Finally, the
AAHPM's guide to effective PDMP procedures emphasizes that PDMP objectives should be "reinforced through other policies." (165) These policies include "dismantling 'pill mills' by requiring that pain clinics be physician-owned and that an expert-level prescriber [be] actively involved in the management of daily clinical activities." (166) This practice was evidently successful in Florida, (167) and there is no justification as to why it would not have the same curbing effect in Missouri.