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Updated: Mar 6, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
31.4K
Pharmacy-based statewide naloxone distribution: A novel "top-down, bottom-up" approach
Journal of the American Pharmacists Association : Japha
|March 16, 2017
Summary
New Mexico
Area of Science:
- Public Health
- Pharmacology
- Opioid Overdose Prevention
Background:
- New Mexico faced a high drug overdose death rate in 2014, with over half linked to prescription opioids.
- Naloxone is a critical, safe, and effective medication for reversing opioid overdoses.
- Pharmacists are vital in increasing access to naloxone for at-risk individuals.
Purpose of the Study:
- To detail New Mexico's comprehensive strategy for broad pharmacy-based naloxone distribution.
- To offer interventions as a model for enhancing pharmacy naloxone practices nationwide.
Main Methods:
- Implemented a top-down approach with legislative support for a statewide standing order for naloxone.
- Developed and delivered a bottom-up training program for pharmacists and technicians.
- Utilized Medicaid claims to track naloxone distribution and pharmacy dispensing rates.
Main Results:
- An increase of 9-fold in naloxone Medicaid claims from 2014 to 2016, with 808 claims from 100 pharmacies in early 2016.
- Training program evaluations showed high participant satisfaction, with ratings of 4 out of 4 on Likert scales for bias-free instruction and objective achievement.
Conclusions:
- A collaborative, multi-pronged strategy effectively addressed challenges in pharmacy naloxone distribution.
- This approach successfully positioned pharmacies as a key channel for naloxone acquisition in both urban and rural areas.
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