Buprenorphine/NaloxoneMedication Administration Program

Requirements10-7-15

ObjectivesWhen administering buprenorphine/naloxone in a MAP program, what are theDifferences from administering other medications?

Similarities to administering other medications?

Buprenorphine/Naloxone

Brand namesSuboxone® Zubsolv®

IndicationOpioid Use Disorders

Training RequirementStaff must be

MAP Certified andTrained specific to

Buprenorphine/naloxone therapy management

Prior to administering

HCP Order Requirements

Buprenorphine/NaloxoneIs ordered only by a

Specially trained physician‘Waivered Provider’

HCP Order Requirements 2

HCP Order RequirementsHCP order must specify

Medication is indicated forTreatment of

Opioid Use Disorder or Similar terminology

Buprenorphine/Naloxone

If prescribed for pain management It generally cannot be administered

By Certified staffExcept as last resort as indicated on

Healthcare Provider letterheadSubmitted to DPH Drug Control

Program

Prescription RequirementBuprenorphine/Naloxone

Can only be prescribed by aSpecially trained physician

‘Waivered Provider’

Buprenorphine/NaloxoneCountable medication

Schedule IIITamper resistant packagingDouble lockedReconciled when keys change hands

Buprenorphine/Naloxone 3

Buprenorphine/NaloxoneRoute of administrationSublingual = under tongueSublingual tabletSublingual film

MAP RequirementsOther HCP visits

Individuals other HCP’s must beMade aware of buprenorphine/naloxone

Other HCP VisitIndividuals other HCP’s must be provided withCurrent medication list

With dosagesWaivered Provider’s

Contact information

Other HCP Visit 2

Other HCP VisitMedication changeDose changeHCP making change

Must consult Waivered Provider

Other HCP Visit 3

Other HCP VisitIf Waivered Provider is unavailable for

consult at time of other HCP visit HCP order must indicate to

eitherHold new medication/dose change

Until Waivered Provider is notified or

Give new medication/dose as orderedNotify Waivered Provider ASAP

Documentation

Buprenorphine/Naloxone

Only the Waivered ProviderCan change a

Buprenorphine/naloxone order

Buprenorphine ‘only’(without Naloxone)

Used if HCP order indicates Intolerance to

Buprenorphine/naloxoneMay be

Prescribed by any HCPAdministered by Certified staff

Single Entity Buprenorphine Drug

ProductsUsed for acute detoxificationOnly administered in a

Treatment facilityNever in a MAP setting

Questions