Controlled Substance Database

You need to change your password every 90 days for security reasons (e.g., reducing the risk of data breaches).  This is governed by state security protocols.  The Enterprise User Authentication Standards Policy for the state of Utah can be found here: https://dts.utah.gov/policies/enterprise-user-authentication-standards-policy

If you know your current UtahID password and you want to reset it:

1. Log in to your UtahID account
2. Go to the menu item, "Security" on the left side of the screen
3. Click on "Password"; then click on "Change your password"
4. Enter your current (old) password and click "Next"
5. Type in your new password
6. The site will ask you to type in your new password a second time for verification

If you have forgotten your password:

1. Go to the UtahID login page
2. Do NOT type in your UtahID login ID/Email address; leave it blank
3. Be sure the password field is BLANK (no dots)
4. Select "Forgot Password" at the bottom of the login section
5. You will be asked to type in your username/email and your last name
6. Check your email for a password reset message within a few minutes
7. Follow the instructions on how to create a new password from the email prompt
8. You will have ten minutes to reset your password before the prompt expires

Controlled substance prescriber and dispenser rights to access and review patient information in the CSD are reflected in Utah Code Annotated (UCA): §§ 58-37f-301(2); 58-37f-302; 58-37f-303; 58-37f-304; 58-37-6

Yes, as long as there is intent to treat.  You should also document in the patient's medical record your rationale for checking the CSD prior to the day of the appointment.

Maybe.  If you comply fully with HIPAA Title 45 Regulations patient data sharing, you may.  This falls under the following codes:

Health Information Portability and Accountability Act (HIPAA) Code of Federal Regulations (CFR) Title 45 Part 164-Security and Privacy and Utah Code Annotated UCA 58-37f-601 3(e)

Otherwise, you may discuss the CSD report with your patients and direct them to contact or visit the CSD office to request their own CSD report.  They will need to complete a form and show a valid ID.  The CSD can be reached at 801-530-6228 or by email csd@utah.gov.

Your rights to access the CSD fall within the following statute: Utah Code Annotated: (UCA) 58-37f Part 3 Section 301 "Access to Database"

House Bill 127 from the 2018 General Legislative Session amends portions of the Controlled Substance Database Act and states, "A prescriber shall check the database for information about a patient before the first time the prescriber gives a prescription to a patient for a Schedule II opioid or a Schedule III opioid."  It continues to state, "If a prescriber is repeatedly prescribing a Schedule II opioid or Schedule III opioid to a patient, the prescriber shall periodically review information about the patient."  More information can be found here: Utah Code Title 58, Chapter 37f Section 304

Patients are sometimes minors.  As a reminder, UT HB127 from the 2018 General Legislative Session amends portions of the Controlled Substance Database Act and states, "A prescriber shall check the database for information about a patient before the first time the prescriber gives a prescription to a patient for a Schedule II opioid or a Schedule III opioid."  It continues to state, "If a prescriber is repeatedly prescribing a Schedule II opioid or Schedule III opioid to a patient, the prescriber shall periodically review information about the patient…"  More information can be found here: Utah Code - 58-37f (304)

Utah House Bill 127 from the 2018 General Legislative Session amends portions of the Controlled Substance Database Act and states, "A prescriber shall check the database for information about a patient before the first time the prescriber gives a prescription to a patient for a Schedule II opioid or a Schedule III opioid."  It continues to state, "If a prescriber is repeatedly prescribing a Schedule II opioid or Schedule III opioid to a patient, the prescriber shall periodically review information about the patient."  More information can be found in: Utah Code: Title 58-37f (304) and Title 58-37f (602).

Utah House Bill 127 from the 2018 General Legislative Session amends portions of the Controlled Substance Database Act and states, "A prescriber shall check the database for information about a patient before the first time the prescriber gives a prescription to a patient for a Schedule II opioid or a Schedule III opioid." It continues to state, "If a prescriber is repeatedly prescribing a Schedule II opioid or Schedule III opioid to a patient, the prescriber shall periodically review information about the patient.."  More information can be found here:Utah Code: Title 58-37f (304) and Title 58-37f (602).

Additionally, Utah's prescribing guidelines for chronic and acute pain, and the CDC's prescribing guidelines for chronic pain can be found at:

• Utah Clinical Guidelines on Prescribing Opioids for Treatment of Pain
• CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016

No.  All proxies/designees/delegates need to be CSD-authorized with their own login and password

Note: This applies to the CSD website login; proxies/designees/delegates do not have proxy authorization through electronic health record (EHR)-CSD integration.

