• Emily Shafer, Nyahne Bergeron, Renae Smith-Ray, Chester Robson, and Rachel O'Koren.
• J Am Pharm Assoc (2003). 2017 Mar 1; 57 (2S): S123-S129.

ObjectivesTo describe the 3-pronged approach taken by a large national retail pharmacy chain to address the opioid epidemic and associated overdoses.SettingLarge national retail pharmacy chain with more than 8200 stores in 50 states.Practice DescriptionEight million customer interactions daily through in-store and digital settings. This is a company with a long history of responding to public health crises.Practice InnovationInitiated 3 programs to respond to the opioid crisis: 1) provide safe medication disposal kiosks; 2) expand national access to naloxone; and 3) provide education on the risk and avoidance of opioid overdose. Used the RE-AIM framework to evaluate and enhance the quality, speed, and public health impact of the interventions.EvaluationNot applicable.ResultsEarly results are safe medication disposal kiosks in more than 43 states, naloxone-dispensing program in 33 states, and patient and support system education using the Opioid Overdose Toolkit from the Substance Abuse and Mental Health Services Administration.ConclusionThe availability of safe drug-disposal kiosks, naloxone dispensing at pharmacies, and patient education are key prevention initiatives to address the opioid epidemic and reduce the increasing national burden of opioid overdose. Early results are quantitatively and qualitatively promising.Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

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