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What Is A KASPER Report?

Posted on March 24, 2010 in General Criminal Law Issues - Northern KY

A criminal defendant in Northern Kentucky may find out the hard way about a KASPER report.  Obviously a take on Casper, the friendly ghost, a KASPER (Kentucky All-Schedule Prescription Electronic Reporting) report is a complete list of prescriptions drugs which have been prescribed to an individual.  The KASPER is not generally known and is hidden from public information (ghost-like).  Kentucky law mandates that all prescriptions filled in the Commownealth of Kentucky are reported to KASPER.  A complete list of all medications are kept on every individual.

Generally there are very few who can access a KASPER report.  A treating physician is generally the first to access, especially if you are treating with a pain management specialist.  They routinely check the KASPER report to assure that patients are not receiving narcotic medication from more than one provider.  If found, the doctor may discontinue providing the prescriptions or may turn the information over to the legal authorities.

The following are legally permitted to access a KASPER report:  prescriber for medical treatment of existing or prospective patients, a pharmacist for pharmaceutical treatment, a law enforcement officer with an active investigation, a licensure board for a licensee, Medicaid for a Medicaid recipient, a grand jury by subpoena, and a judge, probation or parole officer administering a drug diversion or probation program.

KASPER reports can assist in providing information for an investigation that may lead to felony criminal charges.  A report may also provide evidence to show proof of obtaining prescriptions by fraud or illegally obtaining prescription drugs. Most prescription drug users are not aware that big brother is watching.  If you purchase prescription drugs in Kentucky, the state maintains a complete list.

If you have been investigated or charged with illegally obtaining or purchasing prescription drugs in Northern Kentucky, contact Michael W. Bouldin at mwboudlin@fuse.net or 859-581-6453.

90 thoughts on “What Is A KASPER Report?

  • Wondering says:

    A friend of mine has been a patient at a pain clinic for years. He claims that he is in moderate to severe pain daily, however, he sells the majority of his medication each month. Recently, the clinic called him in for a pill count, and since he didn’t have any pills left to take in, he just did not go. He understands that he will probably be discharged from the clinic, but is worried about further ramifications. Does he have reason for concern? What is the worst case scenario? Thank you for taking the time to answer.

  • mbouldin says:

    The physician will likely discharge him as a patient. It is unlikely that there would be anything further because no law has been broken so there would be no need for the clinic to report to authorities. If anyone asks, he does have the right to remain silent and should exercise that right.

  • Sharon says:

    I recently was discharged from my physician, cause of a Kasper report. I had some wisdom teeth removed, Told the oral surgeon that I was already taking some pain meds for an injury to my back. He told me it was fine that it wasnt the same as I was already taking. In so it was not strong enough. This was in Sept.2012. In Nov of 2012 I signed a contract with my medical dr. Now 7 months later he tells me that he can no longer be my dr. There is a serious drug prob. in our area and I solely understand that, but I have a serious back injury and pain meds are not the only thing he was presbribing me. Help.

  • mbouldin says:

    This is one such example of how KASPER is failing the patients in Kentucky. It is nearly impossible to have your treating physician notified that you have been prescribed additional medication from the dentist/oral surgeon. I now suggest that if any other doctor prescribes that you write a letter to put in your medical file to your treating physician so that they are officially notified of other medication.

  • Bonnie says:

    I believe in Kasper to A POINT. FIRTST my brother and my ss#’s are only 3#’ oof when I went to see my Dr. He YELLED at me because he thought I was seeing another Dr. GET YOU S—T right. It caused me alot of embarrisment. PLEASE IF YOUR GOING TO DO GET PLEASE!!!! DO IT RIGHT. Now my Brother has totaly been BLACKED BALLED when his pill count was under and one over. HE NEVER WAS GIVEN THE CHANCE TO EVEN SEE A DR. There were six(6) differnet Dr.s names on the Presp. Pad tat the Nurse Practioner walked around with. NOW!!! HOW CAN SHE GET AWAY WITH THAT!!??!! Plus they wrote he had a bad attitude I would to if I couldn’t see a Dr. to explain anything. SO YOU PEOPlE JUST GO BY WHAT EVER A NURSE TELL A DR>????? My Brother has suffered for yrs.s NOW HE’S BLACK BALLED FROM ALL THE DR’S HERE IN BOWLING GREEN KY> HOW CAN THAT BE LEGAL!!!?????

