Standing Order for Pharmacy Naloxone Dispensing
On December 14, 2015,
Dr. Howard Haft, DHMH Deputy Secretary for Public Health Services, issued
a statewide standing order allowing all
Maryland-licensed pharmacists to dispense naloxone without a prescription to
individuals trained and certified under the ORP. Certificate holders need only
present their certificate at participating pharmacies to receive naloxone. For
more information on dispensing under the standing order, see “Statewide Naloxone
Standing Order: Guidance for Pharmacists,” below.
NOTE: Certificate holders are still responsible for payment through
their insurance, cash or other means.
Standing Order Resources
Release: Statewide Naloxone Standing Order
Dr. Howard Haft Statewide Naloxone Standing Order– This is the official
standing order document. Pharmacies may request a faxed copy by sending an
email to firstname.lastname@example.org. NOTE: the standing order was faxed to all
pharmacies that have a current Maryland State Controlled Dangerous Substance
registration on December 14, 2015.
Statewide Naloxone Standing Order: Guidance for Pharmacists– This document provides detailed guidance
and instructions for pharmacists when dispensing under the standing order.
Intranasal Naloxone Overdose Response Brochure– A brochure created by
the Maryland Overdose Response Program that includes steps for responding
to an opioid overdose with intranasal naloxone (2mg/2ml pre-filled
syringe with nasal atomizer).
Pharmacies Stocking Naloxone (updated 12/19/2016) – The pharmacies on this list have been identified as currently stocking
naloxone by the pharmacies’ corporate offices. Those who have been trained
under the Overdose Response Program may present their certificate at a
participating pharmacy to get naloxone without a prescription under the
statewide standing order. Individuals should ask to speak to a pharmacist about
naloxone. This list is updated bi-annually.
Medicaid Pharmacy Program Durable Medical Equipment (DME) Authorized
Pharmacies – A list of pharmacies
authorized by Maryland Medicaid to be reimbursed for dispensing DME. The nasal
atomizer (MAD 300) used with the naloxone 2mg/2ml pre-filled syringe for
intranasal administration is considered DME.
Click here for
more information about naloxone
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464