Michael Goff, PMP Administrator, WV Board of Pharmacy

WV BOARD OF PHARMACY
WV BOARD OF PHARMACY
MICHAEL GOFF
CONTROLLED SUBSTANCES MONITORING PROGRAM
ADMINISTRATOR
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Controlled Substances Monitoring
Program
CSMP
WVBOP CSMP
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§60A-9-4. Required information
(1) The name, address, pharmacy prescription number and Drug Enforcement
Administration controlled substance registration number of the dispensing pharmacy or
the dispensing physician or dentist;
(2) The full legal name, address and birth date of the person for whom the prescription is
written;
(3) The name, address and Drug Enforcement Administration controlled substances
registration number of the practitioner writing the prescription;
(4) The name and national drug code number of the Schedule II, III and IV controlled
substance dispensed;
(5) The quantity and dosage of the Schedule II, III and IV controlled substance
dispensed;
(6) The date the prescription was written and the date filled;
(7) The number of refills, if any, authorized by the prescription;
(8) If the prescription being dispensed is being picked up by someone other than the
patient on behalf of the patient, the full legal name, address and birth date of the person
picking up the prescription as set forth on the person’s government-issued photo
identification card shall be retained in either print or electronic form until such time as
otherwise directed by rule promulgated by the board of pharmacy; and
(9) The source of payment for the controlled substance dispensed.
WVBOP CSMP
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§60A-9-4. Required
information
(d) Reporting required by this section is not
required for a drug administered directly to a
patient by a practitioner. Reporting is,
however, required by this section for a drug
dispensed to a patient by a practitioner:
Provided, That the quantity dispensed may
not exceed an amount adequate to treat the
patient for a maximum of seventy-two hours
with no greater than two seventy-two-hour
cycles dispensed in any fifteen-day period of
time.
WVBOP CSMP
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§60A-9-4. Required
information
(a) Whenever a medical services provider dispenses a
controlled substance listed in Schedule II, III or IV, as
established under the provisions of article two of this chapter
or whenever a prescription for the controlled substance is
filled by: (i) A pharmacist or pharmacy in this state; (ii) a
hospital, or other health care facility, for out-patient use; or
(iii) a pharmacy or pharmacist licensed by the Board of
Pharmacy, but situated outside this state for delivery to a
person residing in this state, the medical services provider,
health care facility, pharmacist or pharmacy shall, in a
manner prescribed by rules promulgated by the Board of
Pharmacy under this article, report the following information,
as applicable
WVBOP CSMP
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§60A-9-5. Confidentiality; limited access to
records; period of retention; no civil liability
for required reporting
(a) (1) The information required by this article to be kept by the State Board of Pharmacy is
confidential and not subject to the provisions of chapter twenty-nine-b of this code or obtainable
as discovery in civil matters absent a court order and is open to inspection only by inspectors
and agents of the State Board of Pharmacy, members of the West Virginia State Police
expressly authorized by the Superintendent of the West Virginia State Police to have access to
the information, authorized agents of local law-enforcement agencies as members of a
federally affiliated drug task force, authorized agents of the federal Drug Enforcement
Administration, duly authorized agents of the Bureau for Medical Services, duly authorized
agents of the Office of the Chief Medical Examiner for use in post-mortem examinations, duly
authorized agents of licensing boards of practitioners in this state and other states authorized
to prescribe Schedules II, III and IV controlled substances, prescribing practitioners and
pharmacists and persons with an enforceable court order or regulatory agency administrative
subpoena: . . . All information released by the State Board of Pharmacy must be related to a
specific patient or a specific individual or entity under investigation by any of the above parties
except that practitioners who prescribe or dispense controlled substances may request specific
data related to their Drug Enforcement Administration controlled substance registration number
or for the purpose of providing treatment to a patient: Provided, however, That the West
Virginia Controlled Substances Monitoring Program Database Review Committee established
in subsection (b) of this section is authorized to query the database to comply with said
subsection.
WVBOP CSMP
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§60A-9-5. Confidentiality; limited access to records; period of
retention; no civil liability for required reporting
….
(2) Subject to the provisions of subdivision (1) of this subsection, the
board shall also review the West Virginia Controlled Substance
Monitoring Program database and issue reports that identify abnormal
or unusual practices of patients who exceed parameters as determined
by the advisory committee established in this section.
