Thursday, May 25, 2017

Prescription Monitoring Program (PMP) Update

Last Friday, Gov. Henry McMaster signed H.3824 into law which makes changes to the Prescription Monitoring Program (PMP)/SCRIPTS program run by the South Carolina Department of Health and Environmental Control (DHEC).

Bill Highlights:
The bill now requires a practitioner who prescribes a controlled substance to look up that patient’s prescription history in SCRIPTS before writing the prescription. There are certain exceptions to this mandatory utilization of SCRIPTS which include:

  1. Prescriptions for a hospice certified patient;
  2. Prescription that does not exceed a five day supply;
  3. Prescription for a patient in which a practitioner has an established relationship for the treatment of a chronic condition. However, the practitioner must still check the PMP every three months for these types of patients;
  4. A practitioner approving the administration of a Schedule II controlled substance by a healthcare provider licensed in South Carolina;
  5. A prescription for patients in a skilled nursing facility, a nursing home, community-residential care facility, or an assisted living facility and the medications are stored, given, and monitored by staff; and
  6. A practitioner who is temporarily unable to access the PMP due to exigent circumstances. However, exigent circumstances and potential adverse impact to the patient if not issued timely must be documented in the patient's medical record.

Also, a practitioner may authorize a delegate to review a patient's controlled substance history in SCRIPTS before issuing the prescription. However, the practitioner must consult with the authorized delegate regarding the prescription history before issuing a Scheduled II controlled substance prescription. This consultation must be documented in the patient's medical record.

Physicians are strongly encouraged to review the bill itself and become familiar with its contents as it became effective upon the Governor's signature.

More Info:
To see the bill in depth, please click here.