diff --git a/SAMtemplates/alarms/main.yaml b/SAMtemplates/alarms/main.yaml
index e2a60ff75..f24363045 100644
--- a/SAMtemplates/alarms/main.yaml
+++ b/SAMtemplates/alarms/main.yaml
@@ -22,6 +22,11 @@ Parameters:
   EnableAlerts:
     Type: String
 
+  DynamoDBUtilizationPercentageThreshold:
+    Type: Number
+    Description: When the database usage crosses this percentage of provisioned capacity, trigger an alarm
+    Default: 90
+
 Resources:
   GetStatusUpdatesErrorsLogsMetricFilter:
     Type: AWS::Logs::MetricFilter
@@ -220,6 +225,49 @@ Resources:
       OKActions:
         - !ImportValue lambda-resources:SlackAlertsSnsTopicArn
 
+  DynamoDBWriteConsumptionAlarm:
+    Type: AWS::CloudWatch::Alarm
+    Properties:
+      AlarmName: !Sub "${AWS::StackName}_DynamoDB_ConsumedWriteCapacity"
+      ActionsEnabled: !Ref EnableAlerts
+      AlarmActions:
+        - !ImportValue lambda-resources:SlackAlertsSnsTopicArn
+      InsufficientDataActions:
+        - !ImportValue lambda-resources:SlackAlertsSnsTopicArn
+      OKActions:
+        - !ImportValue lambda-resources:SlackAlertsSnsTopicArn
+      EvaluationPeriods: 1
+      Threshold: !Ref DynamoDBUtilizationPercentageThreshold
+      ComparisonOperator: GreaterThanOrEqualToThreshold
+      TreatMissingData: notBreaching
+      Metrics:
+        - Id: e1
+          Label: UtilizationPercentage
+          ReturnData: true
+          Expression: "(m1 / (m2 * 60)) * 100"
+        - Id: m1
+          ReturnData: false
+          MetricStat:
+            Metric:
+              Namespace: AWS/DynamoDB
+              MetricName: ConsumedWriteCapacityUnits
+              Dimensions:
+                - Name: TableName
+                  Value: !Ref PrescriptionStatusUpdatesTableName
+            Period: 60
+            Stat: Sum
+        - Id: m2
+          ReturnData: false
+          MetricStat:
+            Metric:
+              Namespace: AWS/DynamoDB
+              MetricName: ProvisionedWriteCapacityUnits
+              Dimensions:
+                - Name: TableName
+                  Value: !Ref PrescriptionStatusUpdatesTableName
+            Period: 60
+            Stat: Maximum
+
   CPSUFhirConverterErrorLogsMetricFilter:
     Type: AWS::Logs::MetricFilter
     Properties:
diff --git a/SAMtemplates/main_template.yaml b/SAMtemplates/main_template.yaml
index aa71b0cc8..cc133abba 100644
--- a/SAMtemplates/main_template.yaml
+++ b/SAMtemplates/main_template.yaml
@@ -81,6 +81,12 @@ Parameters:
       - true
       - false
 
+  DynamoDBUtilizationPercentageThreshold:
+    Type: Number
+    Description: When the database usage crosses this percentage of provisioned capacity, trigger an alarm
+    Default: 90
+
+
 Resources:
   Tables:
     Type: AWS::Serverless::Application
@@ -150,4 +156,5 @@ Resources:
         UpdatePrescriptionStatusFunctionName: !GetAtt Functions.Outputs.UpdatePrescriptionStatusFunctionName
         PrescriptionStatusUpdatesTableName: !GetAtt Tables.Outputs.PrescriptionStatusUpdatesTableName
         ConvertRequestToFhirFormatFunctionName: !GetAtt Functions.Outputs.ConvertRequestToFhirFormatFunctionName
+        DynamoDBUtilizationPercentageThreshold: !Ref DynamoDBUtilizationPercentageThreshold
         EnableAlerts: !Ref EnableAlerts
diff --git a/package-lock.json b/package-lock.json
index b3740e88c..ce1892882 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -4454,6 +4454,7 @@
       "version": "6.12.6",
       "resolved": "https://registry.npmjs.org/ajv/-/ajv-6.12.6.tgz",
       "integrity": "sha512-j3fVLgvTo527anyYyJOGTYJbG+vnnQYvE0m5mmkc1TK+nxAppkCLMIL0aZ4dblVCNoGShhm+kzE4ZUykBoMg4g==",
+      "dev": true,
       "dependencies": {
         "fast-deep-equal": "^3.1.1",
         "fast-json-stable-stringify": "^2.0.0",
@@ -7140,7 +7141,8 @@
     "node_modules/fast-json-stable-stringify": {
       "version": "2.1.0",
       "resolved": "https://registry.npmjs.org/fast-json-stable-stringify/-/fast-json-stable-stringify-2.1.0.tgz",
-      "integrity": "sha512-lhd/wF+Lk98HZoTCtlVraHtfh5XYijIjalXck7saUtuanSDyLMxnHhSXEDJqHxD7msR8D0uCmqlkwjCV8xvwHw=="
+      "integrity": "sha512-lhd/wF+Lk98HZoTCtlVraHtfh5XYijIjalXck7saUtuanSDyLMxnHhSXEDJqHxD7msR8D0uCmqlkwjCV8xvwHw==",
+      "dev": true
     },
     "node_modules/fast-levenshtein": {
       "version": "2.0.6",
@@ -9335,7 +9337,8 @@
     "node_modules/json-schema-traverse": {
       "version": "0.4.1",
       "resolved": "https://registry.npmjs.org/json-schema-traverse/-/json-schema-traverse-0.4.1.tgz",
-      "integrity": "sha512-xbbCH5dCYU5T8LcEhhuh7HJ88HXuW3qsI3Y0zOZFKfZEHcpWiHU/Jxzk629Brsab/mMiHQti9wMP+845RPe3Vg=="
+      "integrity": "sha512-xbbCH5dCYU5T8LcEhhuh7HJ88HXuW3qsI3Y0zOZFKfZEHcpWiHU/Jxzk629Brsab/mMiHQti9wMP+845RPe3Vg==",
+      "dev": true
     },
     "node_modules/json-stable-stringify-without-jsonify": {
       "version": "1.0.1",
@@ -13605,22 +13608,6 @@
         "node": ">= 0.8.0"
       }
     },
-    "node_modules/prettier": {
-      "version": "3.3.3",
-      "resolved": "https://registry.npmjs.org/prettier/-/prettier-3.3.3.tgz",
-      "integrity": "sha512-i2tDNA0O5IrMO757lfrdQZCc2jPNDVntV0m/+4whiDfWaTKfMNgR7Qz0NAeGz/nRqF4m5/6CLzbP4/liHt12Ew==",
-      "dev": true,
-      "peer": true,
-      "bin": {
-        "prettier": "bin/prettier.cjs"
-      },
-      "engines": {
-        "node": ">=14"
-      },
-      "funding": {
-        "url": "https://github.com/prettier/prettier?sponsor=1"
-      }
-    },
     "node_modules/prettier-linter-helpers": {
       "version": "1.0.0",
       "resolved": "https://registry.npmjs.org/prettier-linter-helpers/-/prettier-linter-helpers-1.0.0.tgz",