when should i run an oarrs report on a patient

must run OARRS report when: Before initially prescribing / furnishing an opioid or benzodiazepine to a patient At least every 90 days if treatment with opioid or benzodiazepine continues >90 days

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How often do you have to report OARRS?

At least once annually, therafter. (D) A physician shall document receipt and assessment of all OARRS reports in the patient record. Initial reports requested in compliance with this rule shall cover a time period of at least one year;

Is it illegal to include an OARRS report in the patient record?

Historically physicians were advised that it was illegal to include the OARRS report in the patient record and that instead it should just be documented in the record that OARRS had been checked and what, if anything, had been discovered. However, Ohio law changed recently and effective March 20, 2015,...

What to do if there is an error on the OARRS?

Read the questions carefully; there are times where "none of the above" really may be the correct answer. There appears to be an error on the OARRS report. Call the dispensing pharmacy for all clarifications/corrections. Only they can make corrections to their information.

What is an OARRS prescription history report?

An OARRS Prescription History Report can assist in assuring that a patient is getting the appropriate drug therapy, is taking their medication as prescribed, and may alert prescribers to signs of possible misuse or diversion of controlled substances.

What is the purpose of Oarrs?

WELCOME TO OARRS OARRS is designed to monitor this information for suspected abuse or diversion (i.e., channeling drugs into illegal use), and can give a prescriber or pharmacist critical information regarding a patient's controlled substance prescription history.

What does an Oarrs report show?

Established in 2006, OARRS collects information on all outpatient prescriptions for controlled substances and one non-controlled substance (gabapentin) dispensed by Ohio-licensed pharmacies and personally furnished by Ohio prescribers. This data is reported every 24 hours and is maintained in a secure database.

What drugs are included in Oarrs?

Ohio's prescription drug monitoring program, known as the Ohio Automated Rx Reporting System (OARRS), collects information on the distribution of prescription controlled substances and two non-controlled drugs, gabapentin and naltrexone, to Ohio patients.

How do you read an Oarrs report?

2:407:23How to Read an OARRS Report - YouTubeYouTubeStart of suggested clipEnd of suggested clipThe columns from left to right are the fill date the product name the strength. And form theMoreThe columns from left to right are the fill date the product name the strength. And form the quantity dispensed the day's supply. The patient identifiers the prescriber identifiers the date written.

Is gabapentin a controlled substance?

Gabapentin is not currently controlled under the Controlled Substances Act of 1970.

How do you add delegates to Oarrs?

1. The prescriber or pharmacist logs into their account by visiting oarrs.pharmacy.ohio.gov. 2. Click on “Related Links” and select “Add/Remove Delegate.”

Can pharmacists see what other pharmacies have filled?

Pharmacists are also required to use the database. They say it detects dangerous combinations of drugs. It also tracks when a prescription is filled.

What tool can the pharmacist utilize to check prescribing history for red flags?

A prescription drug monitoring program (PDMP) is an electronic database that tracks controlled substance prescriptions in a state. PDMPs can provide health authorities timely information about prescribing and patient behaviors that contribute to the epidemic and facilitate a nimble and targeted response.

Can someone else pick up my controlled substance prescription?

Can Someone Else Pick Up My Controlled Substance Prescription? In most cases, someone else can pick up a controlled substance prescription on behalf of the patient. However, these medications require a little extra from the person acting on behalf of the patient.

What is the overdose risk score?

The Overdose Risk Score (ORS) is a relative scoring system that ranges from 000-990. The scores represents the risk of unintentional overdose death. An Odds Ratio for 100 point scoring groups using 000-190 as the referent group can also be used to quantify risk.

What does a NARX score mean?

Narx Scores are designed to draw awareness to the presence of significant PMP data. They represent information at a glance and are best used when incorporated into clinical work-flow as an automated result (i.e. the system automatically queries for an updated score as soon as the patient arrives).

What are NarxCare scores?

