Policymakers & Community Leaders

Fact Sheet: Prescription Drug Take-Back Event

Source: Arizona Rethink RX Abuse

This one page guide provides information on how to organize a prescription drug take-back day. Part of the Arizona ReThink RX Abuse initiative which helps communities educate their citizens about prescription drug safety.

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Payers & Providers
Patients & Caregivers

Arizona Sample Pain Treatment Patient Agreement Forms

Source: Arizona Rethink RX Abuse

This resource provides two sample patient agreement forms for patients beginning or continuing long term treatment with opioid analgesics or other controlled substances. The agreement forms include information about how to obtain refills, the conditions of medication use, the

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Payers & Providers

Registering for and Using the Controlled Substances Prescription Monitoring Program

Source: Arizona Rethink RX Abuse

This resource provides instructions for how Arizona prescribers should register for the Controlled Substances Prescription Monitoring Program (CSPMP). It also includes information on how to gain access to patient data and additional information about how prescribers without an Arizona

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Payers & Providers

Controlled Substance Prescription Monitoring Program – Using Delegates

Source: Arizona Rethink RX Abuse

This guide for Arizona prescribers explains how to delegate staff members to consult the state’s controlled substance prescription monitoring program on behalf of the provider. Part of the Arizona ReThink RX Abuse initiative which helps communities educate their citizens about prescription drug safety.

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Policymakers & Community Leaders
Patients & Caregivers

Arizona Department of Health Services – Standing Orders for Naloxone

Source: Arizona Rethink Rx Abuse & Arizona Department of Health

This resource is a copy of Arizona’s standing order signed by the Director of Health Services allowing pharmacists to dispense naloxone to anyone who requests it. Naloxone is used to reverse opioid overdoses. Part of the Arizona ReThink RX Abuse initiative which helps communities educate

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Patients & Caregivers

Opioid Safety and Naloxone Use for Patients and Caregivers, Spanish

Source: Arizona Rethink Rx Abuse & Arizona Department of Health

A Spanish language brochure for patients and caregivers with information about how to identify an opioid overdose and how to administer naloxone to reverse an opioid overdose either through injection, nasal spray, or auto-injector. Part of the Arizona ReThink RX Abuse initiative

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Patients & Caregivers

Opioid Safety and Naloxone Use for Patients and Caregivers

Source: Arizona Rethink Rx Abuse & Arizona Department of Health

This brochure serves as resource for patients and caregivers with information about how to identify an opioid overdose and how to administer naloxone to reverse an opioid overdose either through injection, nasal spray, or auto-injector. Part of the Arizona ReThink RX Abuse initiative

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Payers & Providers
Patients & Caregivers

Arizona Opioid Therapy for Chronic Pain – Sample Informed Consent

Source: Arizona Rethink RX Abuse

This resource provides a sample of an informed consent form for patients beginning or continuing long-term opioid therapy. It includes information about potential side effects, risks, conditions, and purpose of their treatment. Part of the Arizona ReThink RX Abuse initiative, which

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Payers & Providers
Patients & Caregivers

Having a Healthy Baby Begins Today: Pregnancy and Common Drugs or Medications, Spanish

Source: Arizona Rethink Rx Abuse & Arizona Department of Health

This Spanish language 2 page patient information guide provides information about the risks of taking common drugs or medications including opioids during pregnancy. Part of the Arizona ReThink RX Abuse initiative which helps communities educate their citizens about prescription drug safety.

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