Oregon Board of Pharmacy

Rule Rule 855-019-0460
Naloxone - Delivery of Care and Prescribing


A pharmacist, having determined that there is an identified medical need, can prescribe naloxone and the necessary medical supplies to administer naloxone for opiate overdose:
(a) When dispensing any opiate or opioid prescription in excess of 50 morphine milligram equivalents (MME);
(b) To an individual seeking naloxone;
(c) To an entity seeking naloxone.
(2) The pharmacist shall determine that the individual (or the individual on behalf of an entity) seeking naloxone demonstrates understanding of educational materials related to opioid overdose prevention, recognition, response, and the administration of naloxone.
(3) The pharmacist may prescribe naloxone in any FDA approved dosage form and the necessary medical supplies needed to administer naloxone.
(4) The pharmacist shall dispense the naloxone product in a properly labeled container.
(5) Naloxone may not be prescribed without offering to provide oral counseling to the authorized recipient, which may include dose, effectiveness, adverse effects, storage conditions, and safety.
(6) The pharmacist must document the encounter and the prescription, and maintain records for three years.
(7) Any person, having once lawfully obtained naloxone may possess, distribute or administer it for the purpose of reversing opiate overdose.

Last accessed
Jun. 8, 2021