Our country is dealing with an epidemic - the abuse of opiates. While they are medically necessary, the opiate epidemic leads to a death rate equivalent to a 747 crashing once a week. There is an immeasurable cost on society from recovery programs, incarceration, non-productivity, and broader emotional trauma. Early success can be credited to prescriber education and implementation of state-level Prescription Drug Monitoring Programs (PDMPs). This blog advocates a cost-effective and highly-effective approach using a shared PDMP with the state of the art in referential matching, real-time behavior analytics, and accurate national data sets indicating fraudulent IDs.