Naloxone Opioid Overdose Reversal Collaborative Drug Therapy Agreement Sample Contracts

Naloxone Opioid Overdose Reversal Collaborative Drug Therapy Agreement
Naloxone Opioid Overdose Reversal Collaborative Drug Therapy Agreement • May 3rd, 2016

As a licensed health care provider authorized to prescribe medication in the State of Washington, I delegate prescriptive authority to each listed licensed pharmacist at Kelley-Ross Pharmacy Group to initiate drug therapy for the treatment or prophylaxis of opioid overdose according to the following protocol. The protocol provides written guidelines for opioid overdose reversal in accordance with the laws (RCW 18.64.011) and regulations (WAC 246‐863‐100) of the State of Washington.

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