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Fax (800) 8697791 Phone (800) 2135525Medication Assisted Treatment /Naloxone 32 mg Per Day SECTION 1: Identification of client and providersLast nameFirst nameAddressMiddle initial Molina I.D. CityStateZIP
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How to fill out medication assisted treatment naloxone

01
To fill out medication assisted treatment naloxone, follow these steps:
02
Start by ensuring that you have the necessary naloxone medication and supplies.
03
Before filling out the naloxone, wash your hands thoroughly to maintain hygiene.
04
Open the naloxone package carefully, avoiding any damage to the medication.
05
Take out the naloxone vial and inspect it for any signs of contamination or damage.
06
Use an alcohol swab to clean the rubber stopper of the vial.
07
Take a syringe with a suitable needle and draw up the correct dosage of naloxone as prescribed by a healthcare professional.
08
Inject the needle into the rubber stopper of the naloxone vial.
09
Slowly pull back the plunger to fill the syringe with the medication.
10
Remove any air bubbles by gently tapping the syringe and pushing the plunger to expel them.
11
Once the syringe is filled and free of air bubbles, carefully remove the needle from the vial.
12
Dispose of the used needle and syringe properly in a sharps container.
13
Follow the instructions provided with the naloxone kit to administer the medication as needed.
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If you are unsure or have any questions about filling out medication assisted treatment naloxone, consult a healthcare professional for guidance.

Who needs medication assisted treatment naloxone?

01
Medication assisted treatment naloxone is typically needed by individuals who are at risk of opioid overdose.
02
This includes people who are dependent on opioids such as heroin or prescription pain medications.
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Additionally, naloxone may also be prescribed to individuals who are in close contact with someone at risk of overdose, such as family members, friends, or caregivers.
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It is important for individuals who are at risk of overdose or those who are in a position to help to have access to naloxone to prevent fatalities.
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Specific populations that can benefit from medication assisted treatment naloxone include individuals with a history of opioid use disorder, those in opioid treatment programs, and individuals in recovery from opioid addiction.
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Ultimately, the decision of who needs medication assisted treatment naloxone should be made by healthcare professionals based on an individual's medical history and risk factors.
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Medication assisted treatment naloxone is a combination of medication and therapy used to treat opioid addiction.
Healthcare providers and facilities that offer medication assisted treatment naloxone are required to file.
To fill out medication assisted treatment naloxone, providers must include information about the patient, treatment plan, and medication administered.
The purpose of medication assisted treatment naloxone is to help individuals reduce cravings and withdrawal symptoms related to opioid addiction.
Information such as patient demographics, treatment dosage, frequency of treatment, and outcomes must be reported on medication assisted treatment naloxone forms.
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