ScriptCheckWA is Western Australia’s real-time prescription monitoring system.
The importance of ScriptCheckWA for Western Australians
Prescription drug dependence and overdose, as well as misuse and diversion for non-medical use, are major public health concerns both in Australia and internationally.
Over the last decade, the annual number of unintentional drug-induced deaths has continued to rise in Western Australia. Opioids are the drugs most commonly associated with drug-induced deaths and pharmaceutical opioids, rather than heroin, are involved in a significant number of these deaths.
In 2020, across Australia, the number of overdose deaths exceeded the road toll for the seventh consecutive year (Australia's Annual Overdose Report 2022, Penington Institute (external site)). In Western Australia, 211 people died due to unintentional overdoses in 2020 while there were 155 road fatalities during the same year.
Real-time prescription monitoring systems, such as ScriptCheckWA, are one strategy to promote quality use of medicines and reduce the risks associated with opioids and other medicines that can result in dependency and be harmful in overdose.
Alerting prescribers and pharmacists to potential risks in real-time can help them make safer decisions before prescribing or dispensing a monitored medicine, and potentially reduce the risk of death caused by preventable overdose.
Access to ScriptCheckWA
Doctors, pharmacists and other prescribers of
monitored medicines, such as nurse practitioners, may view records about their
patients in ScriptCheckWA.
Authorised Department of Health officers can also
access ScriptCheckWA, as part of their regulatory role.
All ScriptCheckWA users have to register to use the
system and identity checks are part of the registration process. In addition, a
log is created each time a registered user views a patient’s record in the
system.
Multi-factor authentication is required for users to
log on to ScriptCheckWA.
Medicines monitored through ScriptCheckWA
Currently, all medicines classified as controlled
drugs (also known as Schedule 8 medicines) are monitored through ScriptCheckWA.
These medicines have been monitored by the Department of Health in Western
Australia for many years, through the provision of dispensing records by all
pharmacies across the state.
Schedule 8 medicines include:
- Opioids such as morphine,
oxycodone and tapentadol
- Stimulant medicines such as
dexamfetamine, lisdexamfetamine and methylphenidate
- Alprazolam and flunitrazepam
- Medicinal cannabis
- Methadone and buprenorphine
used for opioid substitution therapy (OST, also known as the Community Program
for Opioid Pharmacotherapy or CPOP).
In the future, certain other high-risk prescription
only (Schedule 4) medicines will be added to ScriptCheckWA. These medicines are
described as ‘Schedule 4 reportable’ medicines in the Medicines
and Poisons Act 2014 and will be listed in the Medicines
and Poisons Regulations 2016.
Monitored Schedule 4 medicines are likely to include
benzodiazepines, codeine-based analgesics, gabapentin, pregabalin, quetiapine,
tramadol, zolpidem and zopiclone.
Information recorded in ScriptCheckWA
The data in ScriptCheckWA is information that forms
part of the Drugs of Addiction Record, as detailed in the Medicines
and Poisons Act 2014.
Information available to health practitioners about
the medicines monitored through ScriptCheckWA includes:
- Details of prescriptions
issued
- Details of prescriptions
dispensed
- Regulatory authorisations
issued to prescribers
- Alerts relating to high-risk
criteria, such as whether a person has been prescribed high doses of opioids or
is recorded as experiencing drug dependency.
More information
Medicines and Poisons Regulation Branch
Mailing address: PO Box 8172, Perth Business Centre, WA 6849
Phone: 9222 6883
Email: MPRB@health.wa.gov.au
Last reviewed: 21-03-2023
Produced by
Medicines and Poisons Regulation Branch