Overview & News
Prescription Monitoring Program
Health Commerce System
The I-STOP (Or the Internet System for Tracking Over-Prescribing) Act was passed by the New York State legislature to help combat the rising rates of prescription drug abuse in New York. The law requires that:
- Expansion and mandatory consultation of the Prescription Monitoring Program (PMP prior to issuing any prescription for a controlled substance in New York State
- E-prescribing of all substances, including controlled substances, by March 27, 2016
(note – recently extended from the original e-rx requirement date of March 27, 2015)
- Changes by the State to controlled substance schedules
- Establishment by the State of a Prescription Pain Medication Awareness Program
- Creation of a safe disposal program (operated through some local police departments)
With the impending mandate to electronically prescribe all prescriptions, including prescriptions for controlled substances rapidly approaching, this webinar will address the current state of pharmacy and physician adoption EPCS in New York, inform prescribers as to what steps they need to take to be legally capable of E-prescribing controlled substances by March 27, 2016, and an overview of how to obtain and verify software installation.
Topics to include:
- Summarize key aspects of the ISTOP bill as it relates to EPCS
- Understand the current adoption of EPCS by New York pharmacies and prescribers
- Review the step-by-step process on how to be enabled with EPCS in a short 5-minute video
- The value of e-prescribing vs. paper scripts
You can register for these dates by following the links provided:
- Thursday, October 29, 2015, 12:00 pm - 1:00 pm EDT: Register Here
- Wednesday, November 18, 2015, 6:00 pm - 7:00 pm EST: Register Here
- Wednesday, December 9, 2015, 8:00 am - 9:00 am EST: Register Here
The online PMP program, formerly referred to as the Controlled Substance Information program (CSI), gives you access to review your patients' recent controlled substance prescription history at any time, therefore, giving you more information to exercise your professional judgment in treating your patients. After logging into your HCS account, the PMP can be accessed from the first page of the HCS by clicking onto the NYS PMP logo.
Currently, any New York State licensed prescriber who holds a valid DEA registration must access the PMP registry prior to issuing a legend of controlled substance prescription. Each prescriber must have an individual Health Commerce System Account (HCS) to gain access.
You can also access the PMP by following these directions:
- Go to the HCS at: https://commerce.health.state.ny.us
- Log onto the system with your user ID and password (If you can't remember your password, call the Commerce Account Management Unit at 1-866-529-1890, Option 1, for assistance).
- Click on the PNP Icon
- Log in
- Click to open the program
- Enter patient information and your DEA registration number
- Review the Frequently Asked Questions within the application for further information
The Prescription Monitoring Program (PMP) registry will provide practitioners with confidential reports from data provided by pharmacies across the state. Accessed through the secure, online New York Health Commerce System, results will be available in real-time. The registry is a tool to help enhance understanding of a patient’s controlled substance utilization, guide management, and improve quality of care. For questions related to the Prescription Monitoring Program, the NYS Department of Health Bureau of Narcotic Enforcement has a toll-free number that you can call: 1-866-811-7957.
Practitioners are required to consult the Prescription Monitoring Program (PMP) registry in most cases prior to prescribing any controlled substance listed in Schedule II, III or IV. In order to consult the registry, practitioners must have an established Health Commerce Account.
Practitioners are permitted to designate another person employed by or under contract with their practice to access information from the Registry on behalf of the practitioner, however the duty to consult and review is with the prescriber. Instructions on how to designate another person are found below and you can register unlicensed professionals now for a health commerce account.
Exceptions to the "Duty to Consult" include:
- Practitioner administering a controlled substance
- For use within an institutional dispenser
- Emergency Department (if limited to a 5 day supply)
- Practitioner is unable to access in a timely manner (5 day supply)
- Consultation would adversely impact a patient’s medical condition
- Methadone programs
- Technological failure of PMP or practitioner’s hardware
- Practitioner has been granted a waiver by DOH based on technological limitations or exceptional circumstances not within practitioner’s control
As of right now, there is not a specific fact sheet for patients regarding the ISTOP Act.
