163 0 obj <>/Filter/FlateDecode/ID[]/Index[149 31]/Info 148 0 R/Length 76/Prev 27099/Root 150 0 R/Size 180/Type/XRef/W[1 2 1]>>stream This new order allows patients or family members to purchase Naloxone without a prescription, where previously one was required. [4] “State Health Commissioner Comments on Opioid Addiction Declaration – Virginia Department of Health.”. Naloxone, often administered as a nasal spray (Narcan), is an opioid antagonist that quickly and effectively counteracts the effects of drugs like heroin, fentanyl, oxycodone, Vicodin, and carfentanil[2,3]. Naloxone Standing Order. [2] National Institute on Drug Abuse, “Naloxone,” September 26, 2016, https://www.drugabuse.gov/related-topics/naloxone. How to Report Naloxone without a DEA Number; Oral Health Resources; Preceptor Resources; Prescription Drug Safety; Recommended Links; Residency Programs. [9] Associated Press, “Virginia Krogers to Offer Naloxone without Prescription,” WAVY-TV, January 31, 2017, http://wavy.com/2017/01/31/virginia-krogers-to-offer-naloxone-without-prescription/. %PDF-1.5 %���� According to a local pharmacist in Charlottesville, VA, it’s possible to walk into a pharmacy today with about $80 and walk out with a dose of Narcan without a prescription. This opioid crisis is especially severe in southwestern Virginia, where there is a “growing prevalence of hepatitis C and HIV resulting from injection drug use”[5]. Several pharmacies throughout Virginia, including CVS, Walgreens, and Kroger, have begun to offer naloxone without a prescription[9]. Dr. Marissa Levine, The Virginia State Health Commissioner, has issued a standing order for Naloxone, the drug used to treat emergency opioid overdoses[1]. The University does not direct, supervise or control the organization and is not responsible for the organization’s contracts, acts or omissions. 0 "�����t(��_�T�,Fʉ��>� �% [6] “DEA Issues Carfentanil Warning to Police and Public,” accessed April 14, 2017, https://www.dea.gov/divisions/hq/2016/hq092216.shtml. In a statement delivered on November 21, 2016, Dr. Levine, noted that each day, over 24 Virginians are treated and 3 die from drug overdoses[4]. Authorized Dispensers: The following individuals may dispense naloxone pursuant to this standing order to a per son to administer to another This order supersedes the order issued by the State Health Commissioner on April 13, 2018. Although this organization has members who are University of Virginia students and may have, University employees associated or engaged in its activities and affairs, the organization is not a part of or an agency. 179 0 obj <>stream designated by this standing order in accordance with Virginia Board of Pharmacy Guidance Document 110-44. endstream endobj startxref [3] National Institute on Drug Abuse, “Opioids,” May 27, 2016, https://www.drugabuse.gov/drugs-abuse/opioids. Naloxone is available under the State Health Commissioner's standing order.. Commissioner's Standing order. In essence, the standing order serves as a prescription written for the general public, rather than specifically for an individual. endstream endobj 150 0 obj <>/Metadata 10 0 R/PageLayout/OneColumn/Pages 147 0 R/StructTreeRoot 30 0 R/Type/Catalog>> endobj 151 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 152 0 obj <>stream It is a separate and independent organization, which is responsible for and manages its own activities and affairs. This standing order comes amidst a new, potent opioid–carfentanil–that has been increasingly seen throughout the United States[6,7]. h�b```f``�d`a`�dd�c@ >�rL`�k8����������S8@"���@��yA����:d2p��'�Us00ԟ�L@��4�A����@z�H � `�� Talk to your pharmacist. A standing order shall be valid for no more than two years from the date of issuance and shall contain the following information at a minimum: a) [7]“CARFENTANIL: A NEW CHALLENGE IN THE OPIOID EPIDEMIC,” GROUNDS, accessed April 14, 2017, http://www.vabioethics.com/content/2016/10/20/carfentanil-a-new-challenge-in-the-opioid-epidemic. Rather worryingly however, carfentanil may be too potent for Naloxone to have an effect. The DEA estimates this drug to be 500,000 times more powerful than heroin[8]. h��Xmo�8�+��}H������]��ah{��~�_k\������HYRd�I���0�l�")�|ĘiI(aZ�5aR�h��%�r� H* ÀHN�S�6�f. Dr. Marissa Levine, The Virginia State Health Commissioner, has issued a standing order for Naloxone, the drug used to treat emergency opioid overdoses[1]. h�bbd``b`Z$[AD���$�ۀK*� "@�! %%EOF 149 0 obj <> endobj [1] “State Health Commissioner Comments on Opioid Addiction Declaration – Virginia Department of Health,” accessed April 14, 2017, http://www.vdh.virginia.gov/blog/2017/04/03/state-health-commissioner-comments-on-opioid-addiction-declaration/. 3) Standing Order: In addition to dispensing naloxone pursuant to an oral or written order, a pharmacist may dispense naloxone pursuant to a standing order. As a result, Dr. Levine declared a Virginia Public Health Emergency for the opioid epidemic.