Illinois has joined a group of other states in offering a statewide standing order with accompanying opioid overdose educational resources for naloxone to all pharmacists and opioid overdose education and naloxone distribution (OEND) programs. Six other U.S. states (MD, NC, NM, PA, TX, WY) have similar state-wide standing order laws (Davis and Carr, 2017), and over 40 states have non-patient specific standing orders (Davis and Carr, 2017; Hawk et al., 2015). Naloxone is a medication that can reverse an opioid overdose. “Naloxone is a life-saving medication that can reverse the effects of an opioid overdose,” Secretary of Health Dr. Rachel Levine said. The statewide standing order allows pharmacists and naloxone training programs in Illinois to provide naloxone without a direct Standing Order for Naloxone Renewed by Louisiana Department of Health. Dr. Rebekah Gee, secretary of the Louisiana Department of Health, has renewed the standing order for the life-saving medication Naloxone. Additionally, in most states and the District of Columbia, you can obtain naloxone from a pharmacy under a standing order that takes the place of an individual prescription. Payment for naloxone differed by prescription type (χ 2 = 2106.4; df = 4; P < .001): standing order prescription payments were more likely to be by cash (22.6% standing order vs 3.1% nonstanding order) and less likely to be by Medicare (13.9% standing order vs 31.4% nonstanding order) than nonstanding order prescriptions. The standing order is the result of 2016 legislation that made it legal for medical professionals to prescribe Naloxone or other opioid antagonists via standing order, and enacted good-Samaritan protections for those who prescribe, dispense, and administer Naloxone or other opioid antagonists to an overdose victim. In Indiana, naloxone entities must provide education and training about naloxone, how to use it, and to call 9-1-1 immediately before administering it. It can be given as an injection or as a nasal spray. January 22, 2018. The Statewide Standing Order for Naloxone allows pharmacists in Wisconsin to sell naloxone without a health care provider's prescription to anyone at risk of an opioid overdose, as well as their family, friends, and anyone who may witness an opioid overdose. Standing order provisions led on average to an increase of approximately 33 naloxone prescriptions per state-quarter, which is equivalent to 74% of the average number of naloxone prescriptions per state-quarter. The Wolf Administration today announced that Secretary of Health Dr. Rachel Levine signed an updated naloxone standing order which permits community-based organizations to provide naloxone by mail.

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