Request for Exemption from Reporting - Minnesota PDMP 2025

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The document is a request form for exemption from reporting to the Minnesota Prescription Monitoring Program (PMP). It outlines the categories of patients eligible for exemption, such as those in skilled nursing facilities or receiving hospice care. The form requires certification and contact information from the pharmacy or facility requesting the exemption.

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Click ‘Get Form’ to open it in the editor.
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.
If applicable, indicate if you represent a pharmacy or facility that never dispenses controlled substance prescriptions by checking the corresponding box.
In the comments section, provide any additional information that may support your request for exemption.
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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2010	4.4 Satisfied (46 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is reported on the PDMP report?

PDMPs are designed to facilitate the collection, analysis, and reporting of information on the prescribing, dispensing, and use of prescription drugs within a state, commonwealth, district, or territory.

Can a pharmacy see your prescription history?

0:23 1:39 So when you visit a pharmacy the pharmacist can access this database and see your prescriptionMoreSo when you visit a pharmacy the pharmacist can access this database and see your prescription history. This is a measure to prevent misuse of controlled substances and ensure patient.

Do pharmacies check PDMP?

Access to each PDMP is determined by the individual state, but they are typically available to health care providers and pharmacists as a means of reviewing a patients-controlled substance history regardless of source of dispensing (i.e., pharmacy, clinic, hospital) or form of payment (i.e., cash, insurance claim, etc

Can you get flagged at pharmacy?

A red flag could be indicative of abuse or misuse, over or under compliance, drug-drug interactions, or a forged or altered prescription. Such issues would be reviewed and resolved by a pharmacist before filling any prescription as part of the prospective drug use review, the testimony states.

Does law enforcement have access to PDMP?

PDMP Data AccessTwenty-eight states allow law enforcement access to PDMP data based on an active investigation, and 19 states require a search warrant, court order, or subpoena.

Can a pharmacist refuse to fill a prescription in Minnesota?

A pharmacist may refuse to fill or refill a prescription if, in the pharmacists professional judgement, there is a question as to the drugs safety and/or efficacy.

What prescriptions are tracked by PDMP?

Every PDMP receives data on controlled substance prescriptions. Most PDMPs track Schedules II through V; however, some only track Schedules II through IV. medication from the pharmacy if that person is not the patient to whom the prescription was issued.

Request for Exemption from Reporting - Minnesota PDMP 2025

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