26B-4-510.  Standing prescription drug orders for an opiate antagonist.

(1)  Notwithstanding Title 58, Chapter 17b, Pharmacy Practice Act, a person licensed under Title 58, Chapter 17b, Pharmacy Practice Act, to dispense an opiate antagonist may dispense the opiate antagonist:

Terms Used In Utah Code 26B-4-510

  • Dispense: means the same as that term is defined in Section 58-17b-102. See Utah Code 26B-4-501
  • Division: means the Division of Professional Licensing created in Section 58-1-103. See Utah Code 26B-4-501
  • Increased risk: means risk exceeding the risk typically experienced by an individual who is not using, and is not likely to use, an opiate. See Utah Code 26B-4-501
  • Local health department: means the same as that term is defined in Section 26A-1-102. See Utah Code 26B-1-102
  • Opiate: means the same as that term is defined in Section 58-37-2. See Utah Code 26B-4-501
  • Opiate antagonist: means naloxone hydrochloride or any similarly acting drug that is not a controlled substance and that is approved by the federal Food and Drug Administration for the diagnosis or treatment of an opiate-related drug overdose. See Utah Code 26B-4-501
  • Opiate-related drug overdose event: means an acute condition, including a decreased level of consciousness or respiratory depression resulting from the consumption or use of a controlled substance, or another substance with which a controlled substance was combined, and that a person would reasonably believe to require medical assistance. See Utah Code 26B-4-501
  • Overdose outreach provider: means :
(a) a law enforcement agency;
(b) a fire department;
(c) an emergency medical service provider, as defined in Section 26B-4-101;
(d) emergency medical service personnel, as defined in Section 26B-4-101;
(e) an organization providing treatment or recovery services for drug or alcohol use;
(f) an organization providing support services for an individual, or a family of an individual, with a substance use disorder;
(g) an organization providing substance use or mental health services under contract with a local substance abuse authority, as defined in Section 26B-5-101, or a local mental health authority, as defined in Section 26B-5-101;
(h) an organization providing services to the homeless;
(i) a local health department;
(j) an individual licensed to practice pharmacy under Title 58, Chapter 17b, Pharmacy Practice Act; or
(k) an individual. See Utah Code 26B-4-501
  • Person: means :Utah Code 68-3-12.5
  • Physician: means the same as that term is defined in Section 58-67-102. See Utah Code 26B-4-501
  • Prescribe: means the same as that term is defined in Section 58-17b-102. See Utah Code 26B-4-501
  • (a)  pursuant to a standing prescription drug order made in accordance with Subsection (2); and

    (b)  without any other prescription drug order from a person licensed to prescribe an opiate antagonist.

    (2)  A physician who is licensed to prescribe an opiate antagonist, including a physician acting in the physician’s capacity as an employee of the department, or a medical director of a local health department, as defined in Section 26B-4-512, may issue a standing prescription drug order authorizing the dispensing of the opiate antagonist under Subsection (1) in accordance with a protocol that:

    (a)  limits dispensing of the opiate antagonist to:

    (i)  an individual who is at increased risk of experiencing an opiate-related drug overdose event;

    (ii)  a family member of, friend of, or other person, including a person described in Subsections 26B-4-512(1)(a)(i)(A) through (1)(a)(i)(F), that is in a position to assist an individual who is at increased risk of experiencing an opiate-related drug overdose event; or

    (iii)  an overdose outreach provider for:

    (A)  furnishing to an individual who is at increased risk of experiencing an opiate-related drug overdose event, or to a family member of, friend of, or other individual who is in a position to assist an individual who is at increased risk of experiencing an opiate-related drug overdose event, as provided in Section 26B-4-511; or

    (B)  administering to an individual experiencing an opiate-related drug overdose event;

    (b)  requires the physician to specify the persons, by professional license number, authorized to dispense the opiate antagonist;

    (c)  requires the physician to review at least annually the dispensing practices of those authorized by the physician to dispense the opiate antagonist;

    (d)  requires those authorized by the physician to dispense the opiate antagonist to make and retain a record of each person to whom the opiate antagonist is dispensed, which shall include:

    (i)  the name of the person;

    (ii)  the drug dispensed; and

    (iii)  other relevant information; and

    (e)  is approved by the Division of Professional Licensing within the Department of Commerce by administrative rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.

    Renumbered and Amended by Chapter 307, 2023 General Session