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Pharmacy-based expansion of buprenorphine access
Seth A Clark1, Traci C Green2, Josiah D Rich3
1Psychiatry and Human Behavior and Medicine, Brown University, United States of America; The Miriam and Rhode Island Hospitals, United States of America.
Journal of Substance Use and Addiction Treatment
|October 20, 2023
Summary
Pharmacists are key to improving access to medication for opioid use disorder. Pharmacy-based buprenorphine treatment programs show promise in addressing treatment gaps for this widespread condition.
Area of Science:
- Addiction Medicine
- Pharmacology
- Public Health
Background:
- Access to evidence-based medication for opioid use disorder (OUD) is limited for many Americans.
- New collaborative care models integrating pharmacists are under investigation to improve treatment accessibility.
Purpose of the Study:
- To describe experiences with a Collaborative Practice Agreement (CPA) facilitating pharmacy-based buprenorphine access.
- To highlight the potential of pharmacy-based treatment programs in addressing the OUD medication gap.
Main Methods:
- Commentary based on clinical experiences within a randomized controlled trial.
- Focus on a CPA between pharmacists and physicians for buprenorphine delivery.
Main Results:
- The CPA enabled pharmacists to provide low-threshold buprenorphine treatment.
- Experiences highlight the practical aspects of integrating pharmacists into OUD care.
Conclusions:
- Pharmacy-based buprenorphine treatment is a promising strategy to increase access.
- Addressing the significant gap in buprenorphine and methadone access requires prompt exploration of such programs.
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