It's finally available through pharmacies, here's the info you need to know.
Effective March 27, 2018, intra-nasal naloxone spray (INNS) (Narcan ® Nasal Spray) will be publicly funded through the Ontario Naloxone Program for Pharmacies (ONPP) to all eligible recipients.
Criteria for an eligible recipient include:
Naloxone injectable kits will continue to be funded...Eligible recipients will have the choice between injectable naloxone and INNS kits.
McKesson Item # 119095
McKesson DIN 2458187
Link to ODB billing procedures:
Link to Frequently Asked Questions:
Link to Narcan administration instructions:
NOTE: The Narcan instructions on the PDF suggest to contact 911 after administration of Narcan...but the Ontario Ministry of Health info sheet recommends contacting 911 after you try to stimulate patient (shake shoulders, shout name)...I prefer calling 911 as soon as patient is determined to be unresponsive
Why are there no additional training fees for the intra-nasal naloxone kits?
If you read the ODB billing procedures, what I have noticed to be "missing" is that ODB pays a professional fee ($10) and a training fee ($25) for the injectable naloxone, but only a professional fee ($10) for intra-nasal naloxone (and no training fee)...yet there is still training for the intra-nasal naloxone which is just as comprehensive as the training for injectable naloxone...I'll be forwarding my concerns to Allan Malek of OPA firstname.lastname@example.org
According to the ODB FAQ...
"Intra-Nasal Naloxone Spray (INNS) does not require any special instructions to administer and as such, the need for specific training is not necessary. Pharmacists should provide guidance to individuals who obtain a kit on who to administer the intra-nasal spray as they would for any other prescription intra-nasal drug. The intra-nasal device used in the product is very similar to devices used with other medications and requires no specialized training."
Link to OPA Training
Link to OCP Guidelines
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