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Home > Data & Research > Prescription Monitoring Program > For Prescribers

Information for Prescribers

Maine has a problem with illicit use of prescription drugs. OSA's goal for the Prescription Monitoring Program is for prescribers to use this program as a tool to provide better care to your patients and to reduce addiction and overdose. OSA started and maintains this program emphasizing prevention and treatment.

Data is submitted by pharmacies twice a month, cleaned, and stored in a centralized, relational database for all Schedule II-IV drugs dispensed in Maine. The data is available to prescribers online. Reports are also automatically generated quarterly for patients who cross certain thresholds. These quaterly "Patient Threshold Reports" are mailed to the prescribers to whom the prescriptions were attributed.

Using Patient Threshold Reports 

If you receive a Patient Threshold Report, OSA suggests that you review your records to confirm that this person is a patient of yours and that you wrote the prescription(s) attributed to you. If you find that any of the records are inaccurate, please contact the PMP Project Coordinator at OSA immediately. If you did write the prescriptions, patient safety generally dictates the need to discuss the patient with the other doctors listed on the report. During this discussion, you should decide collectively who will continue to provide prescriptions for the drugs to the patient (if indicated) and who might address any concerns about drug abuse with them.You may also want to keep the report in your patient's chart. The goal is to get people the treatment they need if they have a substance abuse problem.

We want to create a good working relationship among the state, prescribers, and dispensers as we use this system to provide better care to the people of this state and address the problem of prescription drug misuse. Please feel free to contact us at OSA with your questions and concerns(207-287-2595).

The Issue at Hand

Without your knowledge a patient may be using prescription drugs in a very dangerous way. Pain and anxiety are very real to patients who are abusing drugs. Information may have just come to you on a Patient Threshold Report, or you may see questionable behavior on a patient's online Patient History Report. The information given to you is a tool to help you better care for your patients and to get them the help they need if they are abusing prescription drugs.

Please remember that the patient's problem may be addiction. Addiction is a disease, and treatment is the best solution for it.

Things to consider as you talk to your patient:

  • Do they have depression or anxiety?
  • Do they need pain consultation with a specialist?
  • Do they need psychiatric help?
  • What treatment options are available?
  • Is the problem addiction?

Discussing addiction and abuse with patients can be difficult, but it can lead them to a safer and better way of life.

Patients who are confronted about drug addiction may:

  • Deny the accuracy of the information on the report
  • Plead or try to bargain with you
  • Threaten harm to self or others
  • Admit their problem but have no intention of following through on any recommendations
  • Try to justify their actions
  • Shift responsibility for their behavior to others.

These reactions are characteristic of addictive behavior.

Care and Understanding

Patients with a drug abuse problems are likely to be frightened and desperate. They may have a distorted concept of their behavior, believe nothing is wrong, or convince themselves that someone else is to blame. As you attempt to defuse arguments and calmly present the facts, you can offer helpful suggestions that may guide your patients into treatment.

Drug abuse is a complex problem. You may want refer to specialty care or consult with an addiction specialist, psychiatrist, or pain specialist.

Overdose deaths and addiction related to prescription drugs are a troubling and very real issue. OSA encourages you to use the PMP to your advantage to provide safer and better care to your patients.

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