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DEPARTMENT OF JUSTICE CALIFORNIA JUSTICE INFORMATION SERVICES DIVISION JUSTICE DATA AND INVESTIGATIVE SERVICES BUREAU JUSTICE DATA AND AUDITING BRANCH CONTROLLED SUBSTANCE UTILIZATION REVIEW AND EVALUATION
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How to fill out prescription drug monitoring program

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How to fill out prescription drug monitoring program

01
Gather all necessary patient information such as name, date of birth, and address.
02
Obtain the prescription drug monitoring program form from the appropriate state agency.
03
Fill out the form accurately, providing details about the patient's prescription history, including medication name, dosage, and quantity.
04
Include the healthcare provider's information, including name, contact details, and license number.
05
Attach any required supporting documents, such as a copy of the prescription or medical records.
06
Double-check the form for completeness and accuracy.
07
Submit the completed form to the designated state agency through the appropriate channels, such as online submission or mail.
08
Keep a copy of the submitted form for your records.
09
Periodically review and update the patient's prescription drug monitoring program records as necessary.

Who needs prescription drug monitoring program?

01
Healthcare professionals who are authorized to prescribe medications.
02
Pharmacists who dispense prescription drugs.
03
Law enforcement agencies responsible for tracking controlled substance use.
04
Regulatory bodies overseeing prescription drug distribution and usage.
05
Medical researchers studying drug utilization patterns and trends.
06
Government agencies involved in public health and drug abuse prevention programs.

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A prescription drug monitoring program (PDMP) is a state-run electronic database used to track the prescribing and dispensing of controlled prescription drugs to patients.
Healthcare providers who prescribe controlled substances and pharmacies that dispense them are typically required to file data with the prescription drug monitoring program.
To fill out the prescription drug monitoring program, prescribers or pharmacists must enter specific information about the patient, the drug prescribed, the quantity dispensed, and the date of the prescription or dispensation in the PDMP database.
The purpose of the prescription drug monitoring program is to help prevent prescription drug abuse, improve patient safety, and ensure compliance with controlled substance laws by monitoring the prescribing and dispensing of these drugs.
Information that must be reported includes patient identifying information, drug name and strength, quantity dispensed, date of dispensing, prescriber and dispenser information, and any refill information.
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