  • fred hall says:

    Hello, I am hoping this website is still monitored because I really need some advice. my mother in law was a patient at the Suboxone clinic and had been for some time now. She additionally sees her Primary Care Physician for other needs that aren’t related to her addiction recovery. Anyways, her primary doctor wrote her a prescription for 30 hydrocodone tabs due to a hip problem she was having, and told her to fill them. After she did, 12 hours later the doctor calls her back and tells her that she needs to bring the hydrocodone pills back in to his office immediately because he would get in trouble due to her still being a patient at the Suboxone clinic. This was three months ago. He also called her treatment center and she was dismissed from the Suboxone clinic. Now she has decided to pursue treatment again. Today she goes to the Suboxone clinic and the doctor there of course ran a KASPER on her. It came back and all it showed was “Pending” Does anyone have any idea what this means?????

  • fred hall says:

    I just submitted a question and it didn’t show in the posts above. Do I need to do something else??????????????

  • mbouldin says:

    The clinic, as well as almost all pain physicians, routinely run KASPER reports on patients to assure that they are not seeking medication from multiple sources. Many Primary Care Physicians also run KASPER reports when they are prescribing narcotic pain medication for their patients. A patient should always tell any prescribing doctor of ALL other medications they are taking or prescribed. “Pending” means that a physician has made an inquiry. The Kentucky Cabinet for Health and Family Services monitors the KASPER system. Most physicians will not prescribe if there is anything pending on the KASPER Report. Your mother needs to fully disclose all medications as well as the fact that there has been an inquiry. As a patient at the Suboxone clinic, she is already on the radar as having a drug dependency problem. She very well may have difficulty getting any doctor in Kentucky to prescribe at this point.

  • mbouldin says:

    Sorry, only shows when I review… which I do pretty regularly. Too much spam shows up if everything posts.

  • lynn stephens says:

    Do authorized personal have to have reason to run a Kaspersky report? For instance can a probation or parole or a drug treatment counselor run Kaspersky reports just at random?

  • mbouldin says:

    A drug treatment counselor or any other medical persons can run KASPER report. In addition, KRS 218A.202 provides that a probation or parole officer administering a diversion or probation program of a criminal defendant arising out of a violation of this chapter or of a criminal defendant who is documented by the court as a substance abuser who is eligible to participate in a court-ordered drug diversion or probation program. Even though your question is somewhat vague, it would appear that the people you have described could legally run KASPER report.

  • Kay says:

    Got a Question re kasper and patient rights. My son got sick w a chronic disabling illness when he was 30 yrs old, he’s seen same doctor for 8 years now to treat illness with exact same medicine and physical therapy. He used to get drug screened 1 time year per protocol. One test for medicine he prescribed. Now, the office requires testing with every doctor visit, 6 times a year plus now he’s tested for over 7 drugs that he’s never used or prescribed including alcohol. He never even drank it and no history of drug use or abuse.
    His insurance now pays about $ 800.00 eight hundred dollars with every office visit for lab test. He was called in for a random pill count within 24 hours which he’s homebound and has to prepare with his home health care aid weeks ahead of time for his dr visits, 6 times a year, which he enjoys getting out, but it does ear him out.but he wants to keep community care. He could get palliative care but wants to keep his same medical team and get outside to be healthy on a very limited basis.
    The constant drug testing is difficult to do 6 times a year now and he is responsible financially for copay of labs. When he ask doctor about all the new extensive labs, doctor said it the offices new policy for ALL PATIENTS regardless of RX care.
    I personally feel it’s in appropriate and fraud with his additional non necessary labs.
    When he asked dr about it, it was implied he would lose his care if h didn’t comply with all the new testing, even if it hurts him physically and financially.
    So, now he’s afraid to lose his care. He’s chronically ill, disabled and homebound except doctor visits only. The office has been expanded with new buildings lab center etc…does he have any rights for refusing labs not associated with HIS care and do less often due to pain. ? Any suggestions or readings to help ? Thank you…

  • mbouldin says:

    Send your story to state legislators and consider a new doctor if they insist on this new policy. Id also talk to insurance company of testing abuse.

