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Below is a list of frequently asked questions. If you have any other questions that are not answered on this page please email the Mississippi Board of Pharmacy.
How can or cannot a hospital use drugs purchased under preferential prices?
The Board of Pharmacy receives numerous calls concerning how a hospital can or cannot use
drugs purchased under preferential prices.
The Abbott Labs, Inc., V. Portland Retail Druggist Association, Inc. case answered most of those
questions. In that case the court, for convenience, classified hospital sales into 10 areas and then
stated if the preferential priced drugs could legally be sold in those areas of sales. We have
attempted to summarize that case.
* Inpatient--one who is admitted to the hospital for at least overnight bed occupancy.
* Patients admitted to the Emergency Room.
* Outpatient--one who receives treatment or consultation on the premises, but is not an inpatient.
Court Opinion--The hospital pharmacy can sell drugs purchased at preferential prices in these
Note: Board of Pharmacy regulations limit quantities dispensed from the E.R. room to a 48-hour
supply, except for antibiotics.
* Inpatients or E.R. Patients upon discharge for personal use away from premises.
* Outpatients for personal use away from premises.
Court Opinion--The court ruled that the genuine take-home prescription, intended for a limited
and reasonable time, is a continuation of, or supplement to, the treatment in the hospital, and
allowed the hospital pharmacy to fill these prescriptions.
Note: Arkansas Hospital Regulations limit discharge medications to a "reasonable quantity."
This has been defined as not more than a 30-day supply, and hospitals are not allowed to fill
"outpatient" prescriptions to be used by patients away from the hospital.
* Renewal or refills of prescriptions for former patients.
Court Opinion--These are not allowed.
* Hospital employees and dependents.
Court Opinion--These can be filled.
* Staff physicians, not employees, for personal or dependents' use.
Court Opinion--These can be filled.
* Physician member of hospital staff for use in private practice away from the hospital.
Court Opinion--The hospital cannot provide these medications.
Note: This would probably apply to non-hospital based ambulance services.
* Walk-in customers who are not hospital patients.
Court Opinion--The hospital pharmacy cannot fill these orders except in emergencies and "so
long as the hospital pharmacy holds the emergency situation within bounds and entertains it only
as a humanitarian gesture."
Note: This is the logic the board office follows to conclude that the emergency sales by hospital
pharmacies to community pharmacies would be allowed "to meet an immediate patient need." Be
careful to assure that the occasional sale is to meet a specific patient's needs, and that the hospital
does not in any way become the routine source of supply.
HOSPITAL -- COMMUNITY: SALES UNDER THE DINGELL BILL
The Dingell Bill prohibits the sale, purchase, or trade, or offer to sell, purchase, or trade any drug
which was purchased by a public or private hospital. It also states that this prohibition does not
apply to..."a sale, purchase, or trade of a drug or an offer to sell, purchase, or trade a drug for
emergency medical reasons." In another area it further clarifies "emergency medical reasons" to
include: "transfers of a drug between health care entities or from a health care entity to a retail
pharmacy undertaken to alleviate temporary shortages of the drug arising from delays in or
interruptions of regular distribution schedules."
This is not a valid legal opinion but is advise: If a patient needs a medication which is not
immediately available except from a hospital, we believe the hospital can sell the drug to the
retail pharmacy. Remember, there is a patient who can be named who needs the medication, and
thus, a medical emergency exists.
From the clarification, we believe that if a retail pharmacy has ordered a specific drug for a
patient and it is not in the Friday evening delivery and not available except from the hospital,
then the hospital can also sell a quantity of the drug to the retail pharmacy. Again, there is a
patient that can be named who needs the medication.
The price charged in both instances is set by the seller, the hospital.
Conversely, we believe it would violate Dingell for a hospital to sell a retail pharmacy in
instances where the retail pharmacy just doesn't want to buy the quantity packaged by the
As an example, even though they are "Emergency Boxes," the hospital cannot sell retail
pharmacies the supplies just because the pharmacy does not want to purchase 25 ampules.
Sales to M.D.'s: From previous court rulings, a hospital cannot sell legend drugs to supply a
physician's private practice. In situations where hospitals "underwrite" physician practices, the
determination would be "is the practice private?"
What are the legal guidelines for the format of Prescription Blanks?
The Board of Pharmacy continues to receive numerous inquiries concerning legal guidelines for
the format of prescription blanks in the State of Mississippi. In that regard, the Board offers the
Both of the above can be accessed by clicking on the above hyperlinks or from the Board’s home
page by clicking “Pharmacy Practice Act” and/or “Regulations”.
