Status: Iowa 3rd Party: Yes Standing Order: Yes Pharmacy Access Notes: Statewide Standing Order Form State Health Officer allows trained pharmacists to distribute naloxone to a person in danger, someone able to help or a first aid worker employed by law enforcement or firefighters, wihtout a prescription. Other resources: pharmacy.iowa.gov/naloxone-standing-order State: Rhode Island 3rd Party: Yes Standing Order: Yes Pharmacy Access Notes: Pharmacists who work under a collective practice agreement (a physician`s standing order) can distribute naloxone to anyone without a prescription. Other resources: preventoverdoseri.org/get-naloxone/ guidelines and legal requirements for the formation of CPAs are defined on the basis of the state.  The federal government approved the CPAs in 1995.  Washington was the first state to pass laws allowing formal formation of CPAs. In 1979, Washington changed the practice of pharmaceutical requirements that provide for the formation of « collaborative drug therapy agreements. » [Citation required] Since February 2016, 48 states and Washington D.C have passed laws that allow the availability of CPAs.  The only two states that do not allow cpAs to be made available are Alabama and Delaware.  Alabama pharmacists hoped that a CPA law, House Bill 494, would be passed in 2015.  The bill was introduced by Alabama House Of Representatives Representative Ron Johnson, but died in committee.  CPAs are legal agreements between pharmacists and collaborative prescribing professionals, often physicians. They determine the patient care functions that can be delegated to the pharmacist and the rules that determine when the pharmacist can provide these services.
Among the terms used for the services provided under a cooperation agreement are: Optimizing the provisions of collaborative practice and other practice issues of pharmacists to ensure quality care for pharmacists is an ongoing and long-term process. Pharmacists should learn about problems in their state and look after their National Association of Pharmacies and the APH and inform policy makers of the role pharmacists can play in meeting public health needs.