State of California Department of Justice Bureau of Narcotic Enforcement
Prescription Drugs in the U.S. At least half of all Americans take one prescription drug regularly, with one in six taking three or more medications. In 2007, over 268 million prescriptions were filled in CA retail pharmacies. Of these prescriptions there were 38.5 million controlled substance prescriptions written by 157,000 practitioners, and filled by 8,146 pharmacies.
CURES Program The California Prescription-Monitoring Program, CURES is committed to increasing awareness, and combating pharmaceutical drug diversion and abuse without interfering with legitimate medical practice and patient care. BUREAU OF NARCOTIC ENFORCEMENT
Vision Empower doctors and pharmacies with timely and accurate online access to prescription monitoring information that is an effective point of prevention of prescription abuse of controlled substances. Enhance the detection of controlled substance misuse/abuse with an effective online query and analysis of timely accurate prescription information. Increase usability by providing easy access to patient information.
States have the authority to regulate Many states have found Prescription Monitoring Programs (PMPs) to be one of the most effective tools to identify and prevent certain types of drug diversion at the prescriber, pharmacy, and patient levels.
Prescription Monitoring Programs Collect data from pharmacies licensed by the state - excludes VA, Military, and Indian Health Medication dispensed - (not just authorized) Controlled substances and (non-controlled) drugs of abuse Operated by state agency All payment types, including cash
Other functions of PMPs Provide data for education and information on the use of controlled substances Trend analysis Corroborate other sources of data Public health initiatives
PMP Facts CA has the oldest PMP 1939 CA maintains approximately 100 million entries There are 35 states that have operational or enacted PMPs.
Prescriptions as values 2003 2004 2005 2006 2007 2008 Late Dates Schedule II Schedule III Schedule IV All Dates 13,812 228 51 14,091 3,245,614 369,598 79,723 3,694,935 4,102,501 15,184,867 335,867 19,623,235 4,626,194 14,712,983 475,786 19,814,963 5,079,931 15,109,228 13,593,234 33,782,393 3,029,413 8,844,300 8,491,532 20,365,245 1 15 17 33 All Dates 20,097,466 54,221,219 22,976,210 97,294,895 Thru 7/08
Zip Code of Prescribers in CA PMP 2007 Data WA OR NV CA AK ID UT MT WY CO ND SD NE KS AZ NM OK TX MN IA MO AR WI LA MI IL IN OH KY TN W V MS AL GA PA VA NY NC SC FL V T N J N H CT ME DE MD DC MA RI % of 198,000 Prescribers > 0 0.9% 1.0 2.9% 3.0 3.9% 4.0 6.0% >59.0% HI Zip code is based on DEA Registration data
Zip Code of Patients in CA PMP 2007 Data WA OR NV CA AK ID UT MT WY CO ND SD NE KS AZ NM OK TX MN IA MO AR WI LA MI IL IN OH KY TN W V MS AL GA PA VA NY NC SC FL V T N J N H CT ME DE MD DC MA RI % of 196,000 Patients > 0 0.9% 1.0 2.9% 3.0 3.9% 4.0 7.0% > 19.0% HI Zip code is based on Rx data
Two Primary Functions of the CURES Program 1. Prevention & Intervention Patient Activity Reports Education & Training Statistical Data 2. Investigation & Enforcement Investigative Cases Law Enforcement Requests Lost & Stolen Reports
CURES Data Information contained in CURES: Patient Name Patient Date of Birth Prescriber Name / DEA Number Pharmacy Name / Pharmacy License Number Drug Name Amount, strength, date filled, Rx number, etc.
Patient Activity Report What is a Patient Activity Report (PAR)? A printout which contains the prescribing and dispensing history contained in the CURES data system for Schedule II, III, & IV controlled substances to patients under the requesting medical provider s care. Only available to prescribers and pharmacists The CURES Program also may initiate PAR s to the health care community
CURES Patient Activity Report Benefits for the prescribers: Prescribers become informed about patients who may be drugseeking Able to make more informed decisions on prescribing Benefits for the patients: Patients who are drug-seeking will benefit from prescribers intervention Patients who are not drug-seeking will benefit from prescribers ability to feel more comfortable in prescribing medicines they need Stable patient prescriber relationship BUREAU OF NARCOTIC ENFORCEMENT
CURES Patient Activity Report Disclaimer: The Patient Activity Report is compiled from information maintained in the Department of Justice s Controlled Substance Utilization Review & Evaluation System. The CURES maintains Schedule II, III, IV prescription information that is received from California pharmacies and is therefore only as accurate as the information provided by the pharmacies.
State of California Department of Justice Bureau of Narcotic Enforcement Katherine Ellis, Manager (916) 319-8463