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how you guys doing with naloxone as now we can dispense naloxone without rx with standing order
Seeing as how many rphs won't even sell needles I don't expect this to be something you will see too much of.
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I am sure they will use the eternal excuse of it not being in stock...I'd refuse needles without an rx on file for an injectable but I'd dispense naloxone. Even if someone didn't want to they would have to come up with a damn good reason seeing how hard the state board is pushing it.
I have dispensed exactly 1 naloxone per standing order due the many barriers it still has. In my state the person getting the naloxone is required to get a training certificate (administered by the local health department) before they can get the naloxone, also insurance won't cover it unless it is dispensed to the "intended user" so guess how many times that has happened? I don't know what others are seeing, but from what I can tell this whole program has fallen flat on its face.
This is a can of worms.So I've always wondered in an emergency situation is it legal to 1) Call 911 2) Administer naloxone 3) Run the script later
My store policy just says to call 911... so do you just call 911 and administer CPR and forget the naloxone?
As stupid as it sounds I could see a caregiver driving the person to the pharmacy instead going to the ER if it is closer.
I figure if a cop can administer it I should be able to.
Same thing with EpiPen, lexi says there are no contradictions in use but this seems even more risky to administer since there is not a standing order. What if someone gets stung in the parking lot, goes into anaphylaxis, and comes running into the pharmacy? If someone is losing their airway I'm thinking anyone in their right mind would administer it but at the same time it seems pretty clearly illegal. Maybe if they have had a script for it in the past it could be considered an emergency fill? IDK