Abstract
Many states now have prescription drug monitoring programs (PDMPs) that assist in the screening of controlled substance prescriptions. The programs aggregate dispensing data uploaded by pharmacies and use the resulting database in responding to queries from health professionals who request a patient's medication history. The programs provide reports listing the controlled substance medications a patient has previously received. The basic idea is to prevent doctor shopping, in which one prescriber or pharmacist is unaware of medications provided to a patient by another prescriber or pharmacist. A recent case from Florida supports the idea that a PDMP report is a starting point, rather than an ending point, in the assessment of a patient's need for medication.
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