I STOP Law Requirement
The “duty to consult” the NYS Prescription Monitoring Program (PMP) database went into effect on Tuesday, August 27, 2013 for all prescribers who prescribe Schedules II, III, IV drugs for patients.
It is vitally important that physicians establish and maintain a health commerce system (HCS) account in order to access the PMP. To obtain an account please go to the New York State website here.
Click here for step by step instructions on how physicians and their staff can sign up for a HCS account. The process to obtain an HCS account takes about two weeks.
Once an HCS account has been secured, physicians can look up patients under the PMP. To access the PMP Registry, go to the Health Commerce System at https://commerce.health.state.ny.us and log into 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). Additional instructions for accessing the PMP can be found here.
Physicians can designate office staff to look up patients but the designee must also have a HCS account. Once the designee has an HCS account, the physician will need to designate them in the PMP. Physicians will need to log onto the PMP and click on the blue tab that says designate. Physicians then can list the names of their designees. Physicians and staff are also encouraged to go the NYS DOH Bureau of Narcotic Enforcement’s website for additional information:
Exceptions to the duty to consult are provided to the following:
- Practitioners dispensing methadone or other such controlled substance, as designated by the commissioner as appropriate for such use, for an addict as interim treatment for an addict on a waiting list for admission to an authorized maintenance program;
- Controlled substances being administered in the prescriber’s office;
- Prescribing or ordering a controlled substance for use within an institution (hospital or clinic);
- Prescriptions written in an emergency room setting and is for no more than a five day supply of medication;
- Prescription written for a hospice patient;
- Not reasonably possible to access the registry in a timely manner, where there is no other practitioner or designee reasonably available to access the database, and supply is limited to 5 days;
- Where consultation of the registry would result in a patient’s inability to obtain a prescription in a timely manner, thereby adversely impacting the patient’s medical condition;
- Practitioner who has been granted a waiver by Health Commissioner; and
- Where the registry is not operational or cannot be accessed due to a temporary technological or electrical failure.