Treatment program information is available from the NYS Office of Alcoholism and Substance Abuse Services atwww.oasas.ny.gov or by calling 1-877-846-7369. You may also access the Substance Abuse and Mental Health Services Administration (SAMHSA) website at www.buprenorphine.samhsa.gov to locate a participating opioid addiction physician in your area.
NYSDOH patient education materials are available and include the following. You may call this number to request copies of any of these materials: 1-866-811-7957
There is a Prescription Drug Awareness section on the NYSDOH Bureau of Narcotic Enforcement website, with a number of brochures/posters that you can request copies of at no charge:
In addition, there are a few materials physicians can use in their practice:
- A popular poster called Tell the Doctor : http://www.health.ny.gov/publications/1066.pdf
- A brochure that was developed for practitioners and pharmacists describing the NYS PMP: http://www.health.ny.gov/publications/1084.pdf
After reviewing the PMP for a patient, if the practitioner suspects diversion, there is link on the bottom of the Confidential Drug Utilization Report to report a prescription discrepancy, or you may send questions or comments about the report to the Bureau of Narcotic Enforcement. The practitioner may also contact the Bureau of Narcotic Enforcement office in your area to speak to a narcotic investigator:
- Albany/Central Office: (866) 811-7957 Opt. #2
- Western Area Regional Office (Buffalo Area): (716) 847-4532
- Rochester Office: (585) 423-8043
- Syracuse Office: (315) 477-8459
- New York City Metropolitan Area Regional Office: (212) 417-4103
ACP Center for Practice Support Resources:
- ACP Internist, June 2013: Center for Practice Support (CSP) Tips - Reducing the risks of opioid management
- ACP Inernist, July/August 2013: Center for Practice Support Tips - Documenting opioid management is as important as doing it
The Health Commerce System is a secure online communications system operated by the NYS Department of Health. It supports the exchange of routine and emergency statewide health information by local health departments and health facilities, providers and practitioners. Through this system, practitioners now order official prescription pads, subscribe to public health alerts through the Health Alert Network, and access registries along with other health information exchange applications that focus on preparedness, planning, communications, response and recovery.
To access the Health Commerce System, please visit: https://commerce.health.state.ny.us If you already have a HCS account, check to make sure your password is up to date
Obtaining a HCS Account for LICENSED Medical Professionals
Obtaining a HCS Account for UNLICENSED Medical Professionals
*If no valid Photo ID is available, licensed medical professionals can still apply by using the existing process, which requires a signature and a notary
For Unlicensed Professionals:
- Register for a Health Commerce System account through the New York State Department of Health
- Enroll your account on the HCS. This step must be done with the HCS Coordinator
Refer to this quick reference guide for assistance
Users can refer to Step A
Coordinators can refer to Step B
The online registration process for registering certified Electronic Prescribing of Controlled Substance (EPCS) software application(s) with the Department of Health, Bureau of Narcotic Enforcement (BNE) is known as ROPES: Registration for Official Prescriptions and E-Prescribing Systems.
ROPES allows the practitioners to renew their registration for the Official Prescription Program (OPP) and register their certified electronic prescribing software application(s) for controlled substances. Practitioners that do no issue prescriptions for controlled substances do not have to obtain certified EPCS software and, therefore, do not have to register their E-prescribing software for non-controlled substances with BNE.
The practitioner’s certified EPCS software application(s) must be registered with BNE after the practitioner has completed ALL three of the following:
- Implementation of the certified EPCS software application(s) into production;
- Identity proofing; and
- Receipt of the two-factor authentication credentials
Should you have any questions regarding numbers 2 and 3 above, please consult your e-prescribing software vendor or review the DEA Interim Final Rule section 1311.100 at http://www.deadiversion.usdoj.gov. Once all three of these steps are completed, the practitioner should complete the EPCS registration using ROPES.
