Columbus - Pharmacist Jarrett Bauder sometimes becomes suspicious about a customer having a prescription filled for painkillers, especially if it's someone he does not know.

With so much concern about prescription drug abuse and so-called doctor shopping, he tries to stay alert for potential trouble.

"It's not something that involves all patients, but you do wonder," said Bauder, who works at Uptown Pharmacy in Westerville, a Columbus suburb.

Beginning today, Ohio is making it easier for pharmacists, doctors and law enforcement to monitor prescription drug sales and spot abuse. The State Board of Pharmacy will launch the Ohio Automated Rx Reporting System, a computer database that will track sales of all controlled substances and two noncontrolled ones.

About 2,300 retail and mail-order pharmacies that sell to Ohio patients will be required to electronically report prescription sales twice a month to create the database, which has the ability to store 30 million to 35 million prescriptions.

Doctors and pharmacists then will be able to get a report via the Internet to see if patients are visiting multiple physicians and pharmacies to obtain the same types of drugs - commonly called doctor shopping. And law enforcement will be more easily able to uncover criminal activity.

"When you get that suspicious feeling, it's going to be a nice tool," Bauder said.

The database will not be accessible by the general public. And patients should notice no difference when visiting their doctors or having prescriptions filled - unless they are up to no good.

"A doctor can look at the report and see that you've been going to one doctor and one pharmacy and you're a legitimate patient," said William Winsley, executive director of pharmacy board. "But if he sees you going to 15 different doctors and 15 different pharmacies and you've been going the next day and then the next day and the next day, they see you might not be a legitimate patient and might not want to write a prescription for you."

An estimated 48 million people have used prescription drugs for nonmedical reasons at some point in their lifetime, according to the National Institute on Drug Abuse.

Thirteen doctors were disciplined last year by the State Medical Board of Ohio for prescription-related problems.

Ohio will join at least 24 other states with monitoring programs, and 10 other states have enacted laws to create programs, according to the National Alliance for Model State Drug Laws in Alexandria, Va.

Newshawk: Ohio Patient Network
Pubdate: 2 October 2006
Source: Cleveland Plain Dealer
Author: Associated Press