TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
REGISTRAR'S NOTICE:
Forms used in administering the regulation have been filed by the agency. The
forms are not being published; however, online users of this issue of the
Virginia Register of Regulations may click on the name of a form with a
hyperlink to access it. The forms are also available from the agency contact or
may be viewed at the Office of the Registrar of Regulations, 900 East Main
Street, 11th Floor, Richmond, Virginia 23219.
Title of Regulation: 18VAC76-20. Regulations
Governing the Prescription Monitoring Program.
Contact Information: Elaine J. Yeatts, Senior Policy
Analyst, Department of Health Professions, 9960 Mayland Drive, Suite 300,
Richmond, VA 23233, telephone (804) 367-4688, or email
elaine.yeatts@dhp.virginia.gov.
FORMS (18VAC76-20)
Request for a Waiver or an Exemption from Reporting (rev.
9/07).
Request to Register as an Authorized Agent to Receive
Information from the Prescription Monitoring Program (rev. 7/08).
Pharmacist Request for Information (rev. 7/08).
Recipient Request for
Discretionary Disclosure of Information from the Prescription Monitoring
Program (rev. 7/08).
Prescriber Request for
Discretionary Disclosure of Information from Prescription Monitoring Program
(rev. 3/2009).
Request for Disclosure of
Information from Prescription Monitoring Program (DHP/DDU/MEO) (rev. 7/08).
Request for Disclosure of
Information from Prescription Monitoring Program for Research (rev. 7/08).
Regulatory Authority Request
for Discretionary Disclosure of Information from the Prescription Monitoring
Program (rev. 7/08).
Investigation under Virginia Medicaid Program; Request for
Discretionary Disclosure of Information from Prescription Monitoring Program
(rev. 7/08).
Prescription Monitoring Program Internet Datacenter
Registration Form (rev. 7/08).
Request
for a Waiver or an Exemption from Reporting (rev. 5/2018)
Request
for a Waiver or an Exemption from Reporting: Veterinarian (rev. 5/2018)
Request
to Register as an Authorized Agent to Receive Information from the Prescription
Monitoring Program (rev. 7/2017)
Recipient
Request for Discretionary Disclosure of Information from the Prescription Monitoring
Program (rev. 7/2017)
Regulatory
Authority Request for Discretionary Disclosure of Information from the
Prescription Monitoring Program (rev. 4/2018)
Application
to Register as a Virginia Medicaid Managed Care Authorized Agent to Receive Information
from Prescription Monitoring Program (rev. 4/2018)
Account
Development Form for Reporting to Virginia’s Prescription Monitoring Program
(rev. 7/2018)
Request
to Register as an Authorized Parole or Probation Officer to Receive Information
from the Prescription Monitoring Program (rev. 4/2018)
Request
to Register as an Authorized Drug Diversion Investigator to Receive Information
from the Prescription Monitoring Program (rev. 4/2018)
VA.R. Doc. No. R19-6038; Filed June 7, 2019, 2:46 p.m.