  • Annonymous says:

    I have had the same Dr for 26 years. I have rheumatoid arthritis as well has back/disc issues from numerous car accidents. My primary physician had been prescribing pain meds for a few years. I do not take everyday only as needed. I went in for a yearly checkup in june, he did blood work and asked when the last time i had taken the medication for pain. I advised it had been a week as my prescription needed a refill and I had to see him to get the refill. My blood work tested negative and 3 months later I was dismissed from the practice do to a KASPER violation. Is this automatically put on my KASPER report or is this just reported within the practice. I have to find a new Primary Care Doc and I do not know if this is on my KASPER record…

  • mbouldin says:

    The physician generally does report to KASPER any violations. You should explain to the new PCP that they said violations due to underusing the Rx. It should be prescribed on a PRN basis instead of x times/day.

  • Karen Moore says:

    When Ky gets a new Governor, can the new Governor thow out this stupid Kasper Law??

  • Michael Bouldin says:

    Governor can execute Executive Orders, however it would take act of state to rescind KASPER. Contact your local state senator.

  • Robert A Adcock says:

    I will state simply this. KASPER have overstepped it’s constitutional boundaries. They have thrown away due process, invaded the privacy of the individual, removed the citizens right from unresasonble search and seizure, negated the right to life liberty and pursuit of happiness, created poor pcp care or special licensed care due to fear, they require Drs to be policemen to assist law enforcement to catch criminals and have unleashed a whole host of unintended consequences. The State does not have the right to know what my physician prescribes to me, the State does not have the right to track me, the pharmacist has no right to refuse filling Rx’s written by a different practitioner for a different procedure even if is for the same med. The State does not have the right to urine test me for illicit substances simply because I take 5/350 hydro-codone. I have no police record!It’s obvious to me that the constitutional rights of the people are being overtaken by a zealous Police State. I could go on, but all this chaos just to control junkies and trafficking criminals will not resolve one that matter one whit! Only the innocent will suffer. Any infringement on freedom will result in anarchy! May the Most High have mercy on all of us, especially the foolish politician.

  • Michael Bouldin says:

    I strongly encourage you to forward your legitimate concerns as well as your specific story to your congressmen both in state and US senate and house of representatives. Only through legislation can positive changes result.

  • Brandy G says:

    I was seeing a local family dr. I have Fibromyalgia and MS. He had me on Xanax and Hydro 10’s for 3 yrs.
    I asked about Lyrica and was told my insurance wouldn’t pay for it, but I told them I would pay out of pocket because I wanted off the pain meds.
    I found the best price for my lyrica which happened to be a different pharmacy than my normal one.
    When I went back to the dr 3 months later I was told he could no longer see me because I had been pharmacy shopping!!
    I only had my lyrica filled at the cheaper pharmacy and always paid cash for it. Which was almost $400 a month. While the other pharmacy did all of my other meds with my insurance.
    I was told that the dr was turning it over to the police and to Kasper. This was almost a year ago. I haven’t heard anything come of it.
    But I am still with out any of my meds and my whole life has pretty much stopped because of my symptoms.
    Is there anything I can do?
    I’m afraid to try another Dr , I don’t want them to think in a pill head if there is something on my kasper!

