Section 392-40-4 - Training Requirement for Pharmacist Authorization to Prescribe and DispenseA pharmacist shall, prior to prescribing and dispensing an opioid antagonist obtain 2 hours of educational training that is approved by the Accreditation Council for Pharmacy Education ("ACPE") related to writing prescription drug orders, the safe dispensing of an opioid antagonist, counseling and providing instructions to the person receiving the opioid antagonist, and its use as rescue therapy for an opioid overdose. Training should address the following topics.
1. Risk factors for opioid abuse and overdose;2. Opioid overdose prevention;3. Recognizing and responding to opioid overdoses;4. Indications for use of Naloxone HCl as rescue therapy;5. Contraindications for use of an opioid antagonist;6. Proper storage and expiration of an opioid antagonist product dispensed;7. Procedures for administration of an opioid antagonist;8. Adverse effects associated with an opioid antagonist rescue therapy;9. Identification of a patient who meets the criteria for provision of an opioid antagonist;10. Required education to provide to persons receiving an opioid antagonist;11. Required elements of protocol to initiate dispensing of an opioid antagonist;12. Required documentation when initiating dispensing of an opioid antagonist; and13. Actions and interventions to be used upon the occurrence of a clinical event.02-392 C.M.R. ch. 40, § 4