About the Texas PMP

The Texas PMP, managed by the Texas State Board of Pharmacy, collects and monitors outpatient prescription data for all Schedule II, III, IV and V controlled substances dispensed by a pharmacy in Texas. It is sometimes referred to as the Prescription Drug Monitoring Program (PDMP), Rx AWARE, or PMP AWARxE.

Mandated Use of the Texas PMP

Prescribers are required to check the Texas Prescription Monitoring Program (PMP) before prescribing opioids, benzodiazepines, barbiturates, or carisoprodol per House Bill 3285 effective in the 86th Legislature.

To comply with the mandate, physicians must document in the patient's medical record that they checked the PMP.

The consequences of failing to comply with the mandate will be determined by the Texas Medical Board based on existing policies for mishandling prescriptions for controlled substances, which could result in remedial or disciplinary action.

The mandate applies to all Texas prescribers and all prescriptions of opioids, benzodiazepines, barbiturates, or carisoprodol — no matter the duration of the prescription. Prescribers are not required to review the PMP at regular intervals after the initial prescription.

Practitioners are not required to check the PMP before ordering controlled substances in the inpatient setting. The mandate applies to outpatient and discharge prescriptions.

Patients diagnosed with cancer and terminally ill under hospice care are exempt. The prescriber must clearly note in the prescription record that the patient has this diagnosis or that the patient is receiving hospice care.

Prescribers are not subject to the mandate if unique circumstances outside of the prescriber's control prohibit access to the PMP after a good faith attempt to comply.

Flow chart

The Texas PMP is a patient care tool that can be used to inform prescribing practice and to address prescription drug misuse, diversion, and overdose. As the only statewide electronic database that stores all controlled substance information, the Texas PMP helps prescribers and pharmacists avoid potentially life-threatening drug interactions, decide when to make referrals to specialty treatment providers, and identify individuals obtaining controlled substances from multiple health care providers and pharmacies. The Texas PMP shares prescription data with 30 other states/entities, allowing prescribers and pharmacists to track prescriptions dispensed outside of Texas.

Patient Centered Care

The PMP is indispensable in the effort to prevent prescription drug misuse and substance use disorder. Through proactive monitoring of patient prescription data, health care providers can deliver the patient centered care needed to end the opioid crisis.

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Using a Delegate to Access the Texas PMP

The Texas PMP allows prescribers and pharmacists to designate an unlimited number of delegates to access patient prescription data and generate reports on their behalf. Eligible prescriber delegates include nurses, medical residents, medical assistants, administrative staff, etc. Pharmacists may delegate this responsibility to Pharmacy Technicians. The use of delegates saves time for prescribers and pharmacists, and can be helpful in integrating use of the Texas PMP into your workflow.

Clinical Decision Making

The PMP is an essential tool that provides prescribers with critical information to make the best decisions for their patients and their practice. Every patient. Every time.


Sign on Before You Sign Off: About the Campaign

The Texas Health and Human Services Commission and the Texas State Board of Pharmacy have partnered to promote meaningful use of the Texas Prescription Monitoring Program, with the ultimate goal of preventing prescription drug misuse and overdose.

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