New Jersey PMP Gateway Integration Request Form

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New Jersey Division of Consumer Affairs Statewide Integration

The New Jersey Prescription Monitoring Program (NJPMP) is an important component of the New Jersey Division of Consumer Affairs' initiative to halt the abuse and diversion of prescription drugs.

Established pursuant to N.J.S.A. 45:1-45 et. seq., the NJPMP is a statewide database that collects prescription data on Controlled Dangerous Substances (CDS), Human Growth Hormone (HGH), and gabapentin dispensed in outpatient settings in New Jersey, and by out-of-State pharmacies dispensing into New Jersey.

The Division of Consumer Affairs and the NJPMP Administrator keep patient information strictly confidential, in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)  Privacy and Security Rules.

The NJPMP is capable of integration with electronic health records (EHRs) and pharmacy management systems (PMS). With integration, prescribers and pharmacists will be able to seamlessly access patients' NJPMP reports at the point-of-care within their primary clinical workflow software programs. The State is utilizing an integration service called PMP Gateway that is operated by Appriss Health.



Integration Request Process

Only one integration request form is needed per healthcare organization and EHR vendor. Individual providers do not need to submit an integration request form; the integration request form is for the provider's healthcare organization as a whole. Please submit an integration request form for each EHR vendor your healthcare organization wishes to use.

  1. Please review the New Jersey Integration Guide.
  2. Complete all fields in the form below, review and click “Submit”.
  3. Following submission, you will receive a confirmation email and three emails from HelloSign containing the New Jersey Terms & Conditions (T&C), an Appriss Health End License User Agreement (EULA) and a Gateway Licensee Questionnaire.
  4. Complete the three documents via HelloSign. Please note that all three documents are required to proceed with integration.
  5. Upon receipt of the completed EULA, T&C and Gateway Licensee Questionnaire, Appriss Health submits your request to the state for approval. Upon approval, credentials will be sent per your EHR vendor’s on boarding process and a confirmation email will be sent to your healthcare organization’s primary point of contact.

You may only successfully submit an integration request form once every ten minutes. If you need to submit multiple integration request forms, please wait ten minutes in-between each submission. This precaution is to prevent duplicate submissions.