Prescription Drug Monitoring Program (PDMP)

Every state in the U.S., except Missouri, has a statewide Prescription Drug Monitoring Program to monitor prescription drug activity. However, in 2017, Saint Louis County established a local-based PDMP in order to address opioid abuse and since then, the program has grown to cover 84% of the state's population. Clay County recognized the impact the opioid epidemic was having on our community and, in August 2017, enacted a local ordinance to join the Saint Louis County PDMP.

The Prescription Drug Monitoring Program monitors the prescribing and dispensing of schedule II-IV controlled substances, including opioids, to assist in the identification and prevention of prescription drug misuse and abuse. The program’s goals are to:

PDMP Diagram
  • Improve controlled substance prescribing by providing critical information regarding a patient’s controlled substance prescription history.
  • Inform clinical practice by identifying patients at high-risk who would benefit from early interventions.
  • Reduce the number of people who misuse, abuse or overdose while making sure patients have access to safe, effective treatment.

See Frequently Asked QuestionsPDMP Fact SheetPDMP Program Update or Clay County PDMP Ordinance for more information.

Clay County opioid dispensation rates by age and gender - Q1 2021

Annotation 2022-01-27 085419

For Providers

Registration for the PDMP can be completed one of two ways: individual provider registration or mass provider registration by an employer. See below for details.

Individual Registration

  • Individual providers can register themselves any time by visiting here
  • Use the prescription drug monitoring program (PDMP) Registration Guide for a step-by-step tutorial on how to register.
  • All users must upload validation documentation before their registration will be processed. See the PDMP Validation Documentation List for information about authorized users and required documentation. 

Mass Registration

  • Mass Registration is an opportunity that gives health systems, hospitals, medical groups or healthcare practices the ability to bulk register their healthcare providers in the PDMP.
  • Mass registration will be offered twice per year, in February and in August. See Mass Provider Registration for more details on timeline and cost.
  • Health systems must provide information related to each healthcare provider they wish to register as part of the mass registration process. Each type of healthcare provider (user role) requires different information, and the mass registration template file has a tab for each user role. To access the registration template, please contact 816-595-4213.


For questions related to mass registration for PDMP, Clay County health care organizations can contact Community Development at