1. Perspectives from the Oregon board of Pharmacy
NALOXONE and
DRUG TAKE BACK:
Perspectives from the Oregon board of Pharmacy
Fiona Karbowicz, RPH,
OBOP Pharmacist Consultant

2. Naloxone Prescribing Law
2016 HB 4124
A pharmacist may prescribe unit-of-use naloxone and the necessary supplies for administration to a person who:
Conducts training…so that the person may possess and distribute it to “trainees”
Successfully completes training…so that the person may possess and administer to an individual experiencing and overdose

3. Naloxone Prescribing Law
An employee of a social services agency may administer to an individual a unit-of-use package of naloxone that was not distributed to the employee if:
(a) The employee conducts or has successfully completed opiate overdose training;
(b) The unit-of-use package of naloxone was distributed to another employee of the social services agency who conducts or has completed the opiate overdose training; and
(c) The individual appears to be experiencing an opiate overdose
For purposes of this section, “social services agency” includes, but is not limited to, homeless shelters and crisis centers.

4. INCREASE ACCESS TO NALOXONE!!
The Take Home Message??
INCREASE ACCESS TO NALOXONE!!

5. Naloxone Prescribing Rules
Board adopted a temp rule to expedite
No additional RPH education required (such as a mandated CE, etc.)
OHA developed a written training that RPH utilize to effectively train an individual seeking naloxone
RPH can prescribe and dispense at that moment of contact

6. Screen Shot of the OHA Approved Written Training

7. RPH Prescribing Process Example:
Person seeking naloxone presents to pharmacy counter
RPH gives written pamphlet for person to review
Person finishes reading the materials and RPH reviews the information with him/her.
The pharmacist shall determine that the individual seeking naloxone demonstrates understanding of educational materials related to opioid overdose prevention, recognition, response, and the administration of naloxone.

8. RPH discusses dosage forms available and issues rx – see page 7
Pharmacy processes the rx
Pharmacist counsels prior to releasing the completed rx
RPH retains documentation

9. OBOP Rules – Newly Adopted
Drug Take Back – OAR
Collection receptacle CANNOT be located behind the pharmacy counter!
Plan to remove the inner liner when the hauler arrives to pick it up
Pharmacy staff cannot handle drugs collected
Pharmacy cannot dispose of unwanted inventory in the receptacle
Pharmacy cannot host a “Take Back Event” offsite and bring unwanted drugs back to their receptacles… Must work with local Law Enforcement

10. DEA Aggregate Production Quota (APQ)
Defined as the total amount of “a controlled substance necessary to meet the estimated medical, scientific research, industrial, and export needs for the year and for the maintenance of reserve stocks”
2017 APQ for opiates is reduced by eliminating the 25% buffer from (that had been in place to protect against medication shortages)

11. RESOURCES Board of Pharmacy Website Contact Board directly
Contact Board directly

12. QUESTIONS? Fiona Karbowicz, R.Ph. OBOP Pharmacist Consultant
Contact:
Fiona Karbowicz, R.Ph.
OBOP Pharmacist Consultant