The NarxCare score (NCS) is a weighted scalar measure of overall prescription opioid, sedative, and stimulant use.

What tool can the pharmacist utilize to check prescribing history for red flags?

A prescription drug monitoring program (PDMP) is an electronic database that tracks controlled substance prescriptions in a state. PDMPs can provide health authorities timely information about prescribing and patient behaviors that contribute to the epidemic and facilitate a nimble and targeted response.

How is NARX calculated?

A Narx Score is calculated as a weighted average of the scaled values. A 50% weighting is applied to the milligram equivalencies with the remaining risk factors making up the other 50%. This type of weighting results in several reliable relationships.

What can be changed on a c2 prescription in Ohio?

For a schedule II controlled substance prescription: A pharmacist shall not make changes to the drug prescribed, except for substitution permitted by law, the prescriber's signature, or the patient's name.

Is Gabapentin a controlled substance in Ohio?

As a reminder, gabapentin is not considered a controlled substance in Ohio.

What is an OARRS?

Established in 2006, OARRS is a system that collects information on all outpatient prescriptions for controlled substances that are dispensed by Ohio licensed pharmacies and personally furnished by licensed prescribers in Ohio. The information in OARRS is available to prescribers (or their delegates) when they treat patients, pharmacists (or their delegates) when presented with prescriptions from patients and law enforcement officers and health care regulatory boards during active investigations.

How to contact Ohio State Board of Pharmacy?

If you are a pharmacist, pharmacy intern, location licensed as a terminal distributor of dangerous drugs or have an OARRS account-related question, please contact the Ohio State Board of Pharmacy at 614-466-4143 or visit

Can a pharmacist use an OARRS report?

Yes. Ohio law permits a prescriber or pharmacist to include an OARRS report as part of the patient’s medical record. Once included in the chart, the report is deemed part of the medical record subject to disclosure on the same terms and conditions as listed in section 3701.74 of the Revised Code.

Do pharmacists need to register for OARRS?

No. Only pharmacists who dispense controlled substances to patients residing in Ohio are required to register for an OARRS account. Pharmacy interns are permitted to obtain delegate accounts under the oversight of a practicing pharmacist.

Does Ohio require a prescription for opioids?

Ohio law requires that each prescriber who prescribes or personally furnishes opioid analgesics or benzodiazepines, as well as all pharmacists who dispense or plan to dispense controlled substances within the state of Ohio, certify to their respective licensing board that they have registered for an OARRS account upon renewing their license.

Can OARRS be used in EMR?

Accessing OARRS data through the integration service meets the requirement to request patient data. However, simply viewing it in an EMR does not meet the legal requirements to notate in the patient medical record that the information was assessed.

How long does it take to report a prescription to OARRS?

Pharmacies are required to report prescription information to OARRS within one day of the date the drug was dispensed. Taking into account the time required to process that information and prepare it for reporting, the prescription information should be available within a few days of the dispensing date.

What is the phone number for OARRS?

If you continue to experience issues, you may reach OARRS during regular business hours by calling 614-466-4143 (option 1).

What does DEA number mean on OARRS?

For prescribers who are authorized to use the DEA number of hospital/institution in which they work, the DEA number will translate to “Dr. XXX Hospital” on the OARRS report. Call the dispensing pharmacy to determine the actual prescriber.

What is OARRS threshold?

OARRS uses thresholds to measure whether a pharmacy reports all the required data. Atlantic Associates will reject a record that is missing data and is below the threshold. The pharmacy will receive a letter from Atlantic that identifies the rejected records. These prescriptions must be corrected and resubmitted.

What is an OARRS account?

OARRS accounts are designed for health care professionals who are actively working in a capacity where you prescribe, fill prescriptions, counsel patients, or are otherwise involved in primary treatment decisions in your practice of medicine or pharmacy. The report shows a hospital as the prescriber.

What does it mean when a probation officer is linked to an OARRS?

