Naloxone Standing Order


Naloxone hydrochloride (naloxone) is a medication intended for reversal of opioid overdose in the event of a drug overdose that is the result of consumption or use of one or more opioid- related drugs.


This standing order is intended to ensure that individuals within the State of Michigan who are at risk of experiencing an opioid-related overdose, or who are family members, friends or other persons who are able to assist a person at risk of experiencing an opioid-related overdose (henceforth referred to as “Eligible Individuals”), are able to obtain naloxone. This order is not intended to be used by organizations that employ or contract with a prescriber who is authorized to write prescriptions.  Such organizations should utilize the medical professionals with whom they have a relationship to write prescriptions specific to personnel who would be expected to administer naloxone. 


This standing order is issued pursuant to Michigan law which allows the Chief Medical Executive (CME) to issue a standing order that does not identify particular patients at the time it is issued, for the purpose of a pharmacist dispensing the opioid antagonist naloxone.  MCL 333.17701 et seq., 


This standing order may be used by pharmacists to generate a prescription for Eligible Individuals to obtain naloxone from a pharmacy. This order is authorization for pharmacists to dispense naloxone and devices for its administration SOLELY in the FDA-approved naloxone formulations and devices prescribed herein.