1. 10-7-15

2. Objectives When administering buprenorphine/naloxone in a MAP program, what are the Differences from administering other medications? Similarities to administering other medications?

3. Buprenorphine/Naloxone Brand names Suboxone ® Zubsolv ® Indication Opioid Use Disorders

4. Training Requirement Staff must be MAP Certified and Trained specific to Buprenorphine/naloxone therapy management Prior to administering

5. HCP Order Requirements Buprenorphine/Naloxone Is ordered only by a Specially trained physician ‘Waivered Provider’

6. HCP Order Requirements HCP order must specify Medication is indicated for Treatment of Opioid Use Disorder or Similar terminology

7. Buprenorphine/Naloxone If prescribed for pain management It generally cannot be administered By Certified staff Except as last resort as indicated on Healthcare Provider letterhead Submitted to DPH Drug Control Program

8. Prescription Requirement Buprenorphine/Naloxone Can only be prescribed by a Specially trained physician ‘Waivered Provider’

9. Buprenorphine/Naloxone Countable medication Schedule III Tamper resistant packaging Double locked Reconciled when keys change hands

10. Buprenorphine/Naloxone Route of administration Sublingual = under tongue Sublingual tablet Sublingual film

11. MAP Requirements Other HCP visits Individuals other HCP’s must be Made aware of buprenorphine/naloxone

12. Other HCP Visit Individuals other HCP’s must be provided with Current medication list With dosages Waivered Provider’s Contact information

13. Other HCP Visit Medication change Dose change HCP making change Must consult Waivered Provider

14. Other HCP Visit If Waivered Provider is unavailable for consult at time of other HCP visit HCP order must indicate to either Hold new medication/dose change Until Waivered Provider is notified or Give new medication/dose as ordered Notify Waivered Provider ASAP

15. Documentation

16. Buprenorphine/Naloxone Only the Waivered Provider Can change a Buprenorphine/naloxone order

17. Buprenorphine ‘only’ (without Naloxone) Used if HCP order indicates Intolerance to Buprenorphine/naloxone May be Prescribed by any HCP Administered by Certified staff

18. Single Entity Buprenorphine Drug Products Used for acute detoxification Only administered in a Treatment facility Never in a MAP setting

19. Questions