Laws Mandating Coprescription of Naloxone and Their Impact on Naloxone Prescription in Five US States, 2014–2018

Traci C Green; Corey Davis; Ziming Xuan; Alexander Y Walley; Jeffrey Bratberg

doi:10.2105/AJPH.2020.305620

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Laws Mandating Coprescription of Naloxone and Their Impact on Naloxone Prescription in Five US States, 2014–2018

Journal article

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Laws Mandating Coprescription of Naloxone and Their Impact on Naloxone Prescription in Five US States, 2014–2018

Traci C Green, Corey Davis, Ziming Xuan, Alexander Y Walley and Jeffrey Bratberg

American journal of public health (1971), Vol.110(6), pp.881-887

06/2020

DOI: https://doi.org/10.2105/AJPH.2020.305620

PMID: 32298179

Abstract

Objectives. To examine early impacts of laws that require naloxone to be prescribed to patients at increased overdose risk. Methods. Using data from 2014 to 2018 from a large pharmacy chain, CVS Pharmacy, we examined the effects of naloxone-prescribing mandates 90 days before and after they took effect in Arizona, Florida, Rhode Island, Vermont, and Virginia. We compared the number of naloxone doses initiated directly by prescribers and by pharmacy standing order, prescriber specialty, pharmacies dispensing, and payor type by applying linear models and the χ2 test. Results. Naloxone-prescribing mandates increased pharmacy naloxone provision 255% from 90 days before to after implementation. This approach appeared to engage more prescribers (1028 before to 4285 after), complement ongoing naloxone provision under pharmacy standing orders, expand geographic reach (from 40% to 80% of pharmacies dispensing), and broaden the naloxone payor mix in 4 (P < .05) of 5 states. Conclusions. Mandating the prescribing of naloxone quickly expands access to this life-saving medication for more people in more places. Other states should consider mandating the coprescription of naloxone to individuals at increased risk of overdose.

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Title: Laws Mandating Coprescription of Naloxone and Their Impact on Naloxone Prescription in Five US States, 2014–2018
Creators: Traci C Green - At the time of the study, Traci C. Green was with the Department of Emergency Medicine, Boston University School of Medicine and Boston Medical Center Injury Prevention Center, Boston, MA. Corey Davis is with the Network for Public Health Law, Greensboro, NC. Ziming Xuan is with the Department of Community Health Sciences, Boston University School of Public Health, Boston, MA. Alexander Y. Walley is with the Department of General Internal Medicine, Boston University School of Medicine and Boston Medical
Corey Davis - At the time of the study, Traci C. Green was with the Department of Emergency Medicine, Boston University School of Medicine and Boston Medical Center Injury Prevention Center, Boston, MA. Corey Davis is with the Network for Public Health Law, Greensboro, NC. Ziming Xuan is with the Department of Community Health Sciences, Boston University School of Public Health, Boston, MA. Alexander Y. Walley is with the Department of General Internal Medicine, Boston University School of Medicine and Boston Medical
Ziming Xuan - At the time of the study, Traci C. Green was with the Department of Emergency Medicine, Boston University School of Medicine and Boston Medical Center Injury Prevention Center, Boston, MA. Corey Davis is with the Network for Public Health Law, Greensboro, NC. Ziming Xuan is with the Department of Community Health Sciences, Boston University School of Public Health, Boston, MA. Alexander Y. Walley is with the Department of General Internal Medicine, Boston University School of Medicine and Boston Medical
Alexander Y Walley - At the time of the study, Traci C. Green was with the Department of Emergency Medicine, Boston University School of Medicine and Boston Medical Center Injury Prevention Center, Boston, MA. Corey Davis is with the Network for Public Health Law, Greensboro, NC. Ziming Xuan is with the Department of Community Health Sciences, Boston University School of Public Health, Boston, MA. Alexander Y. Walley is with the Department of General Internal Medicine, Boston University School of Medicine and Boston Medical
Jeffrey Bratberg - At the time of the study, Traci C. Green was with the Department of Emergency Medicine, Boston University School of Medicine and Boston Medical Center Injury Prevention Center, Boston, MA. Corey Davis is with the Network for Public Health Law, Greensboro, NC. Ziming Xuan is with the Department of Community Health Sciences, Boston University School of Public Health, Boston, MA. Alexander Y. Walley is with the Department of General Internal Medicine, Boston University School of Medicine and Boston Medical
Publication Details: American journal of public health (1971), Vol.110(6), pp.881-887
Identifiers: 9923958101401921
Academic Unit: Heller School for Social Policy and Management
Language: English
Resource Type: Journal article

Laws Mandating Coprescription of Naloxone and Their Impact on Naloxone Prescription in Five US States, 2014–2018

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