Today Governor Kim Reynolds signed HF 2377 into law, which is a historic bill mandating sweeping changes to the manner in which opioids are prescribed and dispensed in Iowa.  Key provisions of the new law include:

  • Mandatory registration to the Prescription Monitoring Program (PMP) of prescribers of controlled substances at the time of registration or renewal of a controlled substance registration through the Iowa Board of Pharmacy.
  • Mandatory use of the PMP prior to prescribing an opioid, pursuant to rules promulgated by the various prescriber licensing boards.
  • Mandatory electronic prescribing for all prescriptions, including controlled substances, beginning January 1, 2020
  • "Next business day" reporting of dispensings of controlled substances in schedules II-IV to the PMP, including prescriber dispensings and hospital in-patient dispensings
  •  A requirement that prescriber licensing boards establish penalties for practitioners who prescribe opioids in excessive amounts
  • Mandatory continuing education for practitioners who prescribe opioids, pursuant to pursuant to rules promulgated by the various prescriber licensing boards.

Additionally, the bill requires the Iowa Board of Pharmacy to provide prescriber activity reports, which will include an individualized summary of prescribing history as well as comparison of that data to others in the same profession or specialty.  Proactive notifications, which will help practitioners identify patients who may be at risk of abusing or misusing a controlled substance, will also be implemented within the PMP system.  

Pursuant to the bill, the Iowa Board of Pharmacy and the prescriber licensing boards, will write rules further implementing these mandates.  Rulemaking updates will be shared in the coming months. 

 If you have not yet registered for the PMP with the Iowa Board of Pharmacy, please do so by clicking here