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Research Letter
November 13, 2018

Naloxone Accessibility Without a Prescriber Encounter Under Standing Orders at Community Pharmacy Chains in Texas

Author Affiliations
  • 1College of Pharmacy, The University of Texas at Austin
JAMA. 2018;320(18):1934-1937. doi:10.1001/jama.2018.15892

In response to the opioid overdose epidemic, each US state has passed legislation to expand access to naloxone, the opioid overdose antidote.1 Although naloxone access laws differ by state, one component of most laws is allowance for standing orders, whereby prescribers may authorize pharmacists to dispense naloxone without an outside prescription (ie, the standing order constitutes a prescription from the authorizing prescriber). Enacted in September 2015, Texas’ naloxone access law provides liability protection for prescribers, pharmacists, and overdose responders and permits third-party prescribing (ie, to non–opioid users), layperson possession and distribution, and standing order development.