Provider (i.e., clinicians and dispensers) use of PDMPs is one the most promising state-level interventions to improve opioid prescribing, inform clinical practice, and protect patients at heightened risk of opioid misuse, use disorder, and overdose. Integrating PDMP data into electronic health records (EHRs) and other health IT solutions equips providers with the tools and resources they need to make PDMP data more actionable, inform clinical decision making, and to ensure the safer use of opioid therapy for patients. RxCheck provides states the ability to implement multiple pathways towards PDMP - health IT (e.g., EHR) integration. RxCheck was developed with support from the U.S. BJA, using the Prescription Monitoring Information eXchange (PMIX) National Architecture specifications.