Arkansas PMP Gateway Integration Request Form

 

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The Arkansas Prescription Drug Monitoring Program (AR PDMP) is an electronic database of all the controlled prescriptions dispensed at Arkansas pharmacies, mail order pharmacies delivered into Arkansas, and other dispensaries such as a veterinary or medical clinic. Pharmacies are required to report the dispensation of a controlled prescription next business day, while veterinary clinics are required to report every 30 days. A controlled substance is a substance that is scheduled II – V on the Arkansas list of controlled substances. Examples of medications on the controlled substance list are hydrocodone, morphine, alprazolam, zolpidem and methylphenidate.

The purpose of the AR PDMP is to:

  • Enhance patient care by providing prescription monitoring information that will ensure legitimate use of controlled substances in health care, including palliative care, research, and other medical pharmacological uses.
  • Help to curtail the misuse of controlled substances.
  • Assist in combating illegal trade in and diversion of controlled substances.
  • Enable access to prescription information by practitioners, law enforcement agents, and other authorized individuals and agencies.

 

 

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Integration Request Process

  1. Please review the Arkansas PMP Gateway Welcome Kit.
  2. Complete all fields in the form below, review and click “Submit”.
  3. Following submission, you will receive a confirmation email and two emails from HelloSign containing an Appriss Health End License User Agreement (EULA) and a Gateway Licensee Questionnaire.
  4. Complete the documents via HelloSign. Please note that both documents are required to proceed with integration.
  5. Upon receipt of the completed EULA and Gateway Licensee Questionnaire, Appriss Health submits your request to the state for approval. Upon approval, credentials will be sent per your EHR/PMS vendor’s on boarding process and a confirmation email will be sent to your healthcare organization’s primary point of contact.