Registration for search access to the Montana Prescription Drug Registry

Please complete the fields below. All fields are required with the exception of DEA number and DEA number expiration date found in the "Email Correspondence" section.

Submitter Information
Enter your name and date of birth below.
IMPORTANT! Enter your name exactly as it appears on your Montana license.

License Information
Please complete the fields below.
If the type of license you hold does not appear in the list then you are not authorized to access the Montana Prescription Drug Registry (MPDR) as a licensed individual. If you still wish to gain access to the MPDR then you may contact MPDR staff to determine if you are eligible for access as a non-licensed individual.

(numerical portion only)

Email Correspondence
Please complete the fields below.
The email address you provide in this field is where you will receive all MPDR-related correspondence.
Please enter an email address you check frequently and which is located on a secure network.
For security reasons, we recommend that you do not use a personal email address which you typically access from home.
IMPORTANT: If you are a prescriber, entering your DEA number will allow you to see your prescription history. Although this field is optional, you are strongly encouraged to enter this information.