CHRONIC OPIOID THERAPY TOOLKIT - UConn Health · Chronic Opioid Therapy Pain Management Agreement for Patients with Chronic