The standing order allows pharmacists in Wisconsin to provide naloxone without a direct prescription to individuals at risk of an opioid overdose, as well as their family and friends and anyone who may witness an opioid overdose.
Information About Naloxone
Naloxone is a medication that can reverse an opioid overdose. It can be given as an injection or as a nasal spray.
Naloxone does not reverse overdoses caused by non-opioid drugs. It will not cause harm if it is administered to someone who is not experiencing an overdose due to opioids. It cannot be abused and is not addictive.
Statewide Standing Order
The Statewide Standing Order for Naloxone is for pharmacies that are interested in dispensing naloxone using the statewide standing order signed by Dr. Jonathan Meiman.
The Pharmacy Society of Wisconsin has developed an implementation webinar and a list of FAQs for pharmacies interested in dispensing naloxone under the statewide standing order.
Local Prescriber Standing Order
The local prescriber standing order is intended for pharmacies that wish to use their own medical provider to issue a prescription order for naloxone. Pharmacies may use the education materials provided on this page as well as the template standing order (below).
Co-prescribing for Naloxone
Co-prescribing is a helpful way to protect patients on long-term opioid therapy or high doses of opioids. Health care providers have the option to co-prescribe naloxone for patients who are on medications or who have health conditions that put them at increased risk of overdose. Providers may use the education materials as needed.
Note: The insert about the AIDS Resource Center for Wisconsin may only be used as part of the Statewide and Local Prescriber Standing Orders for Naloxone.
Prescriber and Patient Education Materials
All of these materials were created to help pharmacists implement either the Statewide Standing Order for Naloxone or a local prescriber standing order.
- Post this sign in a highly visible location: Naloxone Available Poster, P-01577 (PDF)
- Post a copy of this red flags checklist in the area where staff fill prescriptions: Red Flags: Are you about to fill a prescription for opioids? P-01574 (PDF)
- Provide this screening checklist to customers: Screening Checklist, P-01572 (PDF)
- Use this guide when assembling naloxone kits for customers: Naloxone Toolkit Assembly, P-01570 (PDF)
Patient Education Materials
- Provide these instructions to customers on how to respond to an overdose and give naloxone: How to Give Naloxone and How to Respond to an Overdose, P-01576 (PDF)
- Provide this brochure on opioid safety and overdose prevention: Opioid Safety and Overdose Prevention, P-01571 (PDF)
- Offer this list of resources to customers: Patient Resource Guide, P-01575 (PDF)
- Offer this handout to customers whose insurance doesn't cover naloxone: AIDS Resource Center of Wisconsin insert, P-01773 (PDF)
These materials are designed to be printed on 8.5” x 11” paper, in color or black and white. If printing from a home or office copier/printer, please make sure to select the following before printing:
- Under Page Sizing and Handling, select “Flip on short edge."
- Under Orientation, select “Landscape."
- Naloxone Toolkit Assembly, P-01570 (PDF)
- Opioid Safety and Overdose Prevention, P-01571 (PDF)
- Screening Checklist, P-01572 (PDF)
- Red Flags: Are you about to fill a prescription for opioids? P-01574 (PDF)
- Patient Resource Guide, P-01575 (PDF)
- How to Give Naloxone and How to Respond to an Overdose, P-01576 (PDF)
- Naloxone Available Poster, P-01577 (PDF)
Each of the patient and pharmacist education materials is also available in Spanish.
- Seguridad y Prevención de una Sobredosis con Opioides, P-01571S (PDF)
- Guía de Recursos para el Paciente, P-01575S (PDF)
- Como Administrar Naloxona y Como Responder a una Sobredosis, P-01576S (PDF)
- Lista de verificación para la evaluación, P-01572S (PDF)
- Lista de Señales de Alerta del Paciente, P-01574S (PDF)
- Folleto de Disponibilidad de Naloxona, P-01577S (PDF)
If you have requests for translation of materials or have questions about printing instructions, email firstname.lastname@example.org.
Find a Pharmacy that Dispenses Naloxone
Disclaimer: If you are with someone who is experiencing an overdose, call 911 immediately.
This directory is of pharmacies that provided their information to the Wisconsin Department of Health Services (DHS) as of October 2017. Information will be updated on a quarterly basis. Individuals interested in obtaining naloxone from a pharmacy on the directory should contact the pharmacy for availability of naloxone. DHS is not responsible for the availability of naloxone at participating pharmacies. Please note that this directory is not exhaustive; there may be other pharmacies or pharmacy chains that are dispensing under their own local prescriber standing order. If you are a pharmacist and would like your pharmacy to be included in the searchable directory, please email email@example.com.