Opioid Antagonist Prescribing for Pharmacists
In North Dakota harmacists can prescribe opioid antagonists such as naloxone to patients. This is vital in preventing over-dose deaths from opioids such as prescription medications or illicit narcotics such as heroin and fentanyl.
Opioid Antagonist Prescribing Pharmacy Search
What does the pharmacist need to do?
FIRST: Review the rule at https://www.nodakpharmacy.com/pdfs/Limited_Rx_authority_opioid_antagonist_61-04-12.pdf.
SECOND: Take one of the available training programs:
- Substance Abuse and Mental Health Service Administration SAMSHA:
https://store.samhsa.gov/product/overdose-prevention-response-toolkit/pep23-03-00-001 - CDC Naloxone Training
https://www.cdc.gov/opioids/naloxone/training/index.html
THIRD: Click here to sign up as a trained pharmacist, which will let the public find you and your pharmacy, when needing a prescription.
FOURTH: Get busy taking care of patients: You can be the prescriber so your name goes, as a mid-level, on the prescription. You can always work with a practitioner under a collaborative agreement and in that case that person's name goes on the prescription. Payment depends on the payer and whether the prescription is for the at risk individual or another party. Note for ND Medicaid you will need to register as a Medicaid Provider. Information on that process can be found here. In addition, ND Medicaid has a standing order available here for you to utilize in the meantime.
Other Resources
Phone App for Patients:
Indian Health Services Created:
- Pharmacist Prescribed Naloxone Rescue Kit - Informed Consent Form
- Naloxone First Responder Competency Document
NDSU School of Pharmacy Resources: