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The Columbia/Boone County Department of Public Health and Human Services (PHHS) has received its first report from St. Louis County Department of Public Health's Prescription Drug Monitoring Program (PDMP). The first report is based on prescriptions filled by Columbia residents in any of the 14 jurisdictions in the state of Missouri participating in St. Louis County's PDMP from April through June 2017.
"Since this is only one quarter of information, the findings are not necessarily indicative of average dispensing practices in the city of Columbia," PHHS Director Stephanie Browning said. "As future reports are released, we expect to have a more comprehensive picture of dispensation practices."
One hundred percent of pharmacies in Columbia are compliant with the reporting requirements of the PDMP. Across the 14 participating jurisdictions, approximately 90 percent are in compliance. Of the 245 registered approved users of the PDMP in Boone County as of Oct. 5, 2017, 34 percent are pharmacists, 42 percent are physicians, and the remaining Boone County registered users include nurse practitioners, medical residents, and prescriber and pharmacy delegates.
During this first reporting period, Columbia residents had higher dispensation rates for schedule II-IV controlled substances as compared to the average of all 14 participating jurisdictions. Examples of schedule II-IV controlled substances include codeine, morphine, OxyContin, Vicodin, Xanax, Adderall, Ritalin, Ambien and Valium. In addition, Columbia females had higher controlled substance dispensation rates than males for all ages, except for those under 25 years of age. Among schedule II-IV controlled substances, opioids were the most frequently dispensed drug type among all age groups across all 14 jurisdictions. For Columbia, there is no statistically significant difference in opioid dispensation rates as compared to all 14 jurisdictions combined.
"While this is only the first quarterly report, we believe the results illustrate the importance of health care providers signing up for the Prescription Drug Monitoring Program and using the system to improve patient care," Browning said.
PHHS plans to provide this first quarterly report and all future reports to Boone County health care providers. All Boone County residents will be included in next quarter's report. All PDMP reports are available at www.CoMo.gov/health.
In partnership with the Missouri Department of Health & Senior Services, PHHS will host the Missouri Opioid Summit for the Central Region on Nov. 29, 2017 at the Courtyard by Marriott in Columbia.