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ClearPrintCommonwealth of Massachusetts IMS Health Drug Utilization Review Program P.O. Box 2586, Worcester, MA 016132586 Fax: 18772087428 Phone: 18007457318Opioid Dependence and Reversal Agents Prior
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How to fill out opioid dependence and reversal

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Step 1: Obtain a prescription for medication-assisted treatment (MAT) from a healthcare professional
02
Step 2: Gather the necessary medical supplies, such as syringes or autoinjectors, as prescribed by your healthcare professional
03
Step 3: Read and follow the instructions provided with the medication carefully
04
Step 4: Prepare the medication according to the instructions
05
Step 5: Choose an appropriate injection site, such as the upper arm, thigh, or buttock
06
Step 6: Cleanse the injection site with an alcohol wipe
07
Step 7: Administer the medication into the chosen injection site as directed by your healthcare professional
08
Step 8: Dispose of used syringes or autoinjectors in a sharps container
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Step 9: Follow up with your healthcare professional for further guidance and support during the opioid dependence and reversal process

Who needs opioid dependence and reversal?

01
Individuals who are dependent on opioids, such as prescription painkillers or illegal drugs like heroin, may need opioid dependence and reversal treatment
02
Patients who are experiencing withdrawal symptoms or overdose symptoms as a result of opioid use may also require this treatment
03
Opioid dependence and reversal is typically recommended for individuals seeking to overcome addiction and achieve long-term recovery
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Opioid dependence is a physical condition that occurs when someone has been using opioids regularly and their body has adapted to the drug. Opioid reversal refers to the process of treating an opioid overdose using medications such as naloxone.
Healthcare providers, emergency medical personnel, and first responders are required to file opioid dependence and reversal reports.
Opioid dependence and reversal reports can be filled out electronically on the designated reporting platform or submitted through a secure reporting system.
The purpose of opioid dependence and reversal reporting is to track opioid overdose incidents, identify trends, and develop strategies to prevent future overdoses.
Information such as the date and time of the overdose, the type and amount of opioid used, the individual's medical history, and the treatment provided must be reported on opioid dependence and reversal forms.
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