TPP Alberta 2019 Atlas now available

TPP Alberta’s Atlas provides an overview of provincial opioid and benzodiazepine/Z-drug use. This latest version includes an expanded exploration of concurrent consumption, analyses of seasonal patterns, top ingredients by practitioner types and geographical trends. Access the 2019 TPP Atlas here.

Prescription codeine syrups move to Type 1 TPP Status

Effective July 1, 2020, prescription-status oral liquids containing codeine moved from Type 2 to Type 1 TPP status.

Prescribers must register with TPP Alberta and use the secure duplicate TPP form when prescribing applicable drug products.

Review the drug products affected and learn more here.

Now Available: Antibiotic Prescribing Data

Since 1986, TPP Alberta has monitored the use of prescription drugs prone to misuse or abuse, using data to help prescribers and dispensers optimize patient care.

Now, to help combat the risk of antimicrobial resistance, we have added a new report to our resources with data on antibiotic prescribing.

To find out more, review our first-ever TPP Alberta Antibiotic Prescriptions Atlas.

NEW, 2-PART FORMS NOW IN CIRCULATION

After more than 30 years of using a 3-part form to monitor drugs prone to misuse, TPP Alberta has moved to a 2-part form to improve processes and save significant operational costs. Security of the form and submission requirements remain unchanged.

TPP Alberta is asking prescribers to use up their existing stock of 3-part forms before re-ordering.


Drugs we are monitoring

Includes Type 1 and Type 2 medications.

Information for Prescribers

Registering as a prescriber with TPP Alberta

  • Prescribers must register with TPP Alberta to order their first TPP Prescription Pad and prescribe any Type 1 medication monitored by the program.
  • Medical Residents must obtain approval from their program director prior to registering with TPP Alberta.
Registration form for PrescribersRegistration form for Medical Residents

Re-ordering TPP Alberta prescription pads

To re-order a secure pad, email TPPinfo@cpsa.ab.ca, fax 780-429-1981, or call either 780-969-4939 or 1-800-561-3899 ext. 4939.

Please note, due to the COVID-19 pandemic, CPSA offices are closed and processing orders made by mail may be delayed. Please read this important update about the impact of the pandemic on TPP pad delivery.

Include the following information with your request:

  1. Your registration number
  2. Your clinic’s complete address including postal code
  3. Phone number that is to be printed on the pads
  4. Complete address for shipping, if different

Lost or stolen forms or pads

If your TPP Alberta pad or any of the forms are missing or stolen, you must contact the police and notify TPP Alberta immediately. The prescriber should provide the following information to TPP Alberta:

  1. Date of theft or loss
  2. Tracking number of the missing form(s) or pad(s)
  3. Name of the last patient prescribed a Type 1 prescription
  4. The police file number and investigating constable’s name and phone number

Information for Pharmacists

When to send a copy of the secure form to TPP Alberta

Dispensers only need to send a copy of the secure form (at least twice a month) to TPP Alberta when it is for:

• compounded medications
• office use
• veterinary use
• or is a Yukon prescription

Information for other tracked prescriptions is sent to TPP Alberta via Netcare/PIN. However, pharmacies should keep a copy in case TPP Alberta requests to access to it.

List of Stolen & Missing TPP Alberta Forms

Pharmacists looking for the list of stolen or missing TPP Alberta scripts can access the list through the Alberta College of Pharmacy (login required) or contact TPP Alberta directly at TPPinfo@cpsa.ab.ca or call 1-800-561-3899 ext. 4939.

Prescribers with TPP Alberta Prescribing Restrictions

Based on data from TPP Alberta, the College of Physicians & Surgeons of Alberta (CPSA) can impose prescribing conditions on physicians that restrict their prescriptive authority under certain situations. These listings and conditions are shown below:

