In the first month following the effective date of the law, naloxone prescriptions jumped 282% (Figure 1) and have averaged approximately 13,800 monthly since. As of July 2020, the FDA announced it is requiring changes to the prescribing information for opioids and medications to treat opioid use disorder (OUD). Most of the state laws require the co-prescribing or offer to co-prescribe naloxone when the daily MME dosage reaches a certain amount. U.S. Department of Health & Human Services, staff from the Office of the Assistant Secretary for Planning and Evaluation (ASPE), 2016 CDC Guideline for Prescribing Opioids for Chronic Pain, Harnessing Technology to Address Loneliness and Social Isolation, How Common Sense and Hard Work Saved Taxpayers, Patient-Centered Care Is Key to Best Practices in Pain Management, My First Year as HHS Assistant Secretary for Health, New HRSA Program Will Help Clinicians and Patients in the Fight Against Opioid Addiction. Expanding the availability and distribution of overdose-reversing drugs is one of the five pillars of HHS’s comprehensive, science-based strategy for combatting the opioid overdose epidemic. Ohio prescribers must offer a naloxone co-prescription when the opioid daily dosage equals or exceeds 80 MME. Other states have taken different approaches to co-prescribing naloxone. State naloxone co-prescribing laws typically apply when certain patient risk factors are present. Co-prescribing naloxone with opioid prescriptions is now required by statute or regulation in Arizona, Florida, New Mexico, Rhode Island, Vermont, Virginia, and Washington state, while laws in California and Ohio require prescribers to offer naloxone co-prescriptions in certain circumstances. Even during a pandemic, naloxone co-prescribing laws lead to increased naloxone prescriptions. © 2020 Association of State and Territorial Health Officials, Privacy    Copyright    HIV/AIDS Content Notice, Domestic Holiday Travel Pandemic Restrictions and Recommendations, An Unprecedented Public Health Thank You Day, Harnessing the Power of Rural: Expanding Access to Telehealth, The Light at the End of the (Long) Tunnel, Voters Decide on Health-Related Ballot Proposals, Profile of State and Territorial Public Health, Directory of State and Territorial Health Officials, My.ASTHO - Member Collaboration and Discussion Platform, examines the prescribing and dispensing of naloxone, identified by the U.S. In California, the failure by a prescriber to offer a naloxone co-prescription as required by the law is subject to a licensing board referral for sanctions. Four states (California, Ohio, Rhode Island, and Virginia) require the co-prescribing or offer to co-prescribe naloxone when the patient has a history of substance abuse or overdose. Permission for pharmacists to dispense naloxone to individuals without a prescription Eight states—California, Kentucky, New Hampshire, New Mexico, New York, Rhode Island, Vermont, and Washington state allow this. Rhode Island requires a naloxone prescription when the daily opioid dosage equals or exceeds 50 MME. 200 Independence Avenue, S.W. Finally, the latest state to adopt a naloxone co-prescribing law, New Mexico, requires a naloxone co-prescription when the opioid prescription is at least a five-day supply. These states and Vermont also include a concurrent benzodiazepine prescription as another factor for co-prescribing or offering a co-prescription of naloxone. Washington, D.C. 20201 Although the number of naloxone prescriptions is not necessarily representative of naloxone use or decreasing opioid overdose deaths, naloxone continues to play an important role as one pillar of our comprehensive strategy to address the opioid crisis. As of July 2020, the FDA announced it is requiring changes to the prescribing information for opioids and medications to treat opioid use disorder (OUD). Below is a brief review of state naloxone co-prescribing laws and their components. For example, in 2018, only one naloxone prescription was dispensed for every 69 high-dose opioid prescriptions (i.e., prescriptions for opioid dosages equal to or greater than 50 morphine milligram equivalents, or MME, per day). This month’s Vital Signs report from CDC examines the prescribing and dispensing of naloxone by retail pharmacies. Naloxone is available in three formulations – nasal spray, injectable, and auto-injector – and at least one form of naloxone is covered by most health insurance plans, including Medicaid and Medicare. State health agencies have a unique opportunity to address the opioid epidemic through the establishment of naloxone co-prescribing requirements and educating policymakers on the evidence surrounding the impact of such requirements on the availability of naloxone. These changes include recommending that as a routine part of prescribing these medications, health care professionals should discuss the availability of naloxone … ASTHO will continue to monitor legislative activity on this important public health issue. U.S. Department of Health & Human Services As HHS regularly tracks the number of naloxone prescriptions dispensed in the US within mail order and retail pharmacies, we are greatly encouraged by continued increases in naloxone prescriptions, particularly within states that have recently implemented naloxone co-prescribing legislation. Home > Blog > Spotlight on Naloxone Co-Prescribing. Additionally, they should consider prescribing naloxone based on a patient’s risk factors for overdose. New naloxone co-prescribing laws in Arizona, California, Florida, Ohio, New Mexico, Rhode Island, Vermont, Virginia and Washington state also call on doctors to discuss the dangers of overdose with these high-risk patients. Naloxone co-prescribing is also recommended in the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain. Over the past several years, a growing number of states have implemented laws and regulations requiring health care providers to co-prescribe naloxone with opioid prescriptions to patients considered at risk of an overdose. As we recognize International Overdose Awareness Day, HHS is calling attention to the co-prescription of naloxone, the Food and Drug Administration (FDA)-approved medication that can save a person’s life when administered during an opioid overdose. These risk factors may include the daily MME dosage, a history of substance abuse or overdose, a concurrent benzodiazepine prescription, and other factors. Data from June 2020 show an increase in naloxone prescriptions in New Jersey of 1,058% over May (Figure 2). Since July 2016, prescriptions for naloxone in the U.S. have increased 773%. 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