....
(3) The board shall establish an advisory committee to develop,
implement and recommend parameters to be used in identifying
abnormal or unusual usage patterns of patients in this state.
….
(b) The Board of Pharmacy shall create a West Virginia Controlled
Substances Monitoring Program Database Review Committee of
individuals consisting of two prosecuting attorneys from West Virginia
counties, two physicians with specialties which require extensive use of
controlled substances and a pharmacist who is trained in the use and
abuse of controlled substances
WVBOP CSMP
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§60A-9-5. Confidentiality; limited access to
records; period of retention; no civil liability for
required reporting
...
(e) All practitioners, as that term is defined in section one hundred-one,
article two of this chapter who prescribe or dispense schedule II, III or
IV controlled substances shall, on or before July 1, 2011, have online or
other form of electronic access to the West Virginia Controlled
Substances Monitoring Program database;
(f) Persons or entities with access to the West Virginia Controlled
Substances Monitoring Program database pursuant to this section may,
pursuant to rules promulgated by the Board of Pharmacy, delegate
appropriate personnel to have access to said database;
...
(i) Nothing in the article may be construed to require a practitioner to
access the West Virginia Controlled Substances Monitoring Program
database except as provided in section five-a of this article.
WVBOP CSMP
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§60A-9-5. Confidentiality; limited access to
records; period of retention; no civil liability for
required reporting
(g) Good faith reliance by a practitioner on information contained in the
West Virginia Controlled Substances Monitoring Program database in
prescribing or dispensing or refusing or declining to prescribe or
dispense a schedule II, III or IV controlled substance shall constitute an
absolute defense in any civil or criminal action brought due to
prescribing or dispensing or refusing or declining to prescribe or
dispense; and
(h) A prescribing or dispensing practitioner may notify law enforcement
of a patient who, in the prescribing or dispensing practitioner’s
judgment, may be in violation of section four hundred ten, article four of
this chapter, based on information obtained and reviewed from the
controlled substances monitoring database. A prescribing or dispensing
practitioner who makes a notification pursuant to this subsection is
immune from any civil, administrative or criminal liability that otherwise
might be incurred or imposed because of the notification if the
notification is made in good faith.
WVBOP CSMP
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§60A-9-5a. Practitioner requirements to
conduct annual search of the database;
required rulemaking.
(a) Upon initially prescribing or dispensing any pain-relieving
controlled substance for a patient and at least annually thereafter
should the prescriber or dispenser continue to treat the patient
with controlled substances, all persons with prescriptive or
dispensing authority and in possession of a valid Drug
Enforcement Administration registration identification number
and, who are licensed by the Board of Medicine as set forth in
article three, chapter thirty of this code, the Board of Registered
Professional Nurses as set forth in article seven, chapter thirty of
this code, the Board of Dental Examiners as set forth in article
four, chapter thirty of this code and the Board of Osteopathy as
set forth in article fourteen, chapter thirty of this code
WVBOP CSMP
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shall access the West Virginia Controlled Substances
Monitoring Program database for information regarding
specific patients for whom they are providing pain-relieving
controlled substances as part of a course of treatment for
chronic, nonmalignant pain but who are not suffering from a
terminal illness. The information obtained from accessing
the West Virginia Controlled Substances Monitoring
Program database for the patient shall be documented in
the patient's medical record.
WVBOP CSMP
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NUMBER OF USERS
(Active in last 3 months)
USER TYPE
COUNT
Prescriber
2,109
Dispenser
1,316
Dispensing Prescriber
67
Law Enforcement
40
Other
25
TOTAL
3,557
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NUMBER OF REPORTS
USER TYPE
Prescriber
Dispenser
Dispensing Prescriber
Law Enforcement
Other
TOTAL
COUNT
387,365
268,195
26,968
2,364
744
685,636
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DRUG
NO. PRESCRIPTIONS
SCHEDULE
%
1,478,217
III
28.8
Alprazolam
592,375
IV
11.5
Oxycodone
519,354
II
10.1
Zolpidem
339,886
IV
6.6
Lorazepam
306,020
IV
6.0
Clonazepam
Buprenorphine (incl. naloxone
comb.)
284,443
IV
5.5
243,972
IV
4.8
Diazepam
185,772
III
3.6
Amphetamines
141,474
III
2.8
Phentermine
104,463
IV
2.0
Methylphenidate
96,449
II
1.9
All Other
836,616
II -IV
16.4
Hydrocodone
TOTAL
5,129,031
WVBOP CSMP
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MULTIPLE
PRESCRIBERS
Number
of
Patients**
1
1
2
3
2
3
6
3
3
9
14
20
21
30
66
80
153
287
451
805
1,540
3,430
Patient
Total
Prescriber/Patient
Relationships***
Prescriber
Count*
1
2
4
7
9
12
18
21
24
33
47
67
88
118
184
264
417
704
1,155
1,960
3,500
6,930
29
27
52
72
46
66
126
60
57
162
238
320
315
420
858
960
1,683
2,870
4,059
6,440
10,780
20,580
29
27
26
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
WVBOP CSMP
Prescriber/Patient
Relationships
Total
29
56
108
180
226
292
418
478
535
697
935
1,255
1,570
1,990
2,848
3,808
5,491
8,361
12,420
18,860
29,614
50,220
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TOP PRESCRIBERS (2008 – PRESENT)
NAME
2008
2009
2010
2011
2012
2013*
TOTAL
1. PRESCRIBER
8,529
14,003
30,728
39,072
41,095
37,831
171,258
2. WVU HOSPITAL
46,014
46,794
44,505
42,292
37,382
31,681
248,668
3. PRESCRIBER
22,218
26,878
34,754
36,113
38,057
30,266
188,286
4. PRESCRIBER
26,054
27,960
32,308
34,449
33,637
25,738
180,146
5. PRESCRIBER
21,694
22,676
23,095
22,969
24,406
24,021
138,861
6. CAMC
26,669
28,038
28,072
28,192
28,702
23,563
163,236
7. PRESCRIBER
12,030
14,668
17,575
18,345
21,341
19,399
103,358
8. PRESCRIBER
10,866
14,317
15,287
15,974
20,122
18,686
95,252
9. PRESCRIBER
13,478
16,835
19,987
21,012
20,174
18,357
109,843
10. PRESCRIBER
14,648
15,233
15,343
15,491
18,841
16,766
96,322
11. PRESCRIBER
16,249
16,957
18,205
14,765
14,684
16,018
96,878
12. PRESCRIBER
29,921
20,584
36
12,423
30,351
15,653
108,968
13. PRESCRIBER
15,075
15,912
15,567
15,536
16,227
15,202
93,519
14. PRESCRIBER
7,122
12,582
13,284
15,052
17,111
14,811
79,962
15. PRESCRIBER
15,886
17,797
18,757
18,347
17,745
14,739
103,271
16. PRESCRIBER
8,750
12,020
16,408
20,041
23,632
14,514
95,365
17. PRESCRIBER
13,047
15,431
17,200
16,079
14,380
11,675
87,812
18. MARSHALL U.
20,140
18,069
15,930
13,988
14,298
10,883
93,308
19. PRESCRIBER
16,954
24,182
20,829
18,779
15,734
10,348
106,826
20. PRESCRIBER
11,837
17,544
18,858
17,491
12,862
10,044
88,636
21. PRESCRIBER
12,005
17,478
17,406
13,706
16,027
9,304
85,926
22. PRESCRIBER
17,797
17,605
16,500
14,627
10,659
6,547
83,735
23. PRESCRIBER
16,364
17,629
17,776
16,765
5,117
4,712
78,363
24. PRESCRIBER
68,045
57,167
5,075
1
0
0
130,288
*Ranked by 2013 statistics, through 11/30/2013
WVBOP CSMP
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DATABASE REVIEW
COMMITTEE
SENT LETTERS OUT TO
PRESCRIBERS OF PATIENTS AT
TOP OF LIST (14+)
REFERRED HIGHEST ON LIST TO
LAW ENFORCEMENT
LOOKING INTO DRUG DEATHS AND
TOP PRESCRIBERS
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QUESTIONS?
MIKE GOFF
OFFICE: 304-558-0558
FAX:
304-558-0474
CELL:
304-550-0702
EMAIL: [email protected]
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