Pharmacists can contact TPP Alberta for guidance if questions arise or advice is required in specific circumstances at TPPinfo@cpsa.ab.ca or at 1-800-561-3899.
Surname Given Name Date Effective Restrictions
Adams Jim Nov. 1, 2020 Type 1 and Type 2 medications monitored by TPP Alberta except for methylphenidate, benzodiazepines and Z class drugs.
Akinjise Idowu Jan. 13, 2019 Restricted from prescribing medications monitored by TPP Alberta, including cannabinoids and methadone, except for hospital inpatients.
Beeharry Raj Sept. 1, 2017 Restricted from prescribing any benzodiazepines, including chloral hydrate, zopiclone and other z-drugs unless the prescription is: a. Prescribed as an anticonvulsant; b. Prescribed to a patient for a maximum of two weeks in any three month period; or c. Supported by written direction or recommendation from a consult from a specialist or knowledgeable colleague. Restricted from prescribing narcotic analgesics (or any products containing Codeine) unless the prescription is: a. A narcotic analgesic prescribed to a patient with malignancy-related pain that is documented by a pathology report or consultant’s report; b. A narcotic analgesic prescribed to a patient with acute, non-malignant pain for a maximum of two weeks for any three-month period; or c. Supported by written direction or recommendation from a consult from a specialist or knowledgeable colleague
Collett Franklin Dean Nov. 29, 2019 Prescribing restrictions for the following medications: Triplicate Prescription Program medications, anabolic steroids, methylphenidate, barbiturates, codeine containing drugs, amphetamine or amphetamine like appetite suppressants, benzodiazepines and other anxiolytics, hypnotics and sedatives, and muscle relaxants.
Datar Sunil June 23, 2016 Shall not prescribe, dispense or provide samples of any drug that is listed on the College’s Triplicate Prescription Program Product List, whether prescribed using the triplicate pad or otherwise monitored by the program, inclusive of codeine products, benzodiazepines and “Z Class Drugs”.
Dulai Gurjeet Singh March 27, 2020 Restricted from prescribing TPP Alberta (Type 1) medications except for hospital inpatients, patients in a long-term care facility and immediate administration in the emergency department. Restricted from dispensing or administering TPP Alberta (Type 2) medications.
Hauptman Robert Oct. 23, 2019 All TPP Alberta medications, with the exclusion of stimulants.
Jackman Kevin F.M. July 1, 2018 Restricted from prescribing any benzodiazepines and other anxiolytics, hypnotics and sedatives including chloral hydrate, zopiclone and other z-drugs with the following exceptions: prescribed as an anticonvulsant. Restricted from prescribing any drugs on the Triplicate Prescription Program Product List (and no products containing Codeine or tramadol) with the following exceptions: Narcotic analgesics for patients with malignancy-related pain that is documented by a pathology report or consultant’s report and non-TPP Narcotic analgesics (Codeine or Tramadol) for patients with acute non-malignant pain for a maximum of one week for each patient in any three month period.
Kim Sirim Aug. 9, 2018 Restricted from prescribing any medications on the Triplicate Medication List.
Kordyban Michael Dec. 2, 2015 Voluntarily surrenders all triplicate prescription pads under his control and shall not request resumption of prescribing of medications requiring the use of a triplicate prescription pad, in any manner.
Lavallee Melvyn November 5, 2020 Restricted from prescribing all medications monitored by TPP Alberta with the exception of antibiotics and sustained released stimulant medication with a documented diagnosis of attention deficit disorder.
Leivo Ray May 24, 2018 Restricted from prescribing medications monitored by the Triplicate Prescription Program, or tramadol products.
Lopez Roehl March 8, 2018 Restricted from prescribing Tramadol and any other medication on the Triplicate Prescription Program Medication List (Type 1 and Type 2 medications).
McAlpine Brian Douglas Feb. 14, 2012 Restricted from prescribing triplicate medications.Restricted from prescribing stimulant medications or medications used in the treatment of Attention Deficit Disorder.
McMahon Alan April 22, 2020 Restricted from prescribing TPP Alberta Type 1, Type 2 (not including antibiotics) and all cannabinoids.
McPeak Brian K. Aug. 28, 2019 Prescribing of Type 1 TPP Alberta medications restricted to inpatient facilities.
Mentz Helena Johanna Aug. 8, 2018 Restricted from prescribing tramadol, cannabinoids and all other medications on or monitored by the Triplicate Prescription Program Medication List (Type 1 and Type 2 medications).
Mohamed Ataher S Nov. 21, 2016 Restricted from prescribing any medication monitored by the Triplicate Prescription Program.
Moir James Allan May 12, 2017 Restricted from prescribing medications designated as part of the Triplicate Prescription Program.
Nakashima Brenda Akemi April 22, 2020 Restricted from prescribing benzodiazepines and benzodiazepine-like drugs (Z drugs) monitored by TPP Alberta except to patients for immediate administration in the Emergency Department, or dispensing from the Emergency Department for patients being discharged.
Neu S. Randall Dec. 16, 2018 Restricted from prescribing triplicate medication.
Rosenstock Carl Oct. 1, 2020 Restricted to prescribing TPP Alberta medications to patients attached to my practice as of October 1, 2020. Restricted to prescribing opioids only to existing patients with a diagnosis of malignancy. Restricted to prescribing benzodiazepines only to existing patients with diagnoses of seizure disorders or malignancy.
Swart Johan Dec. 14, 2017 Restricted from prescribing Tramadol products or medications on either of the schedules of the Triplicate Prescribing Program.
Thakur Nathan Oct. 7, 2019 Psychotropic medications, opioids including Suboxone and methadone, benzodiazepines and cannabinoids to female patients greater than the age of 16 years.
Thompson Robert Douglas July 4, 2013 Restricted from prescribing any medications which require a Triplicate Prescription pad.
Warneke Lorne Feb. 4, 2019 Restricted from prescribing any triplicate medications and any stimulant medication including Dexedrine, Concerta, and Biphentin.
Werkman Isabella March 1, 2020 Restricted from prescribing opioid medications, methadone, Suboxone and cannabinoids.

FAQs

Eligible prescribers (physicians, podiatric physicians, nurse practitioners, dentists and veterinarians) may apply to TPP Alberta by completing the Registration form for Prescribers or the Registration form for Medical Residents.

NOTE: Registration is only required for prescribing Type 1 medications. Type 2 medications do not have special prescribing requirements but are monitored by TPP Alberta through Netcare, PIN.

TPP Alberta Resources


WE CAN HELP

Contact TPP Alberta

1-800-561-3899 (in Canada) ext. 4939

TPPInfo@cpsa.ab.ca