card" details and compares practitioner's prescribing practices with other practitioners of the same occupation and similar specialty. Prescribers were emailed their first “report card” on December 6, 2017, and will receive periodic updates. For an example of a prescriber report, click here . How do I interpret my prescriber report or "report card"? An email summarizing the report and how to use it was included with your confidential prescriber report. See the Prescriber Report Card User Guide. Who has the authority to send out prescriber reports, and why were they sent? New legislation in 2017 (HB159) authorized the Alaska Board of Pharmacy, through the Prescription Drug Monitoring Program (PDMP) to send out unsolicted prescriber reports to licensed prescribers required to register with the PDMP. This new feature is an enhancement of the PDMP that provides feedback to providers about their prescribing trends and how they compare to others in a similar field. How often will I receive an unsolicited prescriber report and through what format will it be sent? AS 17.30.200(t) authorizes reports to be disseminated periodically and will be done so via email on a quarterly basis. The first reports were sent out on December 6, 2017, to the email address associated with your PDMP registration account. These reports are not accessible through PDMP AWARxE and will only be sent via email. The frequency of report distribution may be subject to change. What if there is incorrect information listed on my prescriber report? If your specialty is different from the primary health care specialty in which you are currently practicing, you can correct your specialty through AWARxE under the "My Profile" tab under your name in the upper right corner of the screen. You may also contact the PDMP administrator to update this or other report card errors at: email@example.com I didn’t receive a "report card"—why? In order to receive a report card, a registered user must have written an opioid prescription during the reporting period. 5. NarxCare Q: Patient prescription histories now display NarxScores. What is this feature and how do I interpret this? A: See the attached NarxCare Factsheet here. 6. PDMP Registration Reminder Notice FAQs I received a letter in the mail dated November 6, 2017, reminding me to register with the Prescription Drug Monitoring Program (PDMP). I am already registered--why did I receive this notice? There are a few reasons that may have caused you to receive this reminder notice even if you have successfully registered: Since the PDMP does not yet have a feature in which to verify registration with your Alaska-issued professional license number, the mailout roster relied upon an exact name match. If your name in PDMP AWARxE differs from the name listed on your professional license, you may have received the letter. If you have since had a name change that was submitted to your licensing board, your name may have been updated in your license record but not in your PDMP account. Please contact firstname.lastname@example.org if you believe your name has not been updated. Changes in Alaska PDMP vendors may have caused skewing in the mail out roster. If you registered with the PDMP prior to January 2016 and entered a middle initial or middle name at the time of registration, the first letter of your middle name has populated into your first name. There is not a way to correct these discrepancies systematically, so you must contact the administrator with the PDMP at email@example.com to get this changed manually. Paramedics were inadvertently and incorrectly included in the mail out as this license type is under the medical board. Paramedics are not required to register as exemptions in AS 17.30.200(u) apply. The PDMP is unable to capture every work status and nuance of scope of practice circumstances (e.g.: if you hold and intend to maintain an active Alaska professional license but are not living in Alaska or if you do not dispense, prescribe, or administer controlled substances under your license). Due to this limitation, you may have received this notice and may continue to receive subsequent reminders. If you receive another PDMP reminder notice and your circumstance has not changed that would otherwise require you to register, please disregard the notice. Why was the November 6, 2017, PDMP letter sent out? HB159 mandated registration of practitioners who dispense federally scheduled II, III, and IV controlled substances and practitioners that prescribe and administer schedule II and III controlled substances. The registration deadline was July 17, 2017, however, not all practitioners required to register showed a verified account. When will I receive another PDMP reminder notice? Reminder notices may be sent out periodically as a service to providers. 7. Clinical Alert Dashboard Notifications Q: I am seeing clinical alerts for prescriber/dispenser thresholds, daily morphine milligram equivalents (MME), and concurrent opioid and benzodiazepine prescriptions. What does this mean? A. Thoroughly read the disclaimer and explanations within the alerts and read our FAQs here. 8. Reviewing Compliance with Mandatory Use Q: Am I able to review my own compliance with the patient prescription history review requirement? A. To view your compliance within AWARxE, please navigate to the 'Menu' tab, then select 'Mandatory Use' under the 'Data' tab. Alternatively, you may go to the 'Menu' tab, then 'Rx Search, and then 'MyRx'. Please note there may be situations in which a practitioner is exempt from reviewing the PDMP, but the dispensation and exemption from querying may still appear as a missed query. These include the following: Administering to an inpatient admitted to a healthcare facility (exempt by AS 17.30.200(k)) Administering at the scene of an emergency, in an ambulance, or in an emergency department (exempt by AS 17.30.200(k)(4)(A)(iii)) Dispensing, prescribing, or administering at a hospice or nursing home that has an inpatient pharmacy (AS 17.30.200(k)(4)(A)(iv)) Dispensing, prescribing, or administering immediately before, during, or within the first 48 hours after surgery or a medical procedure (AS 17.30.200(k)) Writing a non-refillable prescription for a controlled substance in a quantity intended to last for not more than three days (AS 17.30.200(k)(4)(B)) 9. Other Topics What do I do if I believe someone has stolen my prescription pad and has been writing fraudulent prescriptions? Answer: Report this to local law enforcement and to the PDMP administrator at firstname.lastname@example.org I am concerned that a provider may be prescribing inappropriately. What should I do? Answer: Report this to the Investigations Section by filling out the Request for Contact Form and selecting "Prescription Drug Monitoring Program" from the "Type of Business or Profession Involved" drop-down menu.