Naloxone and Standing Orders
Now that ALL pharmacists in New Mexico can use a standing order prescription to dispense naloxone, you might be wondering about the training required and how to proceed!
Documents provided by the New Mexico Department of Health:
New Mexico Statewide Naloxone Standing Order for Registered Pharmacist
Issued by Chris Novak, MD - July 1, 2020 - Update January 2022
Naloxone Pharmacy Prescription Hard copy - No longer available
Issued by Chris Novak, MD
User guide - opioid safety. Updated 9/21/18
Pharmacists naloxone dispensing guide. Updated 9/21/18
Article from
Naloxone Pharmacy Directory Helps to Fight Drug Addiction
We’ve had a big year for opioid and heroin overdoses in the United States and we’re currently facing one of the most major public health crisis’ of our time. According to the *CDC, 16,000 deaths in the United States involved opioids and over 8,000 of which involved heroin. Cities like Cincinnati saw record numbers of overdoses with almost 200 overdoses in just a few days.
Thankfully, Naloxone, an opioid reversal medication, arrived on the scene and has since saved thousands of lives. We watched as Naloxone became more available and more professionals were trained on how to administer it. In many counties statewide, the life-saving overdose reversal medication is now available without a prescription. Some communities are even making the overdose kits available to the public free of charge.
As it becomes more readily available, it is our duty as healthcare professionals to educate the public on what it is, how it can help them, and most importantly, where they can find it.
In an effort to reach more people and save more lives, Recovery Addiction Services has added a new directory, in addition to their existing addiction treatment directories, specifically for Naloxone. The directory will help people to find pharmacies in their area that carry Naloxone and in turn help to save more lives that are currently being claimed by the growing heroin epidemic.
As one of the largest growing online addiction and recovery directories, it is our mission to supply as many people as we can with the tools that they need to navigate addiction. By joining our directory, you will be not only helping us accomplish this, you will be saving lives and bringing more customers to your pharmacy.
List your pharmacy on our directory today and let’s help save more lives.
*Source: http://www.cdc.gov/media/releases/2015/p0424-naloxone.html
We have been asked to post a resource for alcohol and drug rehabilitation - help.org:
Also Addiction.com resources including facilities nationwide:
https://www.addictions.com/rehabs/new-mexico/
Narcan information from Adapt PharmaAs you know the opioid overdose epidemic has reached overwhelming proportions. It’s critical that healthcare professionals be acutely aware of who is at risk for an opioid overdose — and how to start a conversation with patients and caregivers about NARCANĀ® (naloxone HCl) Nasal Spray. To learn more watch this short video with Dr. Shawn Ryan, a nationally recognized emergency medicine specialist, as he shares his insight into what practitioners can do to help protect and educate their patients:
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Forms for pharmacist and pharmacy use:
Patient Education Handout 2 - english
Pharmacist naloxone reporting - fax cover page
Pharmacist naloxone report form - information page
Working Protocol for the Pharmacy
This protocol has been updated to allow prescribing to people other than those at risk for an overdose (family or others who might witness and overdose). The update has been approved by the NM Medical Board, Board of Nursing and Board of Pharmacy.
Board of Pharmacy adopted rules (all prescribing including naloxone)
Naloxone pharmacies 2015 - excel spreadsheet
Medicaid MCO billing information for pharmacists providing Naloxone:
Medicaid Fee for Service
The system updates have been finalized to enable pharmacies to bill for naloxone rescue kits
- including the administrative/incentive fee, dispensed to FFS Medicaid recipients.
Opioid resources from Project ECHO
Link to the Project ECHO Integrated Addictions and Psychiatry website for 2 educational videos
http://echo.unm.edu/clinics/clinic-addictions.html
Scroll down to the bottom of the page and look for:
NM Department of Health Opioid resource Information
Please see link below that is the CORRECT DOH webpage address with materials and resources for pharmacists, medical providers and patients – included on this webpage are instructions to pharmacists (from the Prescribe to Prevent website) on naloxone prescription writing and dispensing, as well as patient education packet including graphic instruction on naloxone administration, and link to a patient education video that can be easily downloaded (the webpage also has other resources).
http://nmhealth.org/go/opioid/
Another online tool is available on the Prescribe to Prevent website
http://prescribetoprevent.org/video/
Naloxone Rescue Kits & Medicaid
New Mexico Medicaid is requiring their health plans to cover the “Naloxone Rescue Kits” when prescribed for Medicaid patients. The kit includes the medication in a syringe, a nasal adapter (trumpet) and patient instructions (written and provided by the provider).
Below is a link to three documents prescribers will be receiving: