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    Guidance on Standing Orders for Naloxone

    SB516​ changed the Overdose Response Program in a number of ways, including the addition of standing orders for the dispensing of naloxone. Changes went into effect October 1, 2015.

    ORP Entity Standing Orders

    A healthcare provider with prescribing authority who has a written agreement with an ORP may issue a standing order for the dispensing of naloxone to ORP trainees. The provider who issues a standing order may delegate dispensing of naloxone to an employee or volunteer of an authorized entity. If you are ready to establish a standing order within your ORP, please provide a copy of the following to BHA Overdose Response Program staff: 
    1. The Standing Order Template​: This template standing order records prescriber and ORP entity information, includes background information, and clearly states the intent of the standing order. The healthcare provider with prescribing authority can edit as needed with additional information. Complete and be sure to sign.
    2. Revised Dispensing Protocols​: If your entity has not dispensed naloxone before, you will have to provide dispensing protocols, but if you have, please take the time now to update the protocols to reflect the needs of the standing order. The dispensing protocols are extremely important to set the standards for how the standing order will be completed in practice, and it must be specific and clear in its requirements. It must contain information such as what formulations of naloxone and related supplies will be dispensed and to whom, under what circumstances, how storage and labeling with be done, etc. BHA will continue to provide technical assistance on the dispensing protocols as needed, but an example, to be used as a starting point, is posted on the ORP website. 

    Pharmacy Standing Orders

    Any licensed healthcare professional with dispensing authority (e.g. a pharmacist) may dispense naloxone to an ORP trainee under a standing order issued by a healthcare provider with prescribing authority who has a written agreement with an ORP.
    Guidance on establishing standing orders with a pharmacy is located here. 
    The template for pharmacy standing orders can be found here​.
    In June 2017, MDH issued an updated statewide pharmacy standing order for all individuals. ​