Custom State Indicators

• Deceased Patient Indicator
• Opioid Antidote/Naloxone Administration Indicator
• Marijuana Registry Indicator
• Opioid Treatment Program Indicator

Some PDMPs may also choose to enable Custom State Indicators to provide additional patient context within the Patient Report. These indicators can highlight important PDMP-specific information, such as deceased patient status, opioid antidote (naloxone) administrations, medical marijuana card status, participation in an opioid treatment program, and other PDMP-supported notifications. Availability and display of these indicators may vary by PDMP.

Deceased Patient Indicator

If enabled by the PDMP, the Deceased Patient Indicator may present on the Patient Report to inform healthcare providers when a death notification has been received for that patient. When a provider looks up a patient, this indicator gives them an immediate, at-a-glance alert that the patient is deceased, helping prevent any new prescriptions or refills from being authorized for someone who has passed away. 

By surfacing this important information alongside other patient details, the indicator supports safer prescribing practices, reduces the risk of fraud, and helps providers offer more thoughtful, informed care.

Please refer to the Patient Alerts help article for more information.

OD Insights

OD Insights ingests non-fatal overdose data — identified through ICD-10 diagnosis codes from emergency department visits, EMS encounters, hospital admissions, and naloxone administrations — and surfaces that information directly on the Patient Report. OD Insights gives healthcare providers visibility into patients who have a history of non-fatal overdose (NFOD) events.

A prior non-fatal overdose is one of the strongest predictors of future overdose and death. Providers may not be aware that a patient has experienced an overdose event, especially if the event occurred at a different facility. By making this data visible at the point of care, OD Insights helps providers identify patients at increased risk, support early intervention, and connect individuals to appropriate follow-up treatment and recovery services.

Please refer to the OD Insights help article for more information. 

Opioid Antidote/Naloxone Administration Indicator

If enabled by the PDMP, and applicable to the Patient, the Opioid Antidote/Naloxone Administration Indicator is an indicator that appears on the Patient Report to inform healthcare providers when a patient has previously received an opioid antidote, such as naloxone or Narcan, to reverse a suspected overdose. When a provider looks up a patient, this indicator gives them quick, at-a-glance awareness that the patient has experienced one or more prior overdose events. 

By surfacing this important context alongside other patient health information, the indicator helps providers identify patients who may benefit from additional support, have more informed conversations about safer treatment options, and make thoughtful prescribing decisions that prioritize patient safety.

Please refer to the Opioid Antidote/Naloxone Administration help article for more information.

Medical Marijuana Indicator

If enabled by the PDMP, and applicable to the patient, the Medical Marijuana Indicator appears on the Patient Report to inform healthcare providers that the patient has an active medical marijuana card, when that information has been made available by the applicable PDMP. The indicator is displayed within the State Indicators section of the Patient Report and may also include the card’s expiration date, when available.

This information is intended to provide healthcare providers with additional patient context during their review process. By including medical marijuana status alongside other patient health information, providers can support more informed care decisions and more comprehensive patient discussions.

MOUD Clarity

MOUD Clarity is a clinical alert enhancement available within PMP AWARxE and PMP Gateway that helps healthcare providers identify patients who may be experiencing a potential lapse in their Medications for Opioid Use Disorder (MOUD) treatment.

MOUD Clarity automatically monitors PDMP dispensation data and flags patients who appear to have a gap in their MOUD medication that exceeds a threshold configured by the applicable PDMP. 

Poor adherence to MOUD protocols can increase the risk of relapse and overdose. Providers often have limited time with patients and may not be aware that a patient has run out of their MOUD medication between visits. MOUD Clarity surfaces this information at the point of care to support continuity of treatment and informed clinical decision-making.

Please refer to the MOUD Clarity help article for more information. 

Opioid Treatment Program Indicator

If enabled by the PDMP, the Opioid Treatment Program Indicator may present on the Patient Report to inform healthcare providers when a patient is actively enrolled in a licensed opioid treatment program, such as a methadone or buprenorphine clinic. When a provider looks up a patient, this indicator gives them quick, at-a-glance awareness that the patient is receiving structured care for opioid use disorder, even though medications dispensed directly by these programs typically don't appear in standard dispensation histories. 

By surfacing this important context alongside other patient health information, the indicator aids providers to avoid potentially harmful drug interactions, coordinate care more effectively with the patient's treatment team, and have more supportive, informed conversations about the patient's overall health.

Please refer to the Opioid Treatment Program help article for more information.

Clicking on the Details link on any of the State Indicators tiles will redirect users to either the Information for Healthcare Professionals (HCPs) on Additional Risk Indicators support article or a 'Additional Indicators' pop up modal depending on the configurations enabled by the PDMP. 

For questions on configurations and specific indicators, please contact the PDMP.