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3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO 65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists
NALOXONE RESOURCES
Missouri law authorizes pharmacists to dispense Naloxone without a prescription under a statewide Standing Order issued by the Missouri Department of Health and Senior Services or by protocol with a licensed physician. The following resources have been provided by the Board to assist licensees and to help educate patients:
Naloxone Standing Order
Standing Order Guidance
Naloxone Dispensing by Protocol FAQ
(The following resources from other state/federal agencies are provided for informational purposes only. Document content is from the sponsoring entity and does not constitute a recommendation or endorsement of the Board.)
Pharmacist Resources- Five Essential Steps for First Responders (Administering Naloxone)
- Administering Naloxone (Bureau of Justice)
- Naloxone Facts (National Institute of Drug Abuse)
- Opioid Overdose Prevention Toolkit
- Pharmacy Basics
- Other Resources
- endRxmisuse.org (Missouri Department of Mental Health)
- www.prescribetoprevent.org
- www.StopOverdose.org
- Missouri Opioid Safety and Naloxone Brochure (A guide for Missouri patients and caregivers)
- Getting Help in Missouri
- Safety Advice for Patients & Family Members
- Recovering from Opioid Overdose (Resources for Overdose Survivors & Family Members)
- Opioid Overdose Resuscitation Card
- Risk of Prescription Painkillers (National Safety Counsel)
- When Pain Medications Become a Problem
- Understanding Drug Abuse and Addiction
- Other Resources
- endRxmisuse.org (Missouri Department of Mental Health)
- www.prescribetoprevent.org
- www.StopOverdose.org
Guidance For First Responder Agencies
Section 190.255, RSMo, authorizes any licensed drug distributor or pharmacy to sell naloxone to a "qualified first responder agency". A qualified first responder agency is defined by statute as "any state or local law enforcement agency, fire department or ambulance service that provides documented training to its staff related to the administration of naloxone in an apparent narcotic or opiate overdose situation." Licensees can sell naloxone to a qualified first responder agency without a protocol. All sales/distributions should be documented in the pharmacy's/drug distributor's records. (See the Missouri Pharmacy Practice Guide for additional information)