Statewide protocols under which naloxone can be dispensed or distributed existed in seven states, and one state had enacted a Collaborative Pharmacy Practice Agreement that serves as the functional equivalent of a standing order. Dr. Jinlene Chan Statewide Naloxone Standing Order​, .Statewide Naloxone Standing Order: Guidance for Pharmacists​, Intranasal Naloxone Overdose Response Brochure​. On June 1, 2019, Dr. Jinlene Chan, MDH Assistant Secretary, issued an updated statewide standing order (replacing Dr. Howard Haft’s expired standing order) allowing Maryland-licensed pharmacists to dispense naloxone to anyone who may be at risk for opioid overdose or in a position to assist someone believed to be experiencing opioid overdose. 4. Who is eligible to use the statewide standing order? Visit the This webinar training program is available on the TPCE website. This collaborative pharmacy practice agreement establishes the protocol that shall allow pharmacists to initiate a prescription for an opioid antagonist product to at risk individuals by the Chief Medical Officer for the Tennessee Department of Health. “collaborative practice agreement,” “collaborative drug therapy management,” “physician delegation,” and other variations of these terms. In addition, Tennessee has issued a statewide collaborative practice agreement that has the same practical effect as a statewide standing order. State Laws As of December 31, 2012, at least 36 states authorize physician-pharmacist CDTM, in any setting (i.e., hospital, clinic, retail Pharmacists are encouraged to offer counseling and instruction to individuals being dispensed naloxone under the statewide standing order on how to recognize the signs and symptoms of an opioid overdose, the importance of contacting emergency medical services, proper administration of naloxone and other appropriate topics. NOTE: Individuals are encouraged to call the pharmacy and speak with a pharmacist about naloxone availability and dispensing under the statewide standing order. Naloxone co-prescription Universal offer, may require clear policy direction Without prescriber or pharmacy contact under a standing order, distribution model Pharmacy provides naloxone to … 5. Naloxone Standing Order Iowa Department of Public Health Naloxone hydrochloride (“naloxone”) is a medication indicated for reversal of opioid-related overdose in the event of a drug overdose that is the result of consumption or use Pharmacists licensed and practicing in Tennessee are authorized under a valid statewide CPPA executed by the Chief Medical Officer to dispense an opioid antagonist to a person at risk of experiencing an opiate-related overdose or to a family member, friend, or other person in a position to assist a person at risk of experiencing an opiate-related overdose. Arkansans can obtain naloxone directly from a pharmacist under a Statewide Naloxone Standing Order or Collaborative Practice Agreement. phone: 615-256-3023 fax: 615-255-3528 In every state, residents can purchase Narcan® Nasal Spray directly from a pharmacist under a Statewide Naloxone Standing Order or Collaborative Practice Agreement (77). TPA thanks Peter Chyka, PharmD, DABAT, FAACT, Professor of Clinical Pharmacy, University of Tennessee Health Science Center College of Pharmacy, Wesley Geminn, PharmD, BCPP, Chief Pharmacist and State Opioid Treatment Authority, Tennessee Department of Mental Health and Substance Abuse Services, and Lucy Adkins Shell, PharmD, TPA Director of Pharmacy Practice Initiatives, for their time and efforts in producing this training program. The statewide naloxone standing order was issued to address this need. State Laws As of December 31, … Before a pharmacist enters into a statewide CPPA with the Chief Medical Officer for the dispensing of an opioid antagonist, the pharmacist shall be able to provide documentation of completion of an opioid antagonist training program within the previous two (2) years. Send a copy of the last page of the Statewide Protocol to the Board by mail, fax or use our convenient online form to submit your signed copy. email:, Patient Care Pharmacists Collaborative (PCPC), Pharmacy Practice Preservation Fund (PPPF), Tennessee Pharmacy Recovery Network (TPRN), “Building Tennessee’s Pharmacy Future” Campaign, APhA/TPREF “Pharmacy-Based Immunization Delivery” Certificate Training Program, Pharmacist-Provided Hormonal Contraceptive Training Program, Medication Safety Program for Pharmacy Technicians, Pharmacist Credentialing, Contracting, and Billing, Pharmacist-Provided Hormonal Contraceptives, Statewide Opioid Antagonist Collaborative Pharmacy Practice Agreement (CPPA), Administration of Opioid Antagonists – Information and Training, Naloxone Information and Training for the General Public, TPA Statewide Opioid Antagonist CPPA Checklist, CORONAVIRUS (COVID-19) Practice-Based Resource Page, HHS PREP ACT Declarations and COVID-19 Flexibilities, Preparing for Tennessee’s Pharmacy-Based COVID-19 Vaccine Response.

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