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.

Complying with the Mandate

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.

When to check the PMP

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.

Delegate Use 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.