DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
BUREAU OF PROFESSIONAL LICENSING  
A STANDING ORDER FOR DISPENSING OPIOID ANTAGONISTS  
(By the authority conferred on the department of licensing and regulatory affairs by section  
17744e, of 1978 PA 368, MCL 333.17744e and on the department of health and human services  
by sections 2221, 2226, and 2233, of 1978 PA 368, MCL 333.2221, 333.2226 and 333.2233)  
R 338.201 Definitions.  
Rule 1. As used in these rules:  
(a) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(b) “Department" means the Michigan department of health and human services.  
(c) “Eligible individuals” means individuals within this state, who are seeking  
opioid  
antagonists.  
(d) “Standing order” means a standing order issued by the office of the chief medical  
executive pursuant to section 17744e of the code, MCL 333.17744e.  
History: 2018 AACS.  
R 338.202 Dispensing opioid antagonists; standing order; requirements.  
Rule 2. (1) Upon issuance of the standing order, a pharmacy shall register with the department  
before dispensing opioid antagonists under the standing order.  
(2) A pharmacy dispensing an opioid antagonist under the standing order shall submit all of the  
following information, without individual identifiers, to the department on a quarterly basis, in a  
manner established by the department:  
(a) The total number of doses of opioid antagonists dispensed under the standing order.  
(b)The total number of doses of opioid antagonists dispensed under any type of prescription,  
including the standing order.  
(c) The number of each type of formulation dispensed.  
(d) Any other relevant information specified by the department.  
History: 2018 AACS.  
R 338.203 Training for the administration of opioid antagonists; requirements.  
Rule 3. (1) Pharmacists who dispense opioid antagonists under the standing order shall obtain  
training in the proper use and administration of opioid antagonists and in opioid overdose  
response. The training programs may be obtained online, in person, or in writing.  
(2) Pharmacists who dispense opioid antagonists under the standing order shall provide  
educational material, approved by the office of the chief medical executive, on the administration  
of opioid antagonists to eligible individuals.  
History: 2018 AACS.  
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R 338.204 Referral to resource information.  
Rule 4. Pharmacists who dispense opioid antagonists under the standing order shall provide the  
eligible individual with resource information regarding referral for treatment services.  
History: 2018 AACS.  
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