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Request for Exemption from Reporting - Minnesota PDMP 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by checking the appropriate boxes that apply to your patients. You can select multiple categories, such as individuals in skilled nursing facilities or those receiving hospice care.
  3. If applicable, indicate if you represent a pharmacy or facility that never dispenses controlled substance prescriptions by checking the corresponding box.
  4. In the comments section, provide any additional information that may support your request for exemption.
  5. Complete the certification statement by signing and providing your title, printed name, email address, and pharmacy or facility details including license number and contact information.

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All written prescriptions (or printed on paper and given to the patient or an agent of the patient or that is transmitted by fax) must be manually signed on the day issued by the prescriber. An electronic prescription must contain the prescribers electronic signature.
*Due to state regulations Allivet cant ship to the following states AL, CT, DC, IL, IN, KS, KY, LA, MA, MN, MS, NC, ND, NE, NJ, OH, OR, TN, UT, VA, WI, WV, WY.
Drugs deemed controlled substances include: and Methamphetamine. . Amphetamines, , and Hallucinogens (i.e. LSD)
Proof of Prescription Someone with a prescription must carry their medication in the proper bottle with the official label on it. Failing to do so could lead to prescription drug charges and a criminal arrest, and a person may receive a label violation even if they prove their prescription to law enforcement later on.
As of July 2022, these states consider a schedule V controlled substance: Alabama. Kentucky. Michigan. North Dakota. Tennessee. Virginia. West Virginia.

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is not a narcotic. Its not classified as a controlled substance in most states. (Kentucky, West Virginia, Michigan, Tennessee, and Virginia have reclassified as a Schedule V controlled substance). is not an opioid.

Related links

Exemption from Reporting to the MN PMP - MN.gov

Dispensers meeting any of the following criteria are exempt from reporting to the MN PMP, but must complete and submit an Exemption Request form:

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