The Arizona State Board of Pharmacy requires law enforcement, licensing board investigators, or staff from the Arizona Health Care Cost Containment System (e.g., Medicaid) to sign this privacy form before being granted access to the Controlled Substances Prescription Monitoring Program. Part of the Arizona ReThink RX Abuse initiative which helps communities educate their citizens about prescription drug safety.
Funding Source: Arizona State Board of Pharmacy
Law Enforcement, Licensing Board Investigator, and AHCCCS Privacy Statement
The patient privacy statement required from some parties to access information in the Arizona Controlled Substances Prescription Monitoring Program