Ohio § 4729.283

§ 4729.283.

(A) A pharmacist may dispense naltrexone without a prescription from a licensed health

professional authorized to prescribe drugs if all of the following conditions are

met: (1) The pharmacist is able to verify a record of a prescription for the injectable long-acting

or extended-release form of naltrexone in the name of the patient who is requesting

the drug, but the prescription does not provide for a refill or the time permitted

by rules adopted by the state board of pharmacy for providing refills has elapsed. (2) The pharmacist is unable to obtain authorization to refill the prescription from

the prescriber who issued it or another prescriber responsible for the patient's care. (3) In the exercise of professional judgment, the pharmacist determines that both of

the following are the case: (a) The drug is necessary to continue the patient's therapy for substance use disorder. (b) Failure to dispense the drug to the patient could result in harm to the health of

the patient. (B) Before dispensing naltrexone under this section, the pharmacist shall offer the patient

the choice of receiving either the oral form or injectable long-acting or extended-release

form, but only if both forms of the drug are available for dispensing at the time

of the patient's request or within one day after the request. (C)(1) With respect to naltrexone dispensed in an oral form under this section, the pharmacist

shall not dispense an amount that exceeds a five-day supply. (2) With respect to naltrexone dispensed in an injectable long-acting or extended-release

form under this section, both of the following apply: (a) The pharmacist shall exercise professional judgment in determining the amount of

the drug dispensed. (b) The pharmacist may administer the drug by injection to the patient but only in accordance

with section 4729.45 of the Revised Code . (D) A pharmacist who dispenses naltrexone under this section shall do all of the following: (1) For one year after the date of dispensing, maintain a record in accordance with this

chapter of the drug dispensed, including the amount and form dispensed, the original

prescription number, the name and address of the patient, and, if the individual receiving

the drug is not the patient, the name and address of that individual; (2) Notify the prescriber who issued the original prescription or another prescriber

responsible for the patient's care not later than five days after the drug is dispensed; (3) If applicable, obtain authorization for additional dispensing from one of the prescribers

described in division (D)(2) of this section. (E) A pharmacist shall exercise professional judgment in determining the number of times

naltrexone may be dispensed under this section to the same patient. (F) This section does not limit the authority of a pharmacist to dispense a dangerous

drug under section 4729.281 of the Revised Code .