Opioid treatment program prescribing of methadone with community pharmacy dispensing: Pilot study of feasibility and acceptability.

dc.contributor.author

Brooner, Robert K

dc.contributor.author

Stoller, Kenneth B

dc.contributor.author

Patel, Punam

dc.contributor.author

Wu, Li-Tzy

dc.contributor.author

Yan, Haijuan

dc.contributor.author

Kidorf, Michael

dc.date.accessioned

2022-07-05T13:32:43Z

dc.date.available

2022-07-05T13:32:43Z

dc.date.issued

2022-06

dc.date.updated

2022-07-05T13:32:42Z

dc.description.abstract

Access to methadone for opioid use disorder (OUD) in the United States remains limited to regulated and certified Opioid Treatment Programs (OTPs). Collaboration between OTPs and community pharmacies would increase access to and potentially satisfaction with methadone delivery. While it remains illegal for prescribers to write, and pharmacies to dispense, methadone when the indication is OUD, the present pilot study evaluates the feasibility, acceptability, and outcomes of using community pharmacies to dispense methadone prescribed by OTP physicians (in tablet formulation) to a subset of clinically stable OTP patients; all other treatment services were delivered within the OTP. Necessary Drug Enforcement Administration (DEA) exceptions for OTP prescribers and the pharmacies, along with required Substance Abuse and Mental Health Services Administration (SAMHSA) waiver for OTP participation were obtained. A final sample of 11 patients enrolled in the study and were followed for three months; one left treatment due to dissatisfaction with the tablet formulation. All remaining participants produced drug-negative urine specimens, attended all pharmacy visits and OTP counseling sessions, and completed the evaluation. Participant satisfaction was high. These findings clearly support the feasibility and acceptability of OTP physician prescribing and community pharmacy dispensing of methadone in a subset of abstinent OTP patients, and encourage full scale trials evaluating a broader array of OTPs, pharmacies and patients, in urban and, perhaps most importantly, rural settings.

dc.identifier.issn

2772-7246

dc.identifier.issn

2772-7246

dc.identifier.uri

https://hdl.handle.net/10161/25452

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Drug and alcohol dependence reports

dc.relation.isversionof

10.1016/j.dadr.2022.100067

dc.subject

Community pharmacy methadone dispensing

dc.subject

Increasing access to treatment

dc.subject

Methadone

dc.subject

Opioid use disorder

dc.title

Opioid treatment program prescribing of methadone with community pharmacy dispensing: Pilot study of feasibility and acceptability.

dc.type

Journal article

duke.contributor.orcid

Wu, Li-Tzy|0000-0002-5909-2259

pubs.begin-page

100067

pubs.organisational-group

Duke

pubs.organisational-group

Sanford School of Public Policy

pubs.organisational-group

School of Medicine

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Medicine

pubs.organisational-group

Psychiatry & Behavioral Sciences

pubs.organisational-group

Medicine, General Internal Medicine

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

University Institutes and Centers

pubs.organisational-group

Duke Institute for Brain Sciences

pubs.organisational-group

Psychiatry, Child & Family Mental Health & Community Psychiatry

pubs.organisational-group

Center for Child and Family Policy

pubs.publication-status

Published

pubs.volume

3

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Brooner,,,Wu 2022 OTP prescribing of methadone with community pharmacy dispensing Pilot study (published).pdf
Size:
634.34 KB
Format:
Adobe Portable Document Format
Description:
Published version