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Naloxone Toolkit - What Pharmacists Need to Know!

Since the fall of 2015, Pennsylvania has a statewide standing order which allows pharmacies to dispense Naloxone under the order from Dr. Rachel Levine, PA's Physician General.


Why Should My Pharmacy Stock and Dispense Naloxone?

Tom rewording  The short answer is that because it is the right thing to do, every life is worth saving.  We know it gets more complicated than that but it is important to remember that addiction is a disease which needs to be treated.  We don't refuse to treat diabetics just because they continue to eat poorly.  By saving a life, you are giving someone a second chance (or in some cases a third or fourth chance) to turn their life around and get the help they need.  Providing treatment options does go hand-in-hand; please go to  insert link to treatment page when ready


NBC10’s Generation Addicted Provides Raw Inside Look at the Heroin and Opioid Epidemic


survival - treatment stories? coming 9/23 - link to a compilation


Learn More!

the pharmacists perspective

Hear from other Pharmacists as to how and why they are dispensing naloxone, including tips you can use in your practice.  (Link to page for this information when we get)


Success stories of implementation from pharmacists - coming 9/23


How Do I Get Started

I think it would be good to develop a step by step implementation guide? Ideas coming from all by 9/23


College of Psychiatric and Neurological Pharmacists: Naloxone Access: A Practical Guide for Pharmacists


Billing and Insurance Coverage

Medical Assistance: per 55 Pa Code, Chapter 1121 – Pharmaceutical Services - §1121.52, pharmacists can treat the standing order as a verbal order for Medical Assistance recipients.  PA Medical Assistance will make payment for naloxone for the eligible Medical Assistance recipient.  The Medical Assistance copay will not apply.  The Evzio Auto-Injector is covered by Medical Assistance, but requires prior authorization.  Generic naloxone is covered without the need for prior authorization.  there is no limit to the number of fills that can be obtained.  The Fee-for-Service Program will post information related to billing for naloxone on the DHS Pharmacy Services website  Pharmacies will need to contact each MCO individually to obtain information about their billing procedures. 


Please see this helpful chart which references payer coverage as best we know it.  Please be sure to always verify for current information.  This chart is only for initial reference only, please click here to access..


Understanding the Standing Order

To Access the Standing Order, click here:


Pennsylvania Department of Health website

PA Department of Drug and Alcohol Programs

Insert information on how to implement - what it means?



Get Trained!  Make Sure Your Patients Are Trained!

Training on the administration of naloxone is available at one of the Department of Health approved training sites www.getnaloxonenow.org or https://www.pavtn.net/act-139-training.


Be a Community Advocate

Go out in the community and talk about naloxone, why it is important, and how to administer.  See Patient Resources below for some materials to utilize.


Insert link to PowerPoint from?


Related CE Programs on Naloxone and/or Substance Abuse from PPA

Check for an upcoming webinars or other programs. 


On-Demand Webinars

Home Study Articles - please note these are available to members only and you must be logged in


Addressing Pennsylvania's Opioid Crisis: What the Health Care Team Needs to Know 

This series covers a variety of tools and resources for prescribers and dispensers to better address opioid addiction with their patients.
These CE programs are a collaboration between numerous groups including the Pennsylvania Pharmacists Association, the Pennsylvania Medical Society, the Pennsylvania State Nurses Association, the Pennsylvania Department of Health, and others.
As part of our commitment to be a partner in solving the opioid epidemic, PPA is providing CE credit free for these modules at no charge to both members and non-members through December 31, 2016.


Billing and Insurance Issues

Insert information on how to document on files and how to bill - maybe which insurers are covering?

Patient Resources

Prescribe to Prevent website has some good information around prescribing and dispensing of naloxone, as well as some flyers to use with patients.



Substance Abuse and Mental Health Services Administration (SAMHSA) features an Opioid Overdose Prevention Toolkit as well as some helpful information.


Click here to access the toolkit..


Allegheny County Health Department has a number of useful tools especially to use with patients.


       Resources include:


Resources are also available at these websites:

Prevention Point - Pittsburghwww.pppgh.org


Prevention Point - Philadelphia: www.ppponline.org

Overdose Free PA: www.overdosefreepa.pitt.edu/


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