OTC Naloxone in Michigan

Naloxone is not enough, but it is important.

From the press release:

Gov. Rick Snyder today authorized the Michigan Department of Health and Human Services to issue a standing order pre-authorizing the distribution of naloxone by pharmacists to eligible individuals.

“Naloxone is a tool in the fight against opioid addiction that can save lives immediately and we need to make sure all residents statewide have access, both in rural areas and urban centers,” Gov. Snyder said. “Our entire state has been affected by this horrible epidemic. I have said that state government will use all possible resources to reverse the course of the opioid crisis. This is one more action that demonstrates our full commitment to addressing the problem.”

Naloxone is a fast-acting medication that reverses opioid overdose. Pharmacies that obtain the standing order will be able to dispense naloxone to those at risk of an opioid-related overdose, as well as family members, friends, or other persons who may be able to assist a person at risk of an overdose. Currently, naloxone is only available to be administered by law enforcement or other first responders.

“As we continue our fight against opioid addiction, this order makes naloxone more accessible for those most likely to need it,” said Dr. Eden Wells, chief medical executive of MDHHS. “This is a vital step in reducing deaths related to opioid addiction in Michigan. By allowing for shorter response times in emergency situations, we can help save lives.”

States nationwide have experienced a dramatic increase in the number of opioid-related overdoses in recent years. In Michigan, the number of heroin-related overdose deaths increased from 1.1 per 100,000 residents in 2007 to 6.8 per 100,000 residents in 2015. Opioids, including heroin and prescription drugs, accounted for 473 deaths in 2007; in 2015, that number increased to 1,275.

As part of their final recommendations, Gov. Snyder’s Prescription Drug and Opioid Abuse Task Force found that naloxone is a safe and lifesaving drug that should be more accessible. In 2016, Public Act 383 was passed giving the chief medical executive authority to issue a standing order that does not identify a patient for the purpose of dispensing naloxone. To dispense naloxone under the standing order, pharmacies must register with MDHHS online at www.michigan.gov/naloxone.

When obtaining naloxone from a pharmacy, individuals will be provided with the steps for responding to an opioid overdose as well as important information about where to go for treatment services. Pharmacies will be required to keep track of the amount of naloxone dispensed and will report these numbers to MDHHS on a quarterly basis.

It’s going to take a little while for pharmacies to get registered and get rolling.

It’s my understanding that the order was written in a way that allows for it to be covered by insurance, including Medicaid.

Meijer has already been selling it OTC and may get things rolling more quickly than the others with insurance coverage.

Here is a flyer to help get the word around.

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