The requirements of a legal prescription blank are, that there shall be a signature line in the
lower right-hand corner beneath which shall be imprinted the words “Substitution Permitted” and
a signature line in the lower left corner beneath which shall be imprinted the words “Dispense as
All other inquiries such as pre-printed blanks, number of prescription orders per blank and the
electronic transfer of a prescription order should be addressed by the Mississippi State Board of
Medical Licensure. They can be contacted by telephone at 601-987-3079 or by fax at 601-987-
4159. Their web address is www.msbml.state.ms.us.
What does a facility need to do when there is a loss of controlled substances?
Facilities need to report losses of controlled substances to the Board as required in Article XXV
of the Mississippi Pharmacy Practice Regulations. Article XXV, Inventory Requirements for
Controlled Substances, paragraph 1, states that if a facility has a loss of controlled substances as
a result of a burglary, armed robbery, employee theft, customer pilferage, etc., a complete
inventory of all remaining controlled substances must be made and the loss must be reported to
the Board within 48 hours of the discovery of the loss. A written report, which includes a copy
of the written remaining inventory of controlled substances, must be provided to the Board
within 15 days.
When you contact the Board office to report the loss, you will be instructed to also report it to
the regional office of the Drug Enforcement Administration (DEA) in New Orleans at (504) 840-
1100. The Mississippi Bureau of Narcotics will send you forms to complete. A copy of this form
will suffice for the report that is required to be sent to the Board. You must submit copies of the
written report or form to the following agencies: the Board of Pharmacy, The Mississippi Bureau
of Narcotics, and the DEA office in New Orleans.
The controlled substance inventory taken as a result of a loss will not suffice for the annual
inventory of controlled substances now required by Article XXV, paragraph 3, of the Pharmacy
What does a permit holder need to do when he/she will no longer be the permit holder?
Pharmacy permit holders, as stated in Article VII of the Mississippi Pharmacy Practice
Regulations, are required to notify the Board when they leave the permitted facility. If the
employment of the permit holder is terminated, or if for any other reason he/she wishes to be
relieved of the responsibilities of the permit holder, he/she must:
When the relinquishing permit holder cannot or does not comply with these inventory
requirements, it shall be the responsibility of the new permit holder to send to the Board an
inventory of any controlled substances on hand at the time he/she assumes responsibility as
permit holder. Application for a new permit must be made to the Board within 10 days.
What examinations are recognized by the Board for Pharmacy Technician Certification?
Please contact the exam of your choice for study material!
What is the current procedure for students wanting to take the NAPLEX/MPJE?
Students desiring to take the NAPLEX and/or MPJE can visit the NABP webpage at
www.NABP.net to register for the exam(s).
Upon receipt of proof of graduation from candidate's school of pharmacy and proof of 1600 prelicensure
hours certified by candidate's board of pharmacy, graduate will be marked eligible to
take NAPLEX/MPJE. This is done electronically. After candidate has received his/her ATT
(Authorization To Test) number, he/she may contact testing site to schedule an appointment to
take exam(s). Please allow three (3) to seven (7) business days (from test date) in order for the
board to receive test scores. Exam results will be posted on the board's website by ATT
numbers. Please do not call the board office inquiring about results, NO INFORMATION WILL
BE PROVIDED VERBALLY.
What medications are Home Health/Hospice Providers allowed to stock?
Limited to the purchase, possession and sale of: Heparin Flush, Granulex, Sterile Water for Irrigation, Sterile Water for
Injection, Sodium Chloride for Irrigation, Sodiium Chloride for Injection, Diphenhydramine Injection, Epinephrine for
Injection, A Cortical Steroid (e.g. Solu-Medral, Solu-Cortef or Decadron), Tuberculin Purified Protein Derivative (PPD),
Hepatitis B Vaccine, IV Solutions, Flu Vaccine,Abbokinase and Pneumonia Vaccine.
Can I run a report on a patient who I have treated in the past, but am not currently treating?
Pharmacists or prescribers can request a Patient PMP Report solely for the purpose of treatment. If you are no longer treating the patient, you are not authorized to request a MSPMP report.
Can I run MSPMP reports on patients from home or other locations?
You may obtain MSPMP reports from any computer. However, you are still under HIPAA obligations to protect the patient's information.
Delegates: How many delegates may a prescriber/supervisor have and for how many prescribers/supervisors may a delegate run reports?
Do doctors or dentists who dispense out of their office have to report to MSPMP?
Yes. Dispensing Physicians and dentists who personally furnish MSPMP reportable drugs to their patients for more than a 48-hour supply must report these dispensings to the MSPMP (samples do not have to be reported). “Personally furnish” means the product leaves with the patient for the patient to use outside the office. Products administered to a patient while in the office (such as an injection) do not need to be reported.
What if my question is not answered here?
Contact us at MSPMPASSIST@MBP.MS.GOV
Who can I share MSPMP information with?
The MSPMP report itself is for your use in treating the patient or conducting a law enforcement investigation. The report should not be provided to anyone outside of your office/pharmacy. However, information found on the report can be discussed with anyone (including the patient) listed on that report within the bounds of HIPAA and other privacy laws.
Will my password ever expire?
You are required to change your password every 90 days for security reasons.
As a prescriber, how do I get a list of patients for whom I have written a prescription?
After logging in to PMP AWARxE, go to “Rx Search” and “My Rx”. Prescribing histories are run based on DEA#. If you have provided your DEA# to us, you will see and check your DEA# and provide a date span to retrieve your prescribing history.
Buprenorphine prescriptions: which identifier should be reported, the prescriber’s regular DEA number, or their “X” number?
When reporting buprenorphine prescribed for the purpose of treating addiction, report the “X” number. When reporting buprenorphine prescribed for the treatment of pain, report the regular DEA number.
Can I keep a copy of the MSPMP reports I run (in the patient’s file or otherwise)?
Yes. It is also recommended that you discuss any plans to keep copies of MSPMP reports with your legal advisor to ensure that your plans meet any other requirements not directly related to MSPMP. Once placed in the medical record, it should be treated as part of the medical record. We do not recommend printing out PMP reports in a pharmacy. There is no medical record and no need to have PMP reports in the pharmacy. Pharmacists should be able to review the PMP on the spot to make a decision.
Can I request a PMP Report without registering?
No. All requests for PMP Reports must be submitted electronically via the MSPMP AWARxE website. The resulting report will available within seconds of the request.
Can I run an MSPMP report for someone else at my office/pharmacy?
If you also treat the patient, you can request a report on the patient and share the information with others who treat the patient within your office or pharmacy. However, you may not provide a report to someone else solely for their own use. The treating physician/pharmacist should obtain his/her own MSPMP account.
Can we use the MSPMP report in court?
MSPMP reports are not evidence and should not be presented in court. MSPMP was designed to be used as a tool for making informed pharmaceutical decisions by gathering controlled substance information.
Delegates: How do I add or delete a delegate from my account?
Do I have to report prescriptions for animals?
Yes. Veterinary prescriptions must be reported.
How can an individual get a copy of their own MSPMP report?
An individual may request their own MSPMP report by completing a request, having it notarized, and sending the original application along with a copy of the individual’s current driver’s license. The PMP report will be mailed to the home address of the individual requesting their own report.
How do I report a compounded prescription?
Per ASAP standards, compounds are reported with an NDC of all 9's.
How long does it take a prescription to appear on a patient’s MSPMP report after being dispensed?
Pharmacies are required to report prescription information to MSPMP every 24 hours or next business day of the date the drug was dispensed. Considering the time required to process that information with no errors involved, the prescription information should be available within a day or two of the dispensing date.
I called the pharmacy about missing/incorrect information on my prescriber report and was told they have fixed the error but I still do not see the error corrected. What do I do?
In some cases, the pharmacy corrects the information in the pharmacy system, but it is not resubmitted to the Clearinghouse. In this case the pharmacy needs to contact their vendor to make sure the resubmission was sent to the Clearinghouse and the original incorrect prescription information is no longer in the Clearinghouse.
I cannot remember my password. How do I reset it?
You can reset your password after it has expired by selecting “Reset Password” on the Login Screen. If your password has not expired yet and you have received an email reminder, login and go to “User Profile” and “Password Reset”. If you continue to experience issues, you may reach MSPMP during regular business hours by emailing us at MSPMPASSIST@MBP.MS.GOV or calling us at 601-899-0138.
I can't find my patient in MSPMP. What do I do?
You have several options: 1. Expand the search criteria. Minimum search criteria are name, birth date, and zip code. Including the address or telephone number may get additional information from the database. Adding criteria will not reduce the amount of information the report collects. 2. Verify your search criteria. Check spelling of names and birthdate. 3. Call the pharmacy to see how they have spelled the patient’s name or entered the birthdate or zip code. Base your search criteria on that information. 4. Even though a prescription may have been submitted, if there was an error in the data the prescription is rejected. Errors are reported back to the dispensing pharmacy for correction and resubmission. Please contact the MSPMP if these options do not help.
I run a report and no prescriptions show up, even though I know the patient has had prescriptions filled. What do I do next?
You have several options: 1. Expand the search criteria. Minimum search criteria are last name, first name, and birth date. Including the zip code, address or telephone number may get additional information from the database. Adding criteria will never reduce the amount of information the report collects. 2. Verify your search criteria. Check spelling of names and birthdates. 3. Call the pharmacy to see how they have spelled the patient’s name or entered the birthdate or zip code. Base your search criteria on that information. 4. Even though a prescription may have been submitted, if there was an error in the data the prescription is rejected. Errors are reported back to the dispensing pharmacy for correction and resubmission.
I’m currently retired/not actively working as a pharmacist/prescriber. May I still use the PMP?
MSPMP accounts are designed for health care professionals who are actively working in a capacity where you prescribe, fill prescriptions, or are otherwise involved in primary treatment decisions in your practice of medicine or pharmacy.
May we set up an “office account” for multiple users to access or establish a single point of contact for all account holders within an office?
While we understand the desire for a single account/single point of contact for multiple people to use, we cannot accommodate this. Everyone must have their own, private user name and password. Again, NO SHARING OF THIS INFORMATION.
Sometimes, my request is processed immediately, but occasionally I get a message saying there are multiple patients. Why does this happen?
Because MSPMP does not require a unique patient identifier, such as a driver’s license number or social security number, there are times when a name and date of birth may be identical. The requestor can decide whether they are the same person and can pick and choose which report(s) to run. Those individuals come across for Admin to merge or leave independent.
The drug is listed as “compound”. What does that mean?
Pharmacies report the NDC of the drug being dispensed. Compounds do not have a standard NDC. Call the pharmacy; they can tell you what was dispensed.
The report shows a hospital as the prescriber. How do I know who actually wrote the prescription?
Pharmacies report the DEA number of the prescriber to MSPMP. Some of these are institutional DEA#s. Call the dispensing pharmacy to determine the actual prescriber. They are required to maintain that information.
There appears to be an error on the MSPMP report.
Call the dispensing pharmacy for all clarifications/corrections. Only they can make corrections to their information. The correction on the prescription must then also be reported by that pharmacy to MSPMP via the APPRISS Clearinghouse.
Under what circumstances are law enforcement officers permitted to request an Rx History report?
What if my pharmacy NEVER dispenses a controlled substance?
What if the patient has no telephone number?
Use the area code of the pharmacy then zeroes for the phone number. [E.g. in North Mississippi a pharmacist would use 6620000000]
What if the patient is homeless?
Use the address of the pharmacy with (patient has no address) on address line 2 and use the area code of the pharmacy then zeroes for the phone number. [E.g. in North Mississippi a pharmacist would use 6620000000]
What if the patient’s address is out of the USA?
If the patient’s address is in Canada, enter the 2 letter Province code for the State code and the Canadian postal code. [e.g. Toronto is in the Province of Ontario so state = ON and one of the postal codes is M4J 4H3] If the patient’s address is in any other country, enter the two-letter country code from the IRS table and 99990 for the zip code. Country codes can be found here [e.g. Kuwait is KU and the zip code used will be 99990]
When am I required to request a MSPMP report on a patient?
When do I have to report prescriptions?
All prescriptions must be reported within 24 hours or next business day after being dispensed.
Who can I authorize to use my account?
Nobody! Your MSPMP account is for your use only. Do not share your password with anyone, including your office staff and/or spouse. To authorize others to access MSPMP on your behalf, delegate accounts are available for this purpose. Your chosen delegate should go to our website and click on the “Please register for an account” link to start a delegate application. **NOTE** delegates are linked to their supervisors by their user names. Supervisors must approve the delegate for that person to be an approved user.
Who can make changes to the demographic information on my MSPMP account?
To protect the integrity of your MSPMP account, only the account owner may make a change to their information. When calling the MSPMP, we can only give information to the account holder, not to their office support staff or others.
Who can register for MSPMP?
Prescribers, Pharmacists, Law Enforcement Officers, State Licensing Boards, coroners, and drug courts can register for MSPMP. A physician can have anyone as a delegate, a Nurse Practitioner must have a registered nurse as a delegate, and a pharmacist may only have a Pharmacy Technician as a delegate.