When you see this status, it means that the supervisor linked to the officer account needs to log into OARRS to approve the request.

Do you need to report a 1:1 drug box?

True 1:1 replacement of a drug box or single dose does NOT need to be reported. However, other distributions (e.g. five diazepam syringes) or a controlled substance, carisoprodol product, or tramadol product to an ambulance service must be reported.

What is OARRS in Ohio?

OARRS is Ohio’s Prescription Monitoring Program (PMP) administered by the Ohio State Board of Pharmacy. OARRS is a web-based system that tracks outpatient prescriptions for controlled substances in order to curb substance abuse. OARRS regulations apply to all licensed prescribers — for example, physicians, dentists, nurse practitioners (NPs), ...

Is Ohio experiencing an epidemic of drug overdoses?

Category: Ohio faces an epidemic of prescription drug abuse and overdose. Since 2007, there are more deaths from drug overdose than from motor vehicle traffic crashes in Ohio. Ohio legislators have vowed to reverse this alarming trend.

Can delegates run reports on behalf of prescribers?

Using their own OARRS account (not Prescriber’s), delegates may run reports on behalf of Prescribers who supervise or employ them. Delegates are, however, prohibited from assessing or documenting the results on behalf of Prescribers. Prescribers beware!

Is OARRS report subject to disclosure?

Once a part of the medical records, the report becomes subject to disclosure. 3 Providers should consult their legal advisor before including the OARRS report in the medical records.

Do prescribers have to include OARRS report?

Beginning March 20, 2015, Prescribers may also include a copy of the OARRS report in the medical records. This is not a requirement.

What is OARRS 4731-11-11?

A: Rule 4731-11-11 outlines situations for accessing OARRS prior to prescribing or personally furnishing a controlled substance, tramadol or carisoprodol which include the following:

What is OARRS in Ohio?

The Ohio Automated Rx Reporting System (OARRS) was established in 2006 as a tool to assist healthcare professionals in providing improved and safer treatment for patients. House Bill 93 of the 129th General Assembly authorized the Board to adopt Ohio Administrative Code (OAC) Rule 4731-11-11, Standards and Procedures for Accessing OARRS, in an effort to encourage prescribers to access OARRS. An OARRS Prescription History Report can assist in assuring that a patient is getting the appropriate drug therapy, is taking their medication as prescribed, and may alert prescribers to signs of possible misuse or diversion of controlled substances. The system serves a secondary purpose to enhance the monitoring of the misuse and diversion of controlled substances.

How long do you have to report a child abuse case?

A: Yes. An initial report should cover a time period of at least one year from the current date (though personal discretion and circumstances related to the type or number of signs of abuse or diversion may suggest a report covering a longer time period of up to two years). Subsequent reports should cover the period from the date of the last report to present.

Can you check OARRS before prescribing?

A: Yes. A physician may consider checking OARRS prior to prescribing or personally furnishing controlled substances, carisoprodol, or tramadol to a patient exhibiting the following signs of possible drug abuse or diversion. Please note this list is not all inclusive and there may be other legitimate basis for checking OARRS:

Can a nurse access OARRS?

A: Yes. Licensed individuals, such as nurses and physician assistants may obtain an account from the Board of Pharmacy to access OARRS on your behalf. Under House Bill 93, a physician may also name non-licensed staff such as medical assistants or other office personnel, as delegates to access OARRS on the physician’s behalf. The Board of Pharmacy limits the number of non-licensed delegates to three per physician. For more information please contact the Ohio Board of Pharmacy.

Can a physician assistant check OARRS?

A: Yes. As part of either the supervisory plan with a physician assistant or the standard care arrangement (collaborative agreement) with an advanced practice nurse a physician and the practitioners with whom they are working may establish guidelines for the circumstances and degree of collaboration necessary for checking OARRS or consultation prior to prescribing or personally furnishing drugs to a patient.