State-led efforts to stem opioid and prescription drug abuse are working.

For the first time in 20 years, drug overdose deaths in the US declined in 2018, due primarily to a decline in deaths from prescription opioids.

The number of Americans with a substance use disorder also has declined, according to the 2017 National Survey on Drug Use and Health.

Programs and initiatives are underway across America to continue this trend and win the battle against the opioid epidemic. That’s why every state in the US, the District of Columbia, Puerto Rico, Guam and the Department of Defense are harnessing and sharing data from Prescription Drug Monitoring Programs (PDMP), secure, electronic databases that track the dispensation of controlled substances.

Using PMP InterConnect (InterConnect), a tool they developed in 2011 in partnership with the National Association of Boards of Pharmacy (NABP), the states have created state and national networks of PDMPs, healthcare providers and pharmacies all with the shared goal of providing a more effective means of combating drug diversion and drug abuse nationwide.

NABP and the states upped their game in 2014 by initiating the development of PMP Gateway (Gateway), which made accessing PDMP data more efficient for healthcare providers and pharmacies. Data sharing and the prevention of prescription drug abuse have soared with PDMP data now integrated into and accessible from electronic health records and pharmacy management systems.

PDMPs are harnessing the power of data to fight opioid abuse. It’s working.


PDMPs Sharing on PMP InterConnect


PMP InterConnect Total Transactions (Past 12 Months)


States using PMP Gateway


Facilities with PMP Gateway Integrated Access

Note: Statistics as of December 2020


Proven, powerful tools in the fight against opioid abuse

PMP InterConnect and PMP Gateway are tools being used by PDMPs across the US to combat drug diversion and drug abuse nationwide.

PMP InterConnect, the only national network of Prescription Drug Monitoring Programs (PDMPs), is a secure data-sharing hub that breaks down siloes and enables the sharing of PDMP data across state lines, providing clinicians and pharmacists with a more complete patient history upon which to make decisions. This capability is critical for physicians and pharmacists to more easily identify patients who may be obtaining prescription medications for any purpose other than the treatment of an existing medical condition, including for purposes of abuse, misuse or diversion, especially if those patients are crossing state lines to obtain drugs. PMP InterConnect, as of December 2020, connects 52 of the 54 PDMPs in the US, facilitating more than 359 million responses every month. PMP InterConnect was developed in 2011 at the request and direction of the National Association of Boards of Pharmacy (NABP) and a group of state PDMP directors. It is governed by its 52 PDMP members.

PMP Gateway integrates PDMP data, analytics, insights and resources into electronic health records, health information exchanges, and pharmacy management system workflows, making it easy and efficient for healthcare providers and pharmacists to access patient information, in line with state laws, before prescribing/dispensing additional medication. More than 922,000 prescribers and pharmacists at over 118,000 facilities in 43 States are using PMP Gateway service in 91 million patient encounters per month.

PMP InterConnect Transactions

Use the interactive map below to view PMP InterConnect transactions by PDMP/state.

The Growth of PMP Gateway March 2015 – December 2020

Use the interactive map below to see the growth of PMP Gateway facilities across the US.



The cost to the states for PMP InterConnect. The National Association of Boards of Pharmacy (NABP) provides InterConnect at no cost to PDMPs.


PDMPs securely exchange their data via PMP InterConnect.


Interstate transactions take place each month over PMP InterConnect.



PDMPs are using PMP Gateway to integrate PDMP data and analytics into physician and pharmacist workflows.


Prescribers and pharmacists are using PMP Gateway.


Patient encounters take place in PMP Gateway every month.

Note: Statistics as of December 2020