Prescription Drug Monitoring Program Facts, Figures, and Trends 4 th Quarter 2018
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1 Prescription Drug Monitoring Program Facts, Figures, and Trends 4 th Quarter 218 North Dakota Board of Pharmacy Kathy Zahn, RPhTech, CPhT, PDMP Program Administrator 196 E. Broadway Ave Bismarck, ND pdmp@ndboard.pharmacy
2 Total User Accounts = 8, Admin Child Protective Service Dentist Law Enforcement Licensed Addiction Counselor Licensed Board Investigator Medical Resident Nurse Practitioner Optometrist Pharmacist Pharmacist Delegates Pharmacy Technician Licensed Physician Physician Assistant Podiatrist Prescriber Delegate State Medicaid Program Worker's Compensation
3 Number of Users per Month 215 Users January February March April May June July August September October November December Users January February March April May June July August September October November December Month Total Users Avg. Daily Active Users Monthly Active Users Users January February March April May June July August September October November December Users January February March April May June July August September October November December
4 All Reportable Substances Dispensed/Year in ND or to ND Residents 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, ** * 218 *Gabapentin reporting started on August 1 st, 217 **Veterans Affairs facilities started to report data in October 215
5 PDMP Accounts Medical Doctors MD, DO, DPM 214 Q2 214 Q Q1 215 Q2 215 Q Q1 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q3 218
6 PDMP Accounts Pharmacists R.Ph., PharmD 214 Q2 214 Q Q1 215 Q2 215 Q Q1 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q3 218
7 PDMP Accounts Pharmacy Technicians, Delegates, and Advanced Practice Nurses APRN Pharmacy Technician and Delegates 214 Q2 214 Q Q1 215 Q2 215 Q Q1 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q Prescriber Delegates
8 PDMP Accounts Licensed Addiction Counselors LAC 214 Q2 214 Q Q1 215 Q2 215 Q Q1 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q3 218
9 PDMP Accounts Physician Assistants and Dentists PA 214 Q2 214 Q Q1 215 Q2 215 Q Q1 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q3 218 DDS, DMD
10 PDMP Accounts Law Enforcement Law Enforcement 214 Q2 214 Q Q1 215 Q2 215 Q Q1 216 Q2 216 Q Q1 217 Q2 217 Q3 217
11 Doctors - Authorization vs. Utilization Q1 215 Q2 215 Q3 215 ND DEA Registered Doctors ND Doctors who authorized prescriptions ND Doctors also registered with ND PDMP ND Doctor/their appointed delegate who accessed the system on their behalf (counts as 1) Q1 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q3 218
12 Other Practitioners - Authorization vs. Utilization Q1 215 Q2 215 Q Q1 ND DEA Registered Other Practitioners ND Authorized Prescriptions ND Registered with ND PDMP ND Practitioner/their Appointed Delegate who Accessed the System on their behalf (counts as 1) 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q
13 ND Health Information Network Requests ND HIN Requests by Month May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
14 Prescriptions Dispensed by Class Q1 216 Q2 216 Q Q1 217 Q2 217 Q Q1 218 Q2 218 Q3 218 Anesthetic Cannabinoid GI Narcotic Narcotic/ Opioids 18, ,61 16, , ,88 154,31 148, , , ,453 13, , ,829 Neuropain 9,615 9,45 9,499 9,346 9,44 9,222 9,61 9,36 8,92 9,33 1, Other 1,649 1,532 1,624 1,348 1,51 1,916 3,886 34,73* 43,46 46,934 47,57 47,34 48,517 Sedative 17,138 16,88 13,38 99,96 97,912 96,888 97,895 95,999 89,185 93,374 1,779 1,385 11,689 Steroid 2,322 2,149 2,181 2,123 2,124 2,13 2,154 2,165 2,45 2,14 2,647 2,757 2,822 Stimulant 51,612 52,43 49,959 47,678 5,41 52,622 52,629 51,147 51,87 54,742 53,72 52,344 56,553 Blank Total 353, , , , , ,83 315, , , , ,51 33,68 344,169 * The required reporting of gabapentin (August 217) containing dispensations can account for the large increase in the Other category.
15 Top Prescribers by Number of Prescriptions Quarter Number of Reportable Prescriptions Individual Prescriber
16 Reportable Prescriptions per Patient County Quarter (1 of 3) County Name Rank Prescription Count Prescription Per Person Total Dosage Units Units Per Person Adams 2, Barnes 1, Benson 6, Billings Bottineau 6, Bowman 3, Burke 2, Burleigh 95, Cass 177, Cavalier 3, Dickey 4, Divide 2, Dunn 4, Eddy 2, Emmons 3, Foster 3,
17 Reportable Prescriptions per Patient County Quarter (2 of 3) County Name Rank Prescription Count Prescription Per Person Total Dosage Units Units Per Person Golden Valley 1, Grand Forks 7, Grant 2, Griggs 2, Hettinger 2, Kidder 2, LaMoure 4, Logan 1, McHenry 5, McIntosh 2, McKenzie 12, McLean 9, Mercer 8, Morton 3, Mountrail 1, Nelson 2, Oliver 1, Pembina 6,
18 Reportable Prescriptions per Patient County Quarter (3 of 3) County Name Rank Prescription Count Prescription Per Person Total Dosage Units Units Per Person Pierce 4, Ramsey 11, Ransom 5, Renville 2, Richland 16, Rolette 14, Sargent 3, Sheridan 1, Sioux 4, Slope Stark 3, Steele 1, Stutsman 21, Towner 2, Traill 8, Walsh 1, Ward 68, Wells 4, Williams 33, Total/Average 755,393 N/A
19 Opioid Prescriptions by Patient County Quarter (1 of 3) County Name Rank Prescriptions Count Prescription Per Person Total Dosage Units Units Per Person Adams 2, , Barnes 1, , , Benson 6, , , Billings , Bottineau 6, , Bowman 3, , Burke 2, , Burleigh 95,3 2 14, , Cass 177, , , Cavalier 3, , Dickey 4, , Divide 2, , Dunn 4, , Eddy 2, , Emmons 3, , Foster 3, ,
20 Opioid Prescriptions by Patient County Quarter (2 of 3) County Name Rank Prescriptions Count Prescription Per Person Total Dosage Units Units Per Person Golden Valley 1, , Grand Forks 7, , , Grant 2, , Griggs 2, , Hettinger 2, , Kidder 2, , LaMoure 4, , Logan 1, , McHenry 5, , McIntosh 2, , McKenzie 12, , , McLean 9, , , Mercer 8, , , Morton 3, , , Mountrail 1, , , Nelson 2, , Oliver 1, , Pembina 6, , ,
21 Opioid Prescriptions by Patient County Quarter (3 of 3) County Name Rank Prescriptions Count Prescription Per Person Total Dosage Units Units Per Person Pierce 4, , Ramsey 11, , , Ransom 5, , Renville 2, , Richland 16, , , Rolette 14, , , Sargent 3, , Sheridan 1, , Sioux 4, , Slope , Stark 3,29 7 4, , Steele 1, , Stutsman 21,87 8 3, , Towner 2, , Traill 8, , Walsh 1, , , Ward 68, , , Wells 4, , Williams 33, , , Total/Average 755,393 N/A 11, ,339,
22
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ly Market Detail - May 218 Summary Statistics May 218 May 217 Paid in Cash 1,667 1,647 1.2% 888 943-5.8% $168, $159, 5.7% Average Sale Price Dollar Volume $231,288 $21,944 9.6% $385.6 Million $347.4 Million
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