Steps for Prescribers and Pharmacists to Become Registered Users
Required Training Documents
All MPDR users must complete required training, as listed below for each user type.
Forms and Resources
MPDR Facility Account Forms (for establishing Authorized Agents/Delegates in large health care facilities)
Resources for Licensed Pharmacies
Resources for Law Enforcement
Resources for Other Government Agencies
Resources for Individuals
About the MPDR
What is the MPDR? The Montana Prescription Drug Registry (MPDR) was authorized by the Montana Legislature in 2011 (§37-7-15 Montana Code Annotated [MCA]) and became functional in November 2012 as an online tool to provide a list of controlled substance prescriptions to health care providers to improve patient care and safety. The program may also be used to identify potential misuse, abuse and/or diversion of controlled substances.
The MPDR’s online service offers prescribers and pharmacists the ability to search their patient’s medical history for controlled substance prescriptions, Schedules II - V. Health care providers can use the MPDR to optimize the quality of care they provide to their patients, thereby increasing the level of patient safety when controlled substances are part of their treatment plan.
Why should prescribers and pharmacists take time out of their busy schedules to use the MPDR? The MPDR’s award-winning online service offers a powerful tool for health care providers (§37-7-15 MCA). By searching the MPDR database, providers can review their patients’ prescription use patterns and confirm their medication history of controlled substances. Emergency health care providers, for example, may be able to identify controlled substances that might have been ingested by an unresponsive patient. The information in the MPDR can assist providers in optimizing patient treatment plans and, potentially, deterring diversion of controlled substances for illegal use. In addition, by searching “My Prescribing History,” prescribers can review all prescriptions that were dispensed under their DEA number, enabling them to identify any fraudulent use of their DEA registration.
Where does the MPDR's prescription information come from? All pharmacies holding an active Montana license, with the exception of Wholesale Drug Distributors, are required to report to the MPDR. They must submit detailed information on all controlled substances, Schedule II, III, IV and V drugs, dispensed to Montana residents within 8 days of the date the prescription was dispensed (§37-7-1503 MCA).
What data is stored in the MPDR? Pharmacies submit the detailed information they are required by law to collect for all controlled substance prescriptions they dispense. This includes information that identifies the patient and the prescriber, the pharmacy, the drug name, strength and dosage, refill information, and how the patient paid for their prescription.
Isn’t this information confidential? Yes, the MPDR Database contains protected and confidential information (§37-7-1505 MCA). Pursuant to §37-7-1506(6) MCA, the Montana Board of Pharmacy (Board) is required to maintain administrative rules regarding access to the MPDR that are consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA); Article II, section 10 of the Montana Constitution; and the privacy provisions of Title 50, chapter 16 MCA.
Who can access the MPDR’s information? The MPDR enforces very strict limitations, as defined by law, about who can access the information and what they can do with it (§37-7-1506 MCA). There are criminal and administrative penalties for inappropriate use of the MPDR (§37-7-1513 MCA).
- The following Montana-licensed health care providers are authorized to access the online MPDR service by registering to view the prescription history of patients who are under their care or who have been referred to them for care: Physicians, Dentists, Naturopathic Physicians, Optometrists, Pharmacists, Physician Assistants, Podiatrists and APRNs with a Prescriptive Authority endorsement.
- Any individual can request a copy of their own prescription history from the MPDR.
- Authorized representatives of Medicare, Medicaid, Tribal Health, Indian Health Services and Veterans Affairs may also access the online MPDR service.
- Law enforcement officers may subpoena information related to an active investigation.
- Licensing Board investigators may request information related to an active investigation into alleged prescription abuse or diversion by a licensed health care provider.
Who administers the MPDR? The Montana Board of Pharmacy is responsible for the operation and maintenance of the MPDR (§37-7-1502 MCA). The Board of Pharmacy is administratively attached to the Department of Labor and Industry. For more information, visit pharmacy.mt.gov and click on the Drug Registry tab.
What statutes and rules govern the MPDR? The Montana Patient Safety Act is Title 37, Chapter 7, Part 15 (§37-7-15 MCA). The Administrative Rules are Title 24, Chapter 174, Subchapter 17 (ARM, 24.174.17).
How is the MPDR funded? The MPDR’s startup costs were funded through a grant awarded by the Montana Board of Crime Control (MBCC) through the Office of Justice Programs, U.S. Department of Justice (DOJ). The MPDR was awarded subsequent grant from the same source in 2013 and 2015; the grants fund enhancements to core online services. Additional funding for routine operating expenses comes from a $30 annual fee which is paid by health care professionals who are authorized to prescribe or dispense controlled substances (§37-7-1511 MCA). Collection of the MPDR Annual Fee is integrated into the license renewal process.
What is a controlled substance? By Federal and State statute, prescription drugs are divided into Schedules, or categories, based upon the type of drug being prescribed. The MPDR lists Schedules II, III, IV and V drugs, which are typically the most addictive or the most-often abused drugs on the market. Montana’s drug schedules can be found in §50-32 MCA and ARM 24.174.1412.