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.

State Funding for PMP EHR Integration Ending

State funding to cover the cost of EHR integrated PMP access through the Bamboo Health (formerly Appriss Health) Gateway and funding for access to NarxCare will end on August 31, 2021. Access to the PMP remains available on both this site and at texas.pmpaware.net/login. The mandate to check the Texas PMP before prescribing opioids, benzodiazepines, barbiturates or carisoprodol also remains in effect.

If your organization completed a Gateway End User License Agreement (EULA) with Appriss Health, you have the option to begin paying the license fees on September 1, 2021 for continued service.

EHR integration greatly simplifies the process of checking the PMP. Checking patients’ prescription history and complying with the mandate is faster with EHR integration, which leaves prescribers more time to focus on patients.

The Texas State Board of Pharmacy and Texas Health and Human Services Commission strongly recommend continuing integrated access to the PMP to protect the health and safety of your patients. For more information, contact Appriss Health at AccountSupport@apprisshealth.com.

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 2561 from the 85th Texas Legislature.

Complying with the Mandate

To comply with the mandate, physicians must document in the patient's medical record that they checked the PMP. TSBP has provided guidance regarding compliance with the PMP Mandatory Lookup requirement in certain integrated EHR systems. The details are available at this website.

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 36 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.

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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.

Download Campaign Materials

PMP Refresh Poster 5

The words you use impact your patient’s health.

PMP Refresh Poster 4

A moment checking the PMP could save a lifetime.

PMP Refresh Poster 3

Pain is complex. Discussing it doesn’t have to be.

PMP Refresh Poster 2

Just 7 days of taking prescription opioids can result in physical dependence.

PMP Refresh Poster 1

Your community counts on you to check the PMP.

Toolkit - Sign on before you sign off.

Prescriber Toolkit