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PRIOR AUTHORIZATION CRITERIA BRAND NAME (generic)EVIL (naloxone hydrochloride injection) NASAL SPRAY (naloxone hydrochloride nasal spray)Status: CVS Earmark Criteria Type: Post Limit Prior Authorization
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01
Gather all the necessary supplies such as naloxone hydrochloride injection, gloves, and an alcohol swab.
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Check the expiration date of the naloxone hydrochloride injection, ensuring it is not expired.
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Open the package and take out the naloxone hydrochloride injection.
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Clean the injection site with an alcohol swab to prevent infection.
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Hold the naloxone hydrochloride injection firmly and remove the caps from both ends.
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Inject the needle into the muscle of the outer thigh, going straight in at a 90-degree angle.
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Dispose of the used naloxone hydrochloride injection in a sharps container or as instructed by your healthcare provider.
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Seek medical attention for the person who received the naloxone injection, even if they appear to have improved.
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Individuals who are at risk of opioid overdose, including those with a history of opioid use disorder.
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Naloxone hydrochloride injection is a medication used to reverse the effects of opioid overdose.
Healthcare providers and facilities that administer naloxone are required to file reports on naloxone hydrochloride injection.
Naloxone hydrochloride injection reports can be filled out electronically or on paper, following the specific guidelines provided by the regulatory authorities.
The purpose of naloxone hydrochloride injection is to reverse the effects of opioid overdose and save lives.
The reports on naloxone hydrochloride injection must include details such as the patient's name, date of administration, dosage, and any adverse reactions.
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