PDMP Forms

​Prescriber Data Request

​CRISP has available for Maryland prescribers who have a valid DEA number, a DEA Self-Audit report within its Unified Landing Page (ULP): https://ulp.crisphealth.org/​. This report displays the individual prescriber’s CDS prescriptions across all patients, allowing opportunity to view and understand prescribing trends. It can also be used as a tool to audit for potential fraud concerns, for example if a prescription pad goes missing.

The report can only be run by a prescriber to see his own history. This feature currently supports one DEA number per user. Anyone who possesses multiple DEA numbers, for example a separate DEA for suboxone prescribing, can run the report only for the DEA they registered with on their ULP account. The ability to report on more than one DEA number is a future enhancement in CRISP. For a report of prescriptions attributed to additional DEA numbers, please submit the above Maryland Prescription Drug Monitoring Program (PDMP) Prescriber Data Request Form to the PDMP office.​

Patient Data Request

For a report of prescriptions dispensed to a patient, please submit the below Maryland Prescription Drug Monitoring Program (PDMP) Patient Data Request form to the PDMP office.