In January 2019 NCPDP published NCPDP Standards-based Facilitator Model for PDMP-An Interoperable Framework for Patient Safety. In that paper, NCPDP provides their perspective on Prescription Drug Monitoring Programs (PDMPs) and a proposed solution. NASCSA reviewed this paper and created a document by several Prescription Monitoring Program (PMP) administrators and subject matter experts in response to the NCPDP publication to clarify and correct some of the statements and claims made by NCPDP and how existing PMPs address the opioid crisis, public health needs, and patient safety.