Push Notices Decline
Prescribers and dispensers can use the PDMP to stop “doctor-shopping,” a tactic used by patients to obtain prescription drugs for misuse, abuse or diversion from multiple prescribers or dispensers without their knowledge. Prescribers and pharmacies now receive “push notices” from the PDMP when their patient obtains prescriptions from multiple sources and in potentially harmful quantities. Information in the notice is issued for the purpose of assisting providers in delivering optimal care for their patient and should be interpreted in a clinical context. Push notices can help providers assess the possibility of drug misuse or diversion, and coordinate care among the patient’s prescribers.
Throughout 2014-2015, PDMP staff saw a decline in the number of Push Notices sent to prescribers and pharmacists, which signals fewer patients were crossing the current threshold previously set by the Board of Pharmacy. As a result, the Board of Pharmacy consulted with the prescribing Boards at DORA to determine if the threshold that triggers a push notice should be changed. At its September 2016 meeting, the Board of Pharmacy voted to immediately modify the thresholds that govern the production of Push Notices in Colorado. The Pharmacy Board and the prescribing Boards determined that more effective public protection would be maintained with this modification in place. Consequently, beginning in October 2016, the number of Push Notices prepared by the PDMP staff increased significantly because of the Board’s modification of the threshold. As always, please interpret these notices in a clinical context when coordinating care among your patients' prescribers.