NARxCHECK – another barrier between patients and pain meds

Appriss® acquires NARxCHECK™ from the Natl Assoc Boards of Pharmacy Foundation

Appriss Inc., a leading technology provider for risk assessment and analytics, announced it has acquired NARxCHECK™ from the National Association Boards of Pharmacy Foundation (NABPF) to automate prescription drug abuse assessment and management through patented analytics.

Developed by an emergency room physician and in collaboration with hospital associations, state pharmacy boards, NABPF, an affiliate the National Association of Boards of Pharmacy (NABP), and others, NARxCHECK can quickly identify those patients who may be at heightened risk for misuse of controlled substances.

The non-profit Boards of Pharmacy (NABP) sold its own project, thus converting it into for-profit enterprise, even though it remains a fundamental part of the non-profit’s strategy. This virtually guarantees business for NARxCHECK and a tidy profit for investors.

The technology supports practitioners by accessing patient prescription information from prescription drug monitoring programs (PMP), analyzing the data, and providing a risk-based score to assist practitioners in their health care decision-making.

They are essentially proposing that computers should make decisions about our health care.  Even if a doctor has to ultimately decide, when presented with reams of computer selected and compiled documentation supporting a computer-made decision, it would be far too much work to justify overriding the computer’s recommendations.

The acquisition of NARxCHECK ( unifies the family of PMP services Appriss provides in partnership with NABP including

  • PMP InterConnect – the interstate PMP data sharing service,
  • PMP Gateway, a health IT connectivity solution to deliver PMP data to health IT  and pharmacy IT systems, and
  • NARxCHECK, a risk analytics solution to assess patient risk.

It seems these three newly created companies have successfully inserted themselves into every step of the tangled process that’s been constructed between doctors, patients, and pain relief. It’s disconcerting to know that such private corporations are allowed to look through our medical records.

From the rush of companies getting into the drug-addict witch-hunt business, it’s clear that there’s much money to be made. Sadly, the American tax payer and patients will be expected to shoulder all the additional expense so that profits can be made.

I posted previously about another company that has popped up to “help” doctors: ProtectPainCare.  A more accurate name for their business model would be “PreventPainCare”.

NARxCHECK™  (Home Page)

Solutions For

Government & Insurers – Large entities with substantial prescription databases to manage and evaluate will benefit from our Insight product.

Hospitals & Pharmacies – NARXCHECK Plus is a fully automated program for locations that see a high volume of patients and need real-time data quickly recovered.

Private Practices – NARxCHECK Direct provides a patient’s NARxCHECK Scores and NARxCHECK Report along with other patient data via a single sign-on in the provider’s electronic medical record system.

Of course there is no mention of patients, the ones for whom these drugs were created, the ones who so desperately need them.  Instead, the whole focus is on how to prevent access to opioid medications.

National Association of Boards of Pharmacy, DEA 2012 National Conference

Pharmacists organizations are aligning themselves with the DEA. Here are some gems from the conference PowerPoint presentation:

Current Status of Prescription Monitoring Programs


  • Prescription Monitoring Programs
  • PMP InterConnect
  • Leveraging technology to increase PMP usage
  • NARxCheck

The presentation includes dozens of slides of a US Map, showing which states have various PMP programs in place, including such gems as:

“States with Statutory Authority to Require Veterinarians to Report to the State PMP”

Another slide shows how Law Enforcement can override HIPPA:

LawEnforcement Access to PMP

(click to enlarge)

There’s more, but it’s too depressing to post.

(I’m sure whether to thank or curse painkills2 for making me aware of this)

14 thoughts on “NARxCHECK – another barrier between patients and pain meds

  1. DREW5000G

    So out of order, how do they get away with deciding who will abuse drugs and who wont, obviously if they are making money a lot of people will go in the wrong category, why are they allowed to have power over records that should be confidential anyway

    Liked by 1 person

  2. Rosalind Sanders

    Doctors make mistakes all the time, and we know how hard it is to correct errors once they are digitally recorded. It is already hard enough for chronic pain patients like me to obtain effective treatment. We do not need another layer of technology to perpetuate subjective opinions.

