Injectable Naltrexone Administrative Cost Estimator

Medications for opioid use disorder (MOUD), including injectable naltrexone (IN), are part of evidence-based OUD treatments. When authorized to administer non-vaccination injections, pharmacists can increase IN accessibility. However, inadequate reimbursement for pharmacist-administered IN can hinder widespread adoption. This tool, developed in conjunction with community pharmacies in Wisconsin, is designed to provide an estimate of the total costs and time associated with community pharmacist administered IN for new and returning clients.

Injectable Naltrexone Administrative Cost Estimator

Brochures

Injectable Naltrexone Brochure

The Ford Research Group developed an Injectable Naltrexone Brochure for use by any community pharmacist as a tool for marketing their injectable naltrexone service to providers and clinics. The brochure is provided as a downloadable Word document so pharmacies can customize it by inserting their pharmacy logo and contact information.

Injectable Naltrexone Brochure

Naloxone Brochures

The Ford Research Group developed  Naloxone Brochures for each of the types of naloxone administration (intranasal spray, intranasal, and intramuscular) so that they can serve as an educational resource for community pharmacists when dispensing naloxone to patients.

Naloxone Brochures

Wisconsin Association of Treatment Court Professionals (WATCP) Related Resources

WATCP Handout

Exploring the role of community pharmacist-provided injectable naltrexone (Vivitrol®) for treatment court participants (PDF)

WATCP and Community Pharmacists Webinar

Click on the video below to view a panel discussion among community pharmacists in WI who offer injectable naltrexone and Wisconsin Association of Treatment Court Professionals (WATCP) affiliated Treatment Court Coordinators.

Interviews with Pharmacists and Medical Providers

Interviews with Pharmacists

We interviewed two community pharmacists who provide injectable naltrexone to learn more about their service.

An interview with Mike Kuckes, RPh, of Hometown Pharmacy in Monroe, WI.

An interview with John Lemke, PharmD, of Streu’s Pharmacy in Green Bay, WI.

Interviews with Medical Providers

We  interviewed medical providers, including physicians, physician assistants, and nurse practitioners, to elicit information about pharmacist-provided injectable naltrexone for opioid use disorder. Click on the links below to view clips from these interviews.

Immediate Reactions [Physicians]

Immediate Reactions [Nurse Practitioners]

Effective Communication Strategies [Physicians]

Information Sheet [Nurse Practitioners]

Communication & Outreach [Nurse Practitioners]

Information General [Nurse Practitioners]

Information Benefits [Nurse Practitioners]

Information to Make a Referral [Physicians]

Information Post Injection [Physicians]

Information Post Injection [Nurse Practitioners]

Information Returning Patients [Nurse Practitioners]

Pharmacy Forms

The attached forms have been provided by Omro Pharmacy (Vivitrol Treatment Informed Consent Form) and Smith Pharmacy (Vivitrol Pre-Injection Verification Questions for Patients) as part of their documentation process when providing injectable naltrexone to individuals in the community. Feel free to modify these forms for your own purpose.

  • Omro Pharmacy Form (Word)
  • Smith Pharmacy Form (Word)
Featured Publications

Gilson AM, Gassman M, Mott DA, Bryan G, Gicquelais R, Ford JH 2nd. Benefit of Pharmacy-Provided Naltrexone Injection Services for APNPs Offering Medication Treatment for Opioid Use Disorder: Resources from a Pharmacy/Nursing Collaborative. The Wisconsin Nurse. June 2022: p. 14. (PDF)

Ford JH 2nd, Gilson AM, Bryan G, Augustine C, Gassman M, Mott DA. Community pharmacy-based injectable naltrexone service delivery models and best practices. Res Social Adm Pharm. 2021;17(7):1332-1341. https://doi.org/10.1016/j.sapharm.2020.10.004

Ford JH 2nd, Gilson A, Mott DA. Systematic Analysis of the Service Process and the Legislative and Regulatory Environment for a Pharmacist-Provided Naltrexone Injection Service in Wisconsin. Pharmacy (Basel). 2019;7(2):59. Published 2019 Jun 12. https://doi.org/10.3390/pharmacy7020059

All References

The following references are applicable to this website:

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