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.
Dispenser Reporting Deadline Waiver for 24 Hour Reporting
At the Maryland Department of Health Secretary’s discretion, a dispenser may be granted a waiver from the requirement to report data to the Maryland PDMP every 24 hours. The reason for a reporting deadline waiver must be 'particular to a unique problem, incident or other issue that prevents the dispenser from meeting the reporting deadline.”
Please describe in detail the reason for the dispenser’s request to receive a waiver from daily reporting and include any available documentation of the specific circumstances that prevent the dispenser from meeting the reporting deadline. Please click
HERE to download the form and email the completed form to
mdh.pdmp@maryland.gov
