This presentation will provide an update to the experiences of the Veterans Health Administration within the Department of Veterans Affairs in their reporting to PDMPs since their last TTAC webinar in August 2020. The impacts of legislative changes, updated ASAP standards, and VHA's ongoing transition to the Oracle Health federal electronic health record (EHR) on transmitting VHA prescription data will be covered. Approaches for balancing VHA's unique model of healthcare delivery with state specific PDMP requirements, associated challenges, and future considerations are also discussed.