    Liked by 2 people

  3. painkills2

    The recent story about police officers confiscating cell phones, stealing racy photos of women, and passing them around to other officers — I see the same thing happening with medical information.

    HIPAA is dead.


  4. Pingback: NARxCHECK – another barrier between patients and pain meds | All Things Chronic

  5. Jackson Smith

    Re: It seems these three newly created companies have successfully inserted themselves into every step of the tangled process that’s been constructed between doctors, patients, and pain relief.
    People should really research before they blog. Although there are legitimate concerns in this article, there is plenty of hogwash. The above sentence is wrong on all accounts. NONE of the companies are “newly created” (which gives the impression they were created to take advantage of patients). Indeed, Appriss Inc. works with police and victims of crime to return stolen property to them and has been in business for decades. NABP is the Association of Boards of Pharmacy and has provided many worthwhile functions for the state boards and pharmacy in general.
    I share the privacy concerns expressed at this site; however, this particular collaboration did not open a new door to patient records – it only facilitates a process already in place and often required by regulation, Hence, the new process reduces clinician time, improving efficiency and lowering costs. I am a clinician; I know.


  6. Pingback: What Every Patient Should Know About NarxCare | EDS and Chronic Pain News & Info

  7. Pingback: EHR tool to assess patient risks for opioid abuse | EDS and Chronic Pain News & Info

  8. Pingback: NarxCheck is being bundled with PDMP | EDS and Chronic Pain News & Info

  9. CC

    Im blown away thats its politically incorrect to profile people based on race or religion but perfectly acceptable to profile people based on diagnosis and meds and make assumptions based on those. Wtf is wrong with our world? Its flipped completely upside down. So tired of it. Electronic records were THE WORST idea ever. I wonder whose bright idea they were? Nevermind. I already know. Pft.

    Liked by 1 person

    1. Zyp Czyk Post author

      Actually, if there was any way to preserve our privacy by selecting only what we want to share and with whom, EHRs are incredibly useful if they’re set up to work for doctors and patients, not the bean counters who are paying for and overseeing implementation. Then they would actually improve our medical care by keeping a record of what’s gone wrong and what’s been fixed on us – just like repair records for a car :-)

      However, the EHRs were NOT designed by doctors, probably because they were never intended to be the primary users. Instead, these databases were ultimately designed for bureaucrats/administrators to aid in the extraction of dollars from patients’ pockets. And of course law enforcement will have access because they are tracking down the evil patients who are getting “too many” pills for “too long”… sigh.


      1. CC

        They were designed to make sure patients were complying and so that the government could track us. The plan has always been government healthcare anyway, like it or not and law enforcement will have access to blood draws that will be stored instead of destroyed. It happens in hospitals now when they prick the heel of a newborn. Its all being stored in the name of “solving crimes” but as technology evolves, what else will they find to use that dna for? Until Americans demand protections and demand that laws catch up with technology, they will continue to take, take, take.


  10. Jody

    The pain management doctor spent time showing me this “assessment”. It was fraught with errors. He spent about 5 minutes on my chronic pain problems. Said he was scared of the government. I tried to explain the misinformation but he said it didn’t matter! I now have no recourse but to suffer because of some scam by pharmaceutical board….I want to correct this damn incorrect narco summation. Drug providers are incorrect. I don’t even know some of them and some never called in meds for me. How does this private company have this authority!

    Liked by 1 person

    1. Zyp Czyk Post author

      It’s called unrestrained capitalism which has a “moral requirement” to generate profit. The unrestrained flow of money into healthcare is giving all kinds of private entities far more power than is beneficial to society or individuals.

      Companies like NARxCHECK, pharmacy benefit managers, managed health care organizations, imaging centers, and drug testing labs (to name just a few) can pretty much do as they like, and that usually means acting in ways that increase their profits.


  11. Pingback: NarxCare score does not predict adverse outcomes | EDS and Chronic Pain News & Info

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