West Virginia Code § 16-46-3a

Pharmacist or pharmacy intern may dispense, pursuant to a protocol,
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opioid antagonists without a prescription; patient counseling required; required
educational materials.
(a) Pursuant to the protocol developed under subsection (f) of this section, a pharmacist or
pharmacy intern under the supervision of a pharmacist may dispense an opioid antagonist
without a prescription. e
(b) A pharmacist or pharmacy intern who dispenses an opioid antagonist without a
prescription under this section shall provide patient counseling to the individual for whom
the opioid antagonist is dispensed regarding, but not limited to, uthe following topics: (1) The
proper administration of the opioid antagonist; (2) the importance of contacting emergency
services as soon as practicable either before or after adminitstering the opioid antagonist;
and (3) the risks associated with failure to contact emergency services following
administration of an opioid antagonist. The patient counseling described in this section is
mandatory and the person receiving the opioid antagonist may not opt out.
(c) A pharmacist shall document the dispensinsg of an opioid antagonist without a
prescription as set forth in the protocol developed under subsection (f) of this section and
the reporting requirements set forth in subsection (a), section four, article nine, chapter
sixty-a of this code. g
(d) All pharmacists or pharmacy interns who dispense an opioid antagonist under this
section shall provide educational materials to any person receiving such an opioid antagonist
on opiate-related overdose prevention and treatment programs, as well as materials on
administering the opioid antagonist.
(e) This section does not affect the authority of a pharmacist or pharmacy intern to fill or
refill a prescription for an opioid antagonist.
(f) To implement the provisions of this section, the Board of Pharmacy shall, after consulting
with the Bureau for Public Health: (1) Develop a protocol under which pharmacists or
pharmacy interns may dispense an opioid antagonist without a prescription; (2) specify
educational materials which shall be provided to the individual receiving the opioid
antagonist; and (3) develop a form, template or the like to be used by pharmacists and
pharmacy interns when dispensing the opioid antagonists without a prescription. The
protocol developed by the board may be updated or revised as necessary.

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