Statewide Standing Order for Pharmacy Naloxone Dispensing

On June 1, 2019, Dr. Jinlene Chan, MDH Assistant Secretary, issued an updated statewide standing order (replacing Dr. Howard Haft’s expired standing order) allowing Maryland-licensed pharmacists to dispense naloxone to anyone who may be at risk for opioid overdose or in a position to assist someone believed to be experiencing opioid overdose. A person-specific paper or electronic prescription is not required for a pharmacist to dispense naloxone under the standing order. 

As authorized by this law, the standing order allows pharmacists to dispense naloxone to anyone regardless of whether the person has previously been trained under ORP or received any training in opioid overdose response.

NOTE: The statewide standing order acts only as a prescription for naloxone and does not cover payment to a pharmacy for the medication or supplies needed for its use.  

Statewide Standing Order Resources 

1. Dr. Jinlene Chan Statewide Naloxone Standing Order​ - This is the official standing order document. Pharmacies may request a faxed copy by sending an email to mdh.naloxone@maryland.gov​.

NOTE: The standing order, along with additional documentation, was originally faxed to pharmacies on May 31, 2019.

2.Statewide Naloxone Standing Order: Guidance for Pharmacists​ – This document provides detailed guidance and instructions for pharmacists when dispensing under the standing order.

3. 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/0.4mL NARCAN Nasal Spray).

NOTE: Individuals are encouraged to call the pharmacy and speak with a pharmacist about naloxone availability and dispensing under the statewide standing order.

Resources for Pharmacists and Patients

Pharmacists are encouraged to offer counseling and instruction to individuals being dispensed naloxone under the statewide standing order on how to recognize the signs and symptoms of an opioid overdose, the importance of contacting emergency medical services, proper administration of naloxone and other appropriate topics. 

Please visit the Guidance and Resources​ section for educational resources for prescribers, pharmacists and patients. ​
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