|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?
The short and honest answer is that because it is the right thing to do, every life is worth saving. Some pharmacists may feel that having naloxone in stock may place you and your business at risk of encountering potentially addicted patients. However, we stock glucose tablets, EpiPens and albuterol. At no point do we think twice about dispensing these to patients with diabetes, deadly allergies or asthma. We dispense these as rescue options just in case a patient encounters an emergency while trying to manage a disease. Addiction is no different. There is no evidence supporting that having naloxone increases overdose rates, but actually points to decreasing death associated with it. As pharmacists, we strive to do what is best for our patients, and to afford them every chance possible to become stronger and healthier. This could be giving that addict one more chance at rehab, or protecting a child that mistook medications for candy. Every patient has the right to live no matter what medical conditions they may have. Dispensing naloxone may result in saving the life of that patient be he/she an addict, a child, someone’s mother or grandfather.
Providing treatment options for addiction does go hand-in-hand with stocking naloxone; please go to insert link to treatment page when ready to learn more about what you can do to promote the next steps.
Perspectives of Survivors, their families, and other providers
Click here to read how naloxone has helped and saved lives! insert link when page ready
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..
Copays: Kaleo will cover the co-pay for the Evzio kits. This link below provides the information about this.
Understanding the Standing Order
Insert information on how to implement - what it means?
Get Trained! Make Sure Your Patients Are Trained!
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.
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Related CE Programs on Naloxone and/or Substance Abuse from PPA
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.
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.
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.
Allegheny County Health Department has a number of useful tools especially to use with patients.
Resources are also available at these websites:
Prevention Point - Pittsburgh: www.pppgh.org
Prevention Point - Philadelphia: www.ppponline.org
Overdose Free PA: www.overdosefreepa.pitt.edu/