Community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination

Introduction: Opioid overdose deaths continue to rise despite available safe and efficacious treatments for opioid use disorder, such as buprenorphine. Whereas provider-level access to buprenorphine has improved, community pharmacy-level barriers remain, related to patient stigma and regulatory conc...

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Main Authors: Winter Roth, PharmD, BCPP, David Dadiomov, PharmD, BCPP
Format: Article
Language:English
Published: American Association of Psychiatric Pharmacists 2025-04-01
Series:Mental Health Clinician
Subjects:
Online Access:https://theijpt.org/doi/pdf/10.9740/mhc.2025.04.043
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author Winter Roth, PharmD, BCPP
David Dadiomov, PharmD, BCPP
author_facet Winter Roth, PharmD, BCPP
David Dadiomov, PharmD, BCPP
author_sort Winter Roth, PharmD, BCPP
collection DOAJ
description Introduction: Opioid overdose deaths continue to rise despite available safe and efficacious treatments for opioid use disorder, such as buprenorphine. Whereas provider-level access to buprenorphine has improved, community pharmacy-level barriers remain, related to patient stigma and regulatory concerns. Education programs improve pharmacist comfort in dispensing naloxone. Because naloxone education improves naloxone dispensing comfort, buprenorphine education may improve stocking and dispensing of buprenorphine. Methods: An evidence-based, best practices continuing education (CE) program about buprenorphine, including regulatory agency truths, was delivered to an audience of community pharmacists. To develop this CE program, interviews were conducted with key regulatory stakeholders including the Drug Enforcement Agency, board of pharmacy, and pharmaceutical distributors. Community pharmacist attendees completed a postsession anonymous survey on their knowledge about and comfort level toward buprenorphine following this CE program. Represented community pharmacies were contacted by phone approximately 1 month following this session to determine the immediate availability of buprenorphine and naloxone products. Results: At least 75% of pharmacists reported feeling knowledgeable and comfortable about buprenorphine and its related regulations following an evidence-based CE program though buprenorphine was immediately available in only 25% of represented community pharmacies when contacted 1 month following the educational session. Discussion: There are additional needs outside of pharmacist education to support consistent and timely buprenorphine access. Policy adjustments and board of pharmacy support may assist in improving timely and consistent buprenorphine access.
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spelling doaj-art-20becffc977549cd96f4ef5292d27a3f2025-08-20T03:03:28ZengAmerican Association of Psychiatric PharmacistsMental Health Clinician2168-97092025-04-01152435010.9740/mhc.2025.04.043i2168-9709-15-2-43Community pharmacy attitudes and behaviors following a buprenorphine best practices disseminationWinter Roth, PharmD, BCPP0https://orcid.org/0009-0006-9263-8774David Dadiomov, PharmD, BCPP1https://orcid.org/0000-0002-9247-31681 Assistant Professor of Clinical Pharmacy, University of Southern California Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences, Los Angeles, California; Los Angeles General Medical Center, Los Angeles, California2 Assistant Professor of Clinical Pharmacy, University of Southern California Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences, Los Angeles, California; Los Angeles General Medical Center, Los Angeles, CaliforniaIntroduction: Opioid overdose deaths continue to rise despite available safe and efficacious treatments for opioid use disorder, such as buprenorphine. Whereas provider-level access to buprenorphine has improved, community pharmacy-level barriers remain, related to patient stigma and regulatory concerns. Education programs improve pharmacist comfort in dispensing naloxone. Because naloxone education improves naloxone dispensing comfort, buprenorphine education may improve stocking and dispensing of buprenorphine. Methods: An evidence-based, best practices continuing education (CE) program about buprenorphine, including regulatory agency truths, was delivered to an audience of community pharmacists. To develop this CE program, interviews were conducted with key regulatory stakeholders including the Drug Enforcement Agency, board of pharmacy, and pharmaceutical distributors. Community pharmacist attendees completed a postsession anonymous survey on their knowledge about and comfort level toward buprenorphine following this CE program. Represented community pharmacies were contacted by phone approximately 1 month following this session to determine the immediate availability of buprenorphine and naloxone products. Results: At least 75% of pharmacists reported feeling knowledgeable and comfortable about buprenorphine and its related regulations following an evidence-based CE program though buprenorphine was immediately available in only 25% of represented community pharmacies when contacted 1 month following the educational session. Discussion: There are additional needs outside of pharmacist education to support consistent and timely buprenorphine access. Policy adjustments and board of pharmacy support may assist in improving timely and consistent buprenorphine access.https://theijpt.org/doi/pdf/10.9740/mhc.2025.04.043buprenorphineopioid use disorder (oud)medication accessopioid overdoseeducationnaloxone
spellingShingle Winter Roth, PharmD, BCPP
David Dadiomov, PharmD, BCPP
Community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination
Mental Health Clinician
buprenorphine
opioid use disorder (oud)
medication access
opioid overdose
education
naloxone
title Community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination
title_full Community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination
title_fullStr Community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination
title_full_unstemmed Community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination
title_short Community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination
title_sort community pharmacy attitudes and behaviors following a buprenorphine best practices dissemination
topic buprenorphine
opioid use disorder (oud)
medication access
opioid overdose
education
naloxone
url https://theijpt.org/doi/pdf/10.9740/mhc.2025.04.043
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