Information from interviews with pharmacists currently offering injectable naltrexone services identified best practices39 to administer injectable naltrexone in a community pharmacy (see Table 1). The activities are classified into three thematic categories: (1) pre-injection activities, (2) injection activities, and (3) post-injection activities. The typical flow of these activities is shown below. Whether an activity is completed depends on if the individual is a new client coming in for their first naltrexone injection or is a returning patient.
Activity Category | Activity |
---|---|
Pre-Injection Activities | Patient Scheduling Before Appointment |
Benefits coordination | |
Extended patient consultation | |
Urine drug test cup/panel | |
Urine drug test interpretation and lab monitoring/management (CMP, Pregnancy) | |
Behavioral Health Consultation | |
Injection Delivery Activities | Supplies for Injection |
Injection professional service | |
Monitoring period | |
Post Injection Activities | Patient Follow-up Activities (Education and Scheduling) |
Administrative Documentation | |
Billing |