Pain Management / Opioid Use & Misuse

MCMS Community-wide Guidelines: Community Principles of Pain Management

Implementating I-STOP
Effective August 27, 2013 New York State Public Health Law requires most prescribers of controlled substances to consult New York's online Prescription Monitoring Program (PMP) Registry through the Health Commerce System (HCS)..To access the database, all physicians will need a Health Commerce Account. Read a summary of the bill. prepared by MSSNY.

How to Establish a Health Commerce System Account
Click here for Instructions for filling out the HCS Medical Professions Account Application

New accounts are usually established within two weeks. Once your application is processed you will be e-mailed documents. If you do not receive these documents in your e-mail in 5 business days, please check your spam or junk mail folder. For more information, click here.

Using the Health Commerce System
Current account holders can access the online PMP registry through the HCS website. Call Commerce Accounts Management Unit (CAMU) at 1-866-529-1890 for assistance if you forgot your password. Once logged on to the portal, go to HCS applications and scroll to “Prescription Monitoring Program (PMP) Registry.”

If you have questions about New York's online Prescription Monitoring Program Registry, contact: New York State Department of Health Bureau of Narcotic Enforcement 1-866-811-7957.

Effective February 23, 2013, all forms of hydrocodone will be considered Schedule II Controlled Substances in NYS,and Tramadol will be added to Schedule IV list of controlled substance. A list of frequently asked questions is available on the NYS Department of Health website.

Medicine Disposal
To learn where to safely dispose of your unwanted, unused or expired medications go to the Monroe County web site:

Addiction Treatment
Monroe County OASAS Certified Treatment Providers

Substance Abuse and Mental Health Services Administration (SAMHSA)

Patient Resources

Sample Patient Contract For Opiate Pain Management

Sample Patient Dismissal Letter

Information on the pain medicine use and misuse is available on the Web at

Practitioner immunity and controlled substance prescriptions: How Do I Protect Myself Against Criminal Investigation and Charges for Prescribing Controlled Substances?

Other Resources

National Council on Alcoholism & Drug Dependence-Rochester Area
1931 Buffalo Road
Rochester, NY 14624
(585) 719-3481

Office of Alcoholism and Substance Abuse Services (OASAS)
1450 Western Avenue Albany, NY 12203
(518) 485-1768

National Council on Alcoholism and Drug Dependence, Inc. (NCADD)
20 Exchange Place, Suite 2902
New York, NY 10005
(212) 269-7797 1-800/NCA-CALL HOPE LINE (24-hour affiliate referral)