  • Michael Bouldin says:

    Your doctor sounds like an idiot. This is an unfortunate problem in that may doctors are running scared. I would schedule another meeting with him and explain the situation. If this has been tried, schedule with a new doctor and tell him the problem. It is a good idea to write it out so that they can more easily document the file. In reality, there is no such thing as “Pharmacy Shopping” since you need a prescription to get the medication. If you are “doctor shopping” many people have the different doctors Rx filled at different pharmacies; this is very different. If you only saw one doctor, you are not “shopping.”

  • Brandy G says:

    Yes he was the only dr I had been seeing. He walked in the room and said what he had to say and walked out. Wouldn’t let me talk at all. He already had my file ready for me to go and everything. I tried to get another appt to talk to him and was told to not even step foot in the office.
    It freaked me out.
    My husband still sees him and I won’t go with him to an appointment because I don’t want my hubby dropped as a paitent either.
    There aren’t any drs who take my insurance within a reasonable distance that are taking new patients at this time. So for now I wait.
    What is your stance/thoughts on medical Cannibis ?
    This is something I have been looking into for a form of pain relief .

  • Michael Bouldin says:

    Best wishes seeking a new physician. Medical cannabis is still illegal in Kentucky. You would need to move to a different state in order to receive a prescription and legally utilize it. There has been a bill (SB124) for Medical marijuana oil which has passed the Senate but not yet been approved by the House in Kentucky. Unfortunately, the current bill is limited to State Research Hospitals and doctors who prescribe therein and was enacted to treat children with seizure disorder. I would be surprised if this does not pass this year.

  • Sue H says:

    So I had a car accident where I was hit from behind about a month ago and it is still bothering me. I called to make an appointment with an ortho hoping for PT or massage, not medication. I was asked for my SS# and I said I didn’t want to give it and I was told they needed it to run a Kasper Report for drug abuse. When I told them I didn’t want DRUGS, they said they wouldn’t see me without it.

    I really don’t go to Drs and don’t take any medications, is this SOP???

  • Michael Bouldin says:

    It is standard procedure, however I don’t know why they would if no medication was prescribed. I suggest seeking another physician. Unfortunately KASPER has many physicians, especially those that involve pain and injuries, running scared so they change their procedures to satisfy big brother.

  • Jason says:

    I was in a car accident in May of 2011 that left me paralyzed and with chronic pain. I’ve been on oxycodone ever since. I got a call from my pain management clinic today saying that my KASPER report shows I received oxycontin and oxycodone from a doctor I have never visited. As a result, I was discharged from the pain management clinic. I can’t understand how this information got on my report. I’ve never even heard of this doctor. What can I do to get this off my KASPER report and get myself back into my pain management clinic?

  • Michael Bouldin says:

    If there are erroneous controlled substance prescription records on a KASPER report, the patient or provider should contact the dispenser to determine if the information was reported accurately. The dispenser can correct information reported in error. If the dispenser certifies that the information was reported accurately, the patient or provider can contact the Drug Enforcement and Professional Practices Branch at (502) 564-7985 to investigate the error.

  • Kevin w says:

    Is there any way that I could see my own kasper report to see if there is any erroneous info on it before I seek medical treatment and waste copay and insurance money just to be turned away for false information. Do we not have a right to see what is being published about us on this secret site?

  • Michael Bouldin says:

    Here is the link to KASPER information. http://www.chfs.ky.gov/os/oig/KASPER.htm . I am unsure if they will give you a copy of your report, however I believe that you have a legal right to that information. Jump some hoops and let me know what you find out. Thanks for the inquiry.

  • Shaun says:

    Howdy! I know this is kinda off topic however I’d figured I’d ask. Would you be interested in exchanging links or maybe guest writing a blog post or vice-versa?

    My site goes over a lot of the same topics as yours and I believe we could greatly benefit from each other. If you are interested feel free to send me an email. I look forward to hearing from you! Awesome blog by the way!

