The Narcotics Enforcement Division (NED) is a statewide law enforcement agency that serves and protects the public by enforcing State laws pertaining to controlled substances and regulated chemicals. NED is also responsible for assuring that pharmaceutical controlled substances are used for legitimate medical purposes. They register and investigate all violations of persons who administer, prescribe, manufacture or dispense controlled substances in the State, including those who work at methadone clinics. Contact information:  3375 Koapaka Street, Suite D-100 Honolulu, Hawaii 96819 Phone: 837-8470;

Hawaii Revised Statutes (HRS), Chapter 329, Part VIII, Electronic Prescription Accountability System requires the Hawaii Narcotics Enforcement Division to establish and maintain an electronic controlled substances prescription database for the reporting of dispensed prescriptions for all Schedule II-IV controlled substances under federal law. The Hawaii Prescription Drug Monitoring Program (HI PDMP) is necessary for physicians to monitor their patients' medication use and properly prescribe opioids for their chronic pain.

In March 2016 the Center for Disease Control (CDC) released its Guidelines for Prescribing Opioids for Chronic Pain. This guideline provides recommendations for primary care providers who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care. The guideline addresses in general, 1) when to initiate or continue opioids for chronic pain; 2) opioid selection, dosage, duration, follow-up, and discontinuation; and 3) assessing risk and addressing harms of opioid use. This information is important for understanding proper prescribing techniques and when to refer to a pain specialist for opioid management. 

Pursuant to section 453-1.5, Hawaii Revised Statutes, the Board of Medical Examiners has established guidelines for physicians with respect to the care and treatment of patients with severe acute pain or severe chronic pain. These pain management guidelines are considerations that the Board will take into account in the proper treatment of pain.


In 2012, the Department of Health and Human Services (HHS) in conjunction with the NIH came together through the Interagency Pain Research Coordinating Committee (IPRCC) to oversee creation of the National Pain Strategy (NPS). Experts from a broad array of public and private organizations identified six key areas for the NPS to address: population research, prevention and care, disparities, service delivery and reimbursement, professional education and training, and public awareness and communication. In 2016 an updated NPS guide was published to help provide information for pain management. This is a useful guide regarding pain management and treatment goals.

Hawaii Narcotics Enforcement ​​Division

CDC Guidelines

Hawaii Board of Medical Examiners Pain Management Guidelines

NIH guidelines 2016

Hawaii Prescription Drug Monitoring Program