RxGov
Registry

Opioid Treatment Program Enrollment and Dosing Visibility

RxGov | Registry gives providers across your treatment region a shared, real- time view of patient enrollment and dosing activity — eliminating dual enrollment risks and ensuring safe, coordinated care across every facility.

capabilities

Everything Providers Need for Safe, Coordinated OTP Care

RxGov | Registry is designed by healthcare technologists who understand the unique regulatory, clinical, and operational demands of opioid treatment programs.

Real-Time Enrollment Visibility
Instantly see whether a patient is actively enrolled at another OTP in your region before admitting them — no calls or faxes required.
Automated Dual-Enrollment Prevention
Built-in alerts flag potential dual enrollment at the point of intake, protecting patients from dangerous duplicate dosing.
Dosing Activity Tracking
View cross-facility dosing records so providers have a complete picture of a patient's medication history across every participating clinic.
Emergency and Disaster Continuity
When a clinic closes due to weather oremergency, nearby facilities can quickly verify and continue a displaced patient's treatment plan.
42 CFR Part 2 Compliant
Purpose-built to meet the strict consent, audit, and re-disclosure requirements of federal substance use disorder privacy regulations.
Interoperable and Scalable
Integrates with existing EHR systems and dispensing software. Scales seamlessly as new clinics and regions come online.

the challenge

Why Dual Enrollment Is One of the Biggest Challenges to OTP Safety

Without a centralized view of patient enrollment across treatment programs, clinics face cascading risks that endanger patients, undermine compliance, and strain already limited resources.

Patient Safety Risk
Dual enrollment can result in a patient receiving dangerous, duplicate doses of potent medications like methadone from separate clinics on the same day - risking fatal overdose.
Medication Diversion
Without enrollment visibility, patients can obtain prescribed doses from multiple sources and divert surplus medication to the illicit market, fueling the wider public health crisis.
Federal Compliance at Stake
42 CFR Part 8 requires OTPs to prevent patients from enrolling at more than one clinic. Without a reliable system, programs risk losing federal certification and their ability to operate.
Geographic and Weather Disruptions
Natural disasters, extreme weather, and remote geography can force clinics to close without notice — leaving patients cut off from time-sensitive medication with no coordinated fallback.
Manual, Unsustainable Processes
Today's prevention relies on phone calls and faxes between clinics for every new admission. It's slow, error-prone, and completely unsustainable as patient and clinic volumes grow.
Complex Consent and Privacy Laws
Substance use disorder data carries extra protections under 42 CFR Part 2 beyond HIPAA, with strict consent and re-disclosure rules that make manual information sharing legally risky.``

< 3s

Average enrollment
verification time

100%

42 CFR Part 2 compliant
architecture

24/7

Platform availability for critical access

0

Faxes required for dual enrollment checks

the challenge

A Shared Registry Built for Opioid Treatment Programs

RGov | Registry replaces faxes, phone trees, and guesswork with a secure, cloud-based platform that gives every authorized provider in your region real-time visibility into patient enrollment and dosing activity.
When a patient presents at any facility, staff can instantly verify enrollment status, confirm dosing history, and coordinate care — whether it's a routine check or an emergency transfer due to a clinic closure.
See How It Works
Friendly senior doctor is talking to female patient during appointment in clinic discussing disease and treatment. Communication and medicine concept.

see the platform

Purpose-Built for How Opiod Treatment Programs (OTPs) Actually Work

Every screen in RxGov | Registry was designed to streamline real clinical workflows, protect patient privacy, and keep your program in compliance.

dosing visibility
Complete Dosing History Across All Facilities
View every patient's full dosing history across all participating OTPs in your region. Track medication types, formulations, quantities, and administering providers from a single, unified patient record. No more calling around to piece together a patient's treatment timeline.
privacy-preserving search
Modern Search That Protects Patient Privacy
Perform instant cross-facility patient lookups that surface enrollment matches while protecting sensitive information. When a restricted match is found at an external OTP, staff are alerted to potential dual enrollment without exposing protected health data until proper consent is verified under 42 CFR Part 2.
mobile medications unit
Track Mobile Medication Unit Stops and Field Encounters
Manage mobile routes, track specific stops, and log patient encounters at shelters, community centers, and remote locations. The Mobile Medication Unit (MMU) module lets field teams administer and record doses with full registry integration, even when internet connectivity is limited.
guided onboarding
In-App Navigation Guidance for Rapid Staff Adoption
Built-in, step-by-step walkthroughs guide new users through every workflow, from patient enrollment to dose administration. Your team can be productive from day one, reducing training overhead and accelerating adoption across your organization.

how it works

From Intake to Coordinated Care in Seconds

step-01
Patient Presents for
Enrollment
When a patient seeks admission at any OTP, staff initiates a registry lookup as part of the standard intake workflow.
step-02
Instant Cross-Facility
Search
RxGov | Registry searches all participating clinics in the region in real time, returning enrollment and dosing status in seconds.
step-03
Alerts and
Verification
If a match is found, the system alerts intake staff with enrollment details, enabling informed clinical decisions and preventing duplicate dosing.
step-04
Coordinated, Continuous
Care
Providers access shared dosing records, enabling safe guest dosing during emergencies and seamless transfers between facilities.

compliance and security

Purpose-Built for Federal OTP Regulations

Substance use disorder data demands the highest standards of privacy and security. RxGov | Registry was designed from the ground up to meet the unique regulatory requirements governing opioid treatment programs.
Fully aligned with 42 CFR Part 8 diversion control plan requirements
Built-in 42 CFR Part 2 consent management and re-disclosure safeguards
HIPAA-compliant data encryption at rest and in transit
Complete audit trail for every data access and sharing event
Role-based access controls to limit visibility by staff function
Supports state and federal reporting obligations

proven foundation

Built on LeapOrbit's Stress-Tested, All-State Medication Monitoring Technology

RxGov | Registry is powered by the same platform trusted by state prescription monitoring programs nationwide. It normalizes dosage data from pharmacy information management systems using the latest ASAP file formats, giving your program a reliable, standards-based foundation from day one.