How to access ROPES and register for OPP and EPCS:
- Login to the Health Commerce System at https://commerce.health.ny.us
- Select “My Content” at the top of the page
- Scroll down and select “All Applications”
- Scroll over and select “R”
- Scroll down and select ROPES
- Follow screen prompts to renew your OPP registration – confirm address information is correct
- Click button “Register EPCS System”
- Enter certified EPCS software information or select software from the dropdown menu
- Click “Yes” if you agree with the EPCS Attestation
Additional information regarding EPCS may be found at the following link: http://www.health.ny.gov/professionals/narcotic/electronic_prescribing/
Should you have any questions about ROPES, please contact BNE by email at email@example.com or by phone at 866-811-7957, Option 1.
In addition, the New York State Department of Health has an FAQ that covers a variety of questions pertaining to EPCS and ROPES that can be accessed here.
The New York State Department of Health Has Issued the Following Statement:
“The updated Prescription Monitoring Program Registry is operational and has been available on-line since June 12, 2013. All users must access the PMP Registry through the Department of Health's secure Health Commerce System ("HCS"). With the upcoming effective date of the I-STOP law requiring the use of the PMP Registry, a large late surge of practitioners are now submitting requests for HCS accounts. Although the Department of Health is working diligently to process all requests, this significant influx has resulted in a delay in processing accounts.
During this transition period, practitioners who are making a good faith effort to apply but are unable to establish HCS accounts, should continue to provide treatment to their patients in the same manner as they currently do, including the prescribing of controlled substances without accessing PMP Registry. We expect this transition period to last through October.”
The statement can be accessed by visiting: http://www.health.ny.gov/professionals/narcotic/prescription_monitoring
- If you are a physician practiceFor physician practices who don’t have an EMR system that can provide electronic prescriptions, see a list of “stand alone” e-prescribing software here, courtesy of SureScripts (You will still need to complete the NYS EPCS registration, available in .pdf form here.)
- SAFE Opioid Prescribing
- Pri-Med Courses
Pri-Med Opioid Screening Now Available
With approximately 100 million adults in the U.S. suffering from chronic pain, the nonmedical use of prescription opioids has become a public health issue, and prompted the U.S. Food and Drug Administration to establish the Risk Evaluation and Mitigation Strategy (REMS) mandate. A total of 26 Continuing Medical Education (CME) and Continuing Education providers, including ACP, have created educational initiatives to help prescribers ensures that the benefits of a drug outweigh the risks for patients receiving extended release and long acting opioids.
ACP developed online training modules, with Pri-Med, to educate clinicians about best practices when prescribing opioids to patients and to help prescribers manage risk for abuse and inappropriate use. The REMS training modules provide comprehensive educational information for primary care clinicians, and can be completed for CME credit. Access the online modules for additional information.
A brief video from Steven Weinberger, MD, FACP, executive vice president and CEO of ACP, highlights the initiative’s goal of reducing misuse, abuse and overdose deaths associated with prescription opioids.
Note: an ACP Username/password is required to login)
New York State Department of Health
- NYSDOH ISTOP/Prescription Monitoring Program (PMP) Resource Page - Information for Practitioners
- Bureau of Narcotic Enforcement Contact Information
- NYS PMP Frequently Asked Questions - Updated in February 2014
- NYS PMP Brochure for Practitioners and Pharmacists
- How to Access the NYS PMP Registry
- How to Assign a Designee to the NYS PMP - Screenshots
- How to Add an Unlicensed Resident or Medical Intern to the PMP Designee Role
- How to Access the NYS PMP Registry as an Unlicensed Professional
- Spring 2013 Update - Bureau of Narcotic Enforcement Newsletter
- NYSDOH Medication Drop Box Program
Laurie Cohen, Esq., Partner at Nixon Peabody and Chapter's Legal Counsel
- Unlicensed Medical Residents and the NY Prescription Monitoring Program
- What’s the Impact of New York’s Prescription Monitoring Program on Hospitalists?
- NYS Department of Health Issues Proposed Regulations to Implement Enhanced Prescription Monitoring Program
Last Updated: 10.2.2015