St. Louis County Executive Releases First PDMP Report
St. Louis County has released a report covering the first three months of its Prescription Drug Monitoring Program. The information pertains to the 14 jurisdictions that went live during the program’s inception on April 25, 2017. The PDMP program’s goals include improving opioid prescribing by providing critical information regarding a patient’s controlled substance prescription history and informing clinical practice by identifying patients at high-risk who would benefit from early interventions. Among the findings:
– Those aged 65+ years old receive the highest rates of controlled substances.
– Opioids are the most frequently prescribed drug type and represent approximately 40% of controlled substance prescriptions.
– The St. Louis County opioid dispensation rate is 632.0 opioid prescriptions per 1,000 populations which is significantly lower than the overall PDMP (642.5 opioid prescriptions per 1,000 populations).
– Hydrocodone, oxycodone, and tramadol are the 3 most frequently prescribed opioids and comprise 85% of opioid prescriptions. Over 90% of opioid prescriptions are low dose (<50 morphine milligram equivalents).
“This report includes the first tangible numbers from our PDMP,” County Executive Steve Stenger said. “With our program now covering 52 jurisdictions and 74% of the population, our PDMP will continue to be an important component in our fight against the deadly opioid epidemic.
County Executive Stenger acknowledged Councilman Sam Page’s role in the legislation. “I want to again thank Sam for his contribution to and support of this initiative,” the County Executive said.
St. Louis County is using a $400,000 federal grant to cover all PDMP costs for participating counties. The grant will also support the hiring of an additional PDMP staff member, and provide funds for engagement, education, and reporting.