Spring 2018

10 New Mexico Dental Journal, Spring 2018 Although a red flag is not a stop sign, it can help you screen for abuse or diversion of controlled substances. In order to request a report, all you need is the patient’s first and last name and their date of birth. We recommend searching by “partial spelling” for their first and last name (a minimum of three characters each). This will allow you to see if the patient has multiple profiles, such as different spellings of their name or potentially different addresses. New Mexico has partnered with 25 other states, so you can see if your patient has filled controlled substances in those states. You are required to review a patient’s PMP report from adjacent states, if available, which can be done through the NM PMP AWARxE site. In order to query a different state’s patient report (via “interstate”), you will need to enter the patient’s full first and last name—you cannot select “partial spelling” and perform interstate searches simultaneously. This is why it’s important to do a partial spelling first to determine if you need to do multiple full patient name searches for interstate requests. All prescribers should regularly query a self-report (via MyRx) to be sure the PMP reflects correct and accurate data. If there are any discrepancies on this report, you should contact the dispensing pharmacy to make sure it wasn’t simply a data entry error. However, this discrepancy could be as large as a forged prescription using your DEA number. As of January 2017, the New Mexico State Legislature enacted new mandatory PMP use requirements for all practitioners. Specifically, the New Mexico Board of Dental Health requires dentists to utilize the PMP to assist in balancing the safe use of controlled substanceswith theneed to impedeharmful and illegal activities involving those pharmaceuticals. Although 16.5.57.10 NMAC (listed after this article) allows dentists to prescribe less than 4 days-worth of controlled substances without checking a PMP, it is highly encouraged to establish workflow processes to run a PMP report on all patients. Unfortunately, the PMP is not being utilized enough by NM dentists. We estimate that 3,000 reports should have been queried in Q3 of 2017 alone; however, only 60 PMP reports were requested. Registering for the PMP is easy! In addition to the mandated use, an active PMP account is required by the New Mexico Board of Pharmacy to renew your Controlled Substance Registration if you prescribe controlled substances. Registration takes 15–20 minutes in one sitting. Refer to www.nmpmp.org for up to date steps and current information; however, the four registration steps are listed below: 1. Create an account at https://newmexico.pmpaware.net/login. 2. Verify your email by clicking on the link in the auto- generated email you received when you created an account. The link is only good for 20 minutes, so make sure you have your email account open. 3. Upload a copy of your driver's license, state issued photo ID, or a passport. No other forms of identification will be accepted (for example work badges, Social Security Cards). If you are unable to upload the documentation, please email the NM Board of Pharmacy at nm.pmp@state.nm.us . 4. Complete the required training at http://nmpmp.org/Training.aspx. Please allow up to 14 days for your account to be approved; however, turnaround times for approvals have been much quicker if all four steps are followed. We understand how busy practitioners are, so you are allowed up to four delegates to query PMP reports on your behalf. You must approve a delegate before they can do this for you within “Delegate Management”. Once approved, a PMP report will appear on your dashboard when a delegate queries a patient report on your behalf. You can also be listed as a delegate for other practitioners, meaning that you can query reports for others. As mentioned before, NM is a mandated use state; therefore, your delegates must select the correct supervising practitioner so the correct practitioner receives the credit. If not, you may appear on an outlier quarterly report that your licensing board receives, which could lead to disciplinary action if it is determined that PMP utilization did not meet your board’s requirement. Using the PMP is one of the many tools we can all use to combat the opioid overdose death epidemic and other drugs of abuse such as stimulants and depressants, and should be part of safe prescribing. The PMP is a tool for practitioners in exercising professional judgement in prescribing controlled substance. The PMP should be used as a patient-safety tool that could prevent inadvertent controlled substance prescription overlaps and could alert dentists to patients for whom alternative approaches to pain may be appropriate, such as non-opioid continued from page 9