OBNDD PMP refers to Oklahoma Bureau of Narcotics and Dangerous Drugs’ Prescription Monitoring Program. In the United state of America, prescription monitoring programs (PMP) or prescription drug monitoring programs (PDMPs) are state-run health related programs which collect and distribute data relating to the prescription and dispensation of federally controlled substances. Individual states legislates or make rules on how potentially addictive or abusable prescription drugs are dispensed within the state. According to wikipedia, Prescription monitoring programs (PMPs) help to prevent adverse drug-related events through opioid overdoses, drug diversion, and substance abuse by decreasing the amount and/or frequency of opioid prescribing. To read the full Oklahoma prescription monitoring program click here.

According to addictioncampuses  on history of PMP, “California was the first state to develop a PDMP, in 1939. Back then, PDMPs were seen primarily as serving a public-safety function, allowing law enforcement officials to track when and where certain drugs were being over prescribed or diverted for illegal activity. In the next half of the 20th century, however, society began to see drug addiction in a new light. Addiction became an issue of public health, not just one of public safety—a disease to be treated rather than a crime to be punished. With this changing cultural understanding of addiction, the goal of PDMPs changed in turn.”

On controversy, Wikipedia states as follows ”

Many doctors and researchers consider PDMP’s essential in combating the opioid epidemic. Opioid prescribing, opioid diversion and supply, opioid misuse, and opioid-related morbidity and mortality are all elements in the design of PDMP’s. Prescription Monitoring Programs also offer economic benefits for the states who implement them. By decreasing overall health care costs, lost productivity, and investigation times, PDMP’s are effective in reducing many effects of the opioid epidemic.

However, there are many studies that conclude that the impact of PDMP’s is unclear. There are only a few states that saw evidence for reduced opioid prescribing, shipments, and diversion of drug shipments, which propose a more conceptual method for evaluating PDMP’s in the future. The effectiveness of these programs is up to much dispute. When examining if PDMP implementation effects changes in nonfatal and fatal events, there is no definitive evidence whether PDMP implementation increased or decreased overdoses. Furthermore, although PDMP’s have been around for a long period of time, their impact is still unknown and unperfected.

Interestingly, an increase in heroin overdoses after PDMP implementation has been commonly reported. Fink et al cited that due to the small sample size and isolated nature of the study this conclusion is drawn from, the deduction could be insignificant, but does highlight the possible negative repercussions that could emerge from prescription monitoring programs.”