Get the free Naloxone Standing Order RX - Baltimore City Health Department

Dr. Leana Wen Baltimore City Health Commissioner Save A Life Get Naloxone Standing Order Certificate and Prescription STANDING ORDER This certificate provides a standing order that applies to two

How to fill out naloxone standing order rx

How to fill out naloxone standing order rx:

1. Obtain the naloxone standing order rx form from a healthcare provider or pharmacy.
2. Fill in the necessary patient information, including the name, date of birth, and contact information.
3. Provide the healthcare provider's information, such as their name, address, and phone number.
4. Indicate the desired amount of naloxone to be dispensed, usually measured in doses or kits.
5. Sign and date the form to confirm your request for a naloxone standing order rx.
6. Submit the completed form to the designated healthcare provider or pharmacy for processing.

Who needs naloxone standing order rx:

1. Individuals at risk of experiencing an opioid overdose, such as those with a history of opioid use disorder or chronic pain management.
2. Friends, family members, or loved ones of individuals who are at risk of opioid overdose.
3. Healthcare providers or organizations who provide services to individuals at risk of opioid overdose, including addiction treatment facilities or homeless shelters.
4. First responders, law enforcement officers, or other individuals who may encounter opioid overdoses in their line of work.
5. Anyone who wants to be prepared to respond to an opioid overdose and potentially save a life.

Remember, it is important to consult with a healthcare provider to determine if naloxone is appropriate for your situation and to receive proper training on its administration.

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What is naloxone standing order rx?

Naloxone standing order rx is a prescription that allows pharmacists to dispense naloxone without a direct patient-specific prescription.

Who is required to file naloxone standing order rx?

Healthcare providers or prescribers are required to file naloxone standing order rx.

How to fill out naloxone standing order rx?

Naloxone standing order rx can be filled out by including the necessary information such as prescriber details, pharmacy information, and patient counseling.

What is the purpose of naloxone standing order rx?

The purpose of naloxone standing order rx is to increase access to naloxone for opioid overdose prevention.

What information must be reported on naloxone standing order rx?

Information such as prescriber name, date of issuance, quantity of naloxone, and directions for use must be reported on naloxone standing order rx.