Where W.Va. stands: West Virginia has a prescription drug-monitoring program, but the program doesn't send routine reports to providers. A report released this month by the state Legislative Auditor recommends changes so that officials can use the system to detect possible "doctor shopping" and track unusual prescribing patterns.
Where W.Va. stands: The state Medicaid program and the Public Employees Insurance Agency monitor claims for controlled substances. For example, PEIA's pharmacy benefit manager sets parameters based on the amount of controlled substances a member receives, the number of doctors who prescribe it, and the number of pharmacies the member visits for these prescriptions within a designated time. When a member meets these parameters, their doctors get a letter alerting them.
Where W.Va. stands: Experts say many West Virginians lack access to substance-abuse treatment.