A. The Director shall develop, in consultation with an advisory panel which shall include representatives of the Boards of Medicine and Pharmacy, the Department of Health, the Department of Medical Assistance Services, and the Department of Behavioral Health and Developmental Services, criteria for indicators of unusual patterns of prescribing or dispensing of covered substances by prescribers or dispensers and misuse of covered substances by recipients and a method for analysis of data collected by the Prescription Monitoring Program using the criteria for indicators of misuse to identify unusual patterns of prescribing or dispensing of covered substances by individual prescribers or dispensers or potential misuse of a covered substance by a recipient. The Director, in consultation with the panel, shall annually review controlled substance prescribing and dispensing patterns and shall (i) make any necessary changes to the criteria for unusual patterns of prescribing and dispensing required by this subsection and (ii) report any findings and recommendations for best practices to the Joint Commission on Health Care by November 1 of each year.
B. In cases in which analysis of data collected by the Prescription Monitoring Program using the criteria for indicators of misuse indicates an unusual pattern of prescribing or dispensing of a covered substance by an individual prescriber or dispenser or potential misuse of a covered substance by a recipient, the Director may, in addition to the discretionary disclosure of information pursuant to § 54.1-2523:
1. Disclose information about the unusual prescribing or dispensing of a covered substance by an individual prescriber or dispenser to the Enforcement Division of the Department of Health Professions; or
2. Disclose information about the specific recipient to (i) the prescriber or prescribers who have prescribed a covered substance to the recipient for the purpose of intervention to prevent misuse of such covered substance or (ii) an agent who has completed the Virginia State Police Drug Diversion School designated by the Superintendent of State Police or designated by the chief law-enforcement officer of any county, city, or town or campus police department for the purpose of an investigation into possible drug diversion.
2005, cc. 637, 678; 2012, cc. 21, 71; 2013, c. 739; 2016, c. 98; 2018, cc. 190, 239.
Structure Code of Virginia
Title 54.1 - Professions and Occupations
Chapter 25.2 - Prescription Monitoring Program
§ 54.1-2520. Program establishment; Director's regulatory authority
§ 54.1-2521. Reporting requirements
§ 54.1-2522. Reporting exemptions
§ 54.1-2522.1. (Effective until July 1, 2027) Requirements of practitioners
§ 54.1-2522.1. (Effective July 1, 2027) Requirements of practitioners
§ 54.1-2522.2. Requirements for dispensers
§ 54.1-2523. Confidentiality of data; disclosure of information; discretionary authority of Director
§ 54.1-2523.2. (Effective until July 1, 2027) Authority to access database
§ 54.1-2523.2. (Effective July 1, 2027) Authority to access database
§ 54.1-2524. Immunity from liability
§ 54.1-2525. Unlawful disclosure of information; disciplinary action authorized; penalties