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Are intra-thecal pumps - opioid - included in your state's PDMP? In my state they aren't. The PP website shows at least 500 in the Medicare cohort alone. This is a significant risk issue for unsuspecting PCPs who are prescribing oral medications to patients who, unbeknownst to them, have a pump.
https://projects.propublica.org/treatment/uniqservices/62369/states/OR
https://projects.propublica.org/treatment/uniqservices/62369/states/OR