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PDMP name: Agency Responsible: Agency Type: PDMP Website: PDMP Email: Montana Board of Pharmacy Pharmacy Board www.mpdr.mt.gov dlibsdmpdr@mt.gov Peterson, Donna - Program Manager PO Box 200513 Helena MT 59620-0513 Office: (406) 841-2240 Fax: (406) 841-2344 Email: MTPDR dpeterson3@mt.gov ASAP Versions Accepted ASAP 1995 ASAP 1997 ASAP 3/2005 ASAP 4/2007 ASAP 4-1/2010 ASAP 4-2/2011 Pharmacy in-state Pharmacy out-state/mail order Pharmacy out-state other Dispensing doctor Montana Contact Information Bough, Marcie - Executive Director PO Box 200513 Helena MT 59620-0513 Office: (406) 841-2371 Fax: (406) 841-2344 Email: mbough@mt.gov Technological Capabilities Electronic data transmissio Fax data transmission Mail data transmission Media data transmission Required Data Transmitters Veterinarian Veterans Administration Indian Health Services Data Transmission Methods Allowed Other data transmission Other: Data Collection Entity: Vendor Vendor name: Montana Interactive Data Storage Entity: Vendor Vendor name: Montana Interactive Report Generation Entity: Vendor Vendor name: Montana Interactive Data Access Method: Web Portal/On-Line Statistics Data Collection, Storage, Generation and Access Data Access Entity: Vendor Vendor name: Montana Interactive PDMP region: Statistics Year: 2014 DEA Registered Prescribers: 5,266 State population: 1,023,579 DEA Registered Dispensers: 266 West

Interstate data sharing PMPi Hub RxCheck Hub RxSentry Hub HIE method Other Hub Data Access via Health Information Exchang via Electronic Health Recor via Pharmacy Dispensing Syste Controlled Schedules Monitored Schedule II monitored Schedule III monitored Schedule IV monitored Schedule V monitored Data Collection and Dates Collection frequency: 8 Legislation enacted: 07-01-2011 PDMP operational 03-12-2012 Data Sharing List of states involved in sharing: Impediments to data sharing: We're building our own system and have limited resources, which is a slow process. However, have MOU in review. Exact Match Probablistic Match Policies and Procedures Monitor other authority Remove from Monitoring Web 24/7 Fax 24/7 Web Business Hours Fax Business Hours Other Patient Matching Other Substances Monitored Probablistic/Manual Matc Other Match for queries Data Request Methods and Hours of Operation Phone Business Hours Email Business Hours Mail Business Hours In-Person Business Hours Other Law/Rule Website: Law/Statute citation: MT Code 37-7-1502 to 1514 Regulation/Rule citation: MT Admin Rules 24.174.17 Dr Shopper law/statute: Pill Mill law/statute: Pain Clinic law/statute: Disclosure law/statute: MT Code 37-7-1513 Data Retention Policy All Information Purged Data Retention Time: 45-9-104 Fraudulently Obtaining Dangerous Drugs, Montana Code Annotated (MCA) 3 years Prescriber Information Purged Dispenser Information Purged Patient Information Purged Drug Information Purged Retain De-Identified Data Record Retention Details: a. We keep data for 3 years from the date it was reported to us, not the date it was dispensed. This means that, since we began collecting data in March, 2012, we will not begin purging until March, 2015, even though the data goes back to 2011 dispense dates. De-Identified Data Retention Details: Relevant Statutes and Rules http://bsd.dli.mt.gov/license/bsd_boards/pha_board/board_page.asp Data Retention b. The data will be permanently removed from the registry unless law enforcement specifically requests that we retain someone s information due to an active investigation. We will not keep any law enforcement-related information unless they ask us to.

Required Enrollment - Prescriber Required Enrollment - Dispenser Required Patient Query Details: Select Data Fields Available Payment method captured Patient Identification captured Person dropping off captured Person picking up captured Ability to id prescriber specialty PDMP Required Enrollment and Patient Query Required Patient Query - Prescriber Required Patient Query - Dispenser Miscellaneous Capabilities and Policies Authority to release de-identified data Ability to de-identified data Authority to release for epidemiological or educational purposes Engaged in release for epidemiological or educational purposes Required Notification to consumers Mandated Use of Advisory Group Patient Access to Query List information is only available if the patient submits a notarized request to the MPDR Prescriber: Dispenser: Requirements to Query PDMP Complete online training; complete online registration & attestations; enter security code upon 1st Complete online training; complete online registration & attestations; enter security code upon 1st Regulatory Board: Board must order an investigation of a licensed healthcare provider; investigation must be related to potential drug misuse/diversion; investigator must submit request form. Law Enforcement: Subpoena that includes wording to the effect that there is a compelling State interest which overrides the patient s right to privacy. Attorney General: Subpoena that includes wording to the effect that there is a compelling State interest which overrides the patient s right to privacy. Researcher: Patient: Other: Although we have regulatory authority to release this information, we have not yet developed procedures since our system cannot generate de-identified data. Must submit a notarized request form. VA or IHS prescriber or dispenser; also Medicare/Medicaid employee: must complete online training and submit an application form Prescriber Access to Patient History Prescriber Access to Own History Dispenser Access to Patient History Dispenser Access to Own History PDMP Available Reports Available Reports to Selected Requestors Licensing Board Access to Patient History Licensing Board Access to Licensee History Law Enforcement Access to Patient History Law Enforcement Access to Prescriber History Law Enforcement Access to Dispenser History

Requestors and Reports Authorized to Generate Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate Dispenser Delegate Patient Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Drug Court Licensing/Regulatory Board State Health Department Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Peer Review Committee Drug Treatment Provider Third-party Payer Researchers Other PDMP Indian Health Services and Tribal Heal Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State

Requestors and Reports Being Generated Requestor Type Prescriber Dispenser/Business (i.e., pharmacy) Dispenser/Person (i.e., pharmacist) Midlevel - Physician Assistant Midlevel - Nurse Practitioner Prescriber Delegate Dispenser Delegate Patient Law Enforcement - Federal Law Enforcement - State Law Enforcement - Local Prosecutorial Authority Correctional Supervision Drug Court Licensing/Regulatory Board State Health Department Medicaid Fraud and Abuse Medicaid Drug Utilization and Review Medicare Workers Compensation - State Workers Compensation - Insurance Peer Review Committee Drug Treatment Provider Third-party Payer Researchers Other PDMP Indian Health Services and Tribal Heal Solicited Reports Unsolicited Reports In-State Out-of-State In-State Out-of-State