Patient Review and Restriction Programs: Prescription Drug Monitoring Programs and the Need for Collaboration

ACPE UAN #:  0233-0000-18-011-H04-P

Release DateApril 24, 2018

Expiration Date:  April 24, 2021

Activity Type:    Knowledge-based

Contact Hours1.25

Activity Fee:  Member:  $15        Non-Member: $30

Target Audience: Pharmacists who practice in managed care settings.

Activity Description

Patient Review and Restriction (PRR) programs are commonly used by health plans in doctor’s offices to manage the excessive prescribing of controlled substances or services. Little is known about real world outcomes from these programs and their effects on patients and health plans. Limited access to Prescription Drug Monitoring Programs (PDMP) has hindered payers’ ability to effectively manage some of the patients at greatest risk for misuse or abuse.

This session will discuss one plan’s outcomes from a PRR program. It will also review PDMP and PRR program best practices, while addressing the need for increased collaboration to drive the best results for patients.

Learning Objectives:  

At the completion of this activity, participants should be able to:

  1. Describe the outcomes of one state’s Patient Review and Restriction (PRR) program to understand the impact on controlled substance management.
  2. Discuss trends in PRR programs, including successful models and impact on policy.
  3. Summarize the utilization of Prescription Drug Monitoring Programs (PDMP) in managed care and the need for future collaboration.

Schedule of Educational Activity:

This activity consists of an audio recording, pre-test assessment questions (not required to pass or continue), post-test questions (required to pass with a score of 70% or higher) and a specific activity evaluation. 


The Academy of Managed Care Pharmacy (AMCP) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

As an accredited provider, AMCP strictly adheres to the ACPE Standards for Commercial Support and other relevant guidelines and standards to ensure the independence of continuing pharmacy education (CPE) activities.  It is AMCP’s intent that all CPE activities be independent, objective, balanced, evidence-based and free of any commercial bias.

CPE Requirements:   

Participants should claim continuing pharmacy education (CPE) credit for this home study activity only if they have not claimed credit for the live activity presented at AMCP Annual Meeting 2018. 

CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor.  Please allow 72 hours for processing and posting in your NABP account. 

To receive credit for an online activity you must:

  •  Review the full content of the activity.
  •  Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
  •  Complete a specific activity evaluation.


Paul L. Jeffrey, PharmD |  Director of Pharmacy | MassHealth | Quincy, Massachusetts.

System Technical Requirements/Viewing Requirements: System Requirements Courses and learning activities are delivered via your Web browser and Acrobat PDF. For all activities, you should have a basic comfort level using a computer and navigating websites.  View the minimum technical and system requirements for continuing education online learning activities.

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-18-011-H04-P 1.25 Contact Hours April 24, 2018 - April 24, 2021