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  • New Mexico Pharmacists Association Pharmacist Prescribed Naloxone Rescue Kit Informed Consent Form

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NEW MEXICO PHARMACISTS ASSOCIATION Pharmacist Prescribed Naloxone Rescue Kit Informed Consent Form Name Address Birthdate Phone ( ) Before giving your consent, be sure you understand both the pros.

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This standing order authorizes registered pharmacists in New Mexico to dispense naloxone to: 1. Any person who uses an opioid, regardless of how the opioid is used or obtained. 2. Any person in a position to assist a person at risk of experiencing an opioid overdose.

Naloxone injection is in a class of medications called opiate antagonists.

Pharmacy Access Notes: Statewide standing order from the State Health Officer allows pharmacists to dispense naloxone to anyone without a prescription.

Illinois Naloxone Standing Order Pharmacies utilizing the order should report naloxone dispensing information to the Illinois Prescription Monitoring Program. Pharmacists must complete approved training and education on naloxone administration to access the order.

Monitor patients for risk of overdose, prescribe or dispense naloxone when overdose risk factors are present, and counsel patients on how to use it. Ensure naloxone is always available in pharmacies.

Naloxone (, ) and (, Depade) are two drugs used to help people with opioid addictions. They're both in a class of drugs called opioid antagonists, but they do different things.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232