  • Michael Bouldin says:

    I do not post links, especially to foreign sites. That said, a guest article/blog will be reviewed and if appropriate for my site, I will consider posting. Due to the nature of this blog and legal practice, I reserve the right to block, post or amend any questions. I often take specific questions and modify them in a more generic and useful format as well as correct spelling/punctuation errors. Finally, if I believe that a question has private information, I will usually modify to remove or generalize that information. Although the site does not invoke an attorney-client relationship, I do attempt to preserve confidential information.

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  • Michael Bouldin says:

    KASPER is abbreviation for Kentucky All Schedule Prescription Electronic Reporting. Any “scheduled” prescription, that is a scheduled drug (all narcotics) and many other drugs are scheduled. These prescriptions are reported to central agency for all those written or filled in Kentucky. The main reason is to assure that patients are not doctor shopping or reselling prescription medication. It can be used by doctors (often by pain clinics) as well as law enforcement.

  • Tamara Wallace says:

    I have had panic attacks for years, and taking Xanax for them, I used to do home health car for people but hurt my back in 2010.I have been going to a pain clinic ever since, they have me taking oxycodone, but this is my problem. I was at the courthouse the summer of 2012 when I had a panic attack, a lady who worked at the office there said I had a seizure. I have never had seizures and didn’t have one then. The courthouse lady called Frankfort and I lost my drivers licence. I have been tryin to get my licence back ever since. I keep getting denied becauce og the meds that I take,does anyone know how far the casper report. If I try to stop taking my meds, how long to you think I would have to be without my pills. Anyone have any ideas

  • Michael Bouldin says:

    In order to have license restored after a seizure you need to have a physician say that you have been seizure free for 90+ days. The medication should not affect the driver’s license as the KASPER is not (should not) be available to DOT. Get note from MD, submit to DOT and see if that works.

  • Susan says:


    Does this report simply show medications that have been prescribed to a patient in the past, or is someone “flagged” if there is a violation? My PCP questioned me about something; my SSN was used to obtain my child’s post op pain meds while I was on low dose prn Xanax from my psychiatrist. I recently had an emergency and could not get prescribed pain medication. This situation requires surgery and I’m kind of afraid to have it in case I would not be prescribed pain meds postoperatively. I don’t know if it’s because of this situation that happened in 2012 or just the general reluctance of providers to prescribe narcotics. I hate feeling like a drug seeker when I have only been prescribed narcotics a few times my entire life.

  • Michael Bouldin says:

    The report only shows medication prescribed.There is a reluctance. I would suggest being proactive. Prior to surgery, you should discuss with your MD the problems you have had in the past with KASPER and ask him to run a report to determine if he will prescribe post-op.

  • Randy says:


    I am in the middle of a divorce and custody is an issue. My spouse has gotten someone to access my KASPER report since she is knowledgable about my prescriptions and is using the information in the report to claim I am an unworthy parent. I suspect a friend of her who is a pharmacist is accessing the report for her and also her mother works in a doctors office. My question is: How can I prevent this if her friend or family member from illegally doing this if they can access without repercussions? Also, can her attorney do this at will? is there a way to see who has accessed your KASPER and how should I instruct my attorney to counter this?

  • Michael Bouldin says:

    It is illegal to access a KASPER report for such purposes. It is also illegal to obtain or use and should be inadmissible in your domestic trial. That said, the attorney may simply ask you questions about your drug use and prescription history, forcing you to admit on yourself. I might suggest to your attorney that any use of the report or its contents will necessarily be submitted to the bar for ethics violation. It is criminal for the pharmacist to obtain and possibly for the attorney to use. A pharmacist may obtain only under the following conditions: (e) A practitioner or pharmacist, or employee of the practitioner’s or pharmacist’s practice acting under the specific direction of the practitioner or pharmacist, who requests information and certifies that the requested information is for the purpose of:
    1. Providing medical or pharmaceutical treatment to a bona fide current or prospective patient; or
    2. Reviewing and assessing the individual prescribing or dispensing patterns of the practitioner or pharmacist or to determine the accuracy and completeness of information contained in the monitoring system;
    This is contained in KRS 218A.202.

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