PINs are longer required with the 2-factor authentication

Generally no.  The one exception is if they are a consulting physician or working in a multi-disciplinary patient approach for which they provide feedback, they may access the CSD for that individual.  They need to establish some provider-patient relationship and should document.  Documenting is key.  And they can also do searches on prospective patients – and document.

Otherwise, no.

Utah controlled substance prescribers registered with the CSD can have an unlimited number of CSD-authorized proxies/designees/delegates. Proxy/designee/delegate applications can be found here: CSD Proxy Application Form

As a reminder, prescribers are administratively responsible for disassociating proxies/designees/delegates when they are no longer a proxy/designee/delegate or employee.

All pharmacy techs & Interns in Utah have direct access to the CSD.  They are licensed to be under the general supervision of a pharmacist, and therefore act as a proxy to a pharmacist.

Any employee of the controlled substance prescriber who is approved by the prescriber AND is CSD-authorized may become a proxy/designee/delegate. To apply, use the CSD Proxy Application Form.

If a proxy/designee/delegate leaves your practice and is no longer employed with you for any reason, you MUST IMMEDIATELY complete a disassociation form and provide it to the CSD.  Disassociation forms are here: CSD Proxy Disassociation Form

The proxy/designee/delegate application form is here: CSD Proxy Application Form

The steps necessary to apply to become a proxy/designee/delegate for a specific provider are on page 3 of the CSD Proxy Application Form.

If there are no issues (e.g., court issues, incorrect email address, etc.) with the application, it generally takes 5-10 working days.  If you have not heard back from the CSD via email or phone within 10 business days, call the CSD at (801) 530-6220.

No.  If this occurs, the person would be in violation of criminal and/or civil law.

Pharmacists are not statutorily required to search the CSD prior to dispensing a controlled substance prescription, but they can check if they have CSD-authorized access.  However, to potentially limit the over-dispensing of opioids and other controlled substances, pharmacists are encouraged to check the CSD when they believe it is necessary.

All pharmacy techs and interns in Utah have direct access to the CSD. They are licensed to be under the general supervision of a pharmacist, and therefore act a proxy to a pharmacist and therefore can assist the pharmacist in pulling CDC reports.

Pharmacies are required to submit information to the CSD within 24 business hours or the next business day, whichever is later.  For example, if a pharmacy is closed on Saturday, Sunday and holidays, and a prescription is sold on a Friday before a Monday holiday, the pharmacy must report the prescription to the CSD by the end of business day Tuesday.

Additionally, please contact the CSD at (801) 530-6220 if you find missing prescription data or prescription data errors.

If you are having a conversation with your patient about treatment options and are in need of resources, the Substance Abuse and Mental Health Services Administration (SAMHSA) collects information on thousands of state-licensed providers who specialize in treating substance use disorders, addiction, and mental illness.  More information can be found at: https://findtreatment.gov

The patient may also contact United Way of Utah 211 for resources. Information can be found at: https://211utah.org/

Yes.  Information about locations for the safe collecting and disposing of unused and/or expired prescription medication(s) in Utah can be found at: https://useonlyasdirected.org/locations

It is forthcoming in 2022.  For more information about Medical Cannabis in Utah, visit: https://medicalcannabis.utah.gov

If you are a licensed controlled substance prescriber, you can complete a training with SAMSHA to become a qualified provider to provide medication-assisted treatment (MAT).

For more information, visit: SAMSHA's Website

No.

*Qualified practitioners can offer buprenorphine, a medication approved by the Food and Drug Administration (FDA), for the treatment of opioid use disorders (OUD).

Source: https://www.samhsa.gov/medication-assisted-treatment/become-buprenorphinewaiveredpractitioner

If you are a licensed clinician in Utah you can update your mailing address, email address and phone number at:

https://secure.utah.gov/doplrenewal/client/addressChange.html

If you have a question that was not answered here, please contact the CSD at: (801) 530-6220 or csd@utah.gov

Beginning January 1, 2022, Utah Code Annotated 58-37-22 requires that most prescriptions issued for a controlled substance be transmitted electronically as an electronic prescription. You can find more information on the licensing page for your profession: https://dopl.utah.gov/licenses.html (enter your profession and you will be directed to your professions page with the information on e-prescribing). There is a list of vendors of electronic prescribing systems who may be able to service a provider's electronic prescribing needs.