114,000 PRESCRIPTIONS PUT IN DATABASE
by Laurence Hammack,
11 Dec 2003
Roanoke Times
The prescription monitoring program began operation in Western Virginia in September.
More than 114,000 prescriptions filled at pharmacies across Western Virginia have been entered into a database designed to identify drug abusers who con doctors into giving them painkillers.
The prescription monitoring program, which was approved as a pilot program by the ( http://legis.state.va.us/General Assembly last year, began operation in September.
Authorities hope that by tracking prescriptions for drugs such as OxyContin and methadone, they will be able to curb the practice of "doctor shopping," in which drug abusers go to multiple physicians and feign ailments in order to obtain their drug of choice.
Since it began Sept. 11, the database has grown to include more than 114,000 prescriptions filled at about 300 pharmacies in a region that stretches from Appomattox County to the westernmost tip of the state.
The state Department of Health Professions, which is responsible for maintaining the database, has received just one inquiry so far, director Robert Nebiker said.
But as with any database, Nebiker said, the system is expected to become more valuable as time passes.
An advisory committee that is overseeing the system's operation met Wednesday in Roanoke and discussed ways to educate physicians about the system.
Although law enforcement officials can seek information from the system, Nebiker said that in other states that have similar programs, 80 percent to 90 percent of the inquiries come from doctors.
A physician or dentist who wants to check if a patient is receiving drugs from other doctors must first get a release signed by the patient before seeking a prescription history report from the database. The database is limited to prescriptions for Schedule II drugs, or those with the highest potential for abuse.
Police will also be allowed to receive information, but only in cases where they have already begun an investigation into a particular patient or doctor.
Eighteen other states have prescription monitoring systems, and calls for such a program in Virginia began in 2001, when OxyContin abuse in far Southwest Virginia led to widespread crime, addiction and fatal overdoses.
While OxyContin abuse remains a problem, authorities have since noticed a growing problem with methadone, a synthetic narcotic that is used as a painkiller and a form of treatment for addicts of opium-based drugs.
Last year, 62 people died from methadone overdoses in the western half of Virginia, said Dr. William Massello of the medical examiner's office in Roanoke.
The methadone that caused the overdoses appeared to have been tablets prescribed by physicians for pain, Massello said, and not the liquid form of the drug that is used by methadone clinics such as the ones that have generated controversy in the Roanoke Valley.
While trying to control the dispensing of powerful prescriptions like Oxy & MS Contin is a noble act, this is not the way to do it. This will prevent people who have a genuine need for the medication from seeking the help they need, It is also a serious waste of resources at all levels. Face it, people who want to get high are going to do so. I also have my doubts that something like this is going to prevent any deaths from occurring. The only thing I know is that this is costing all of us money through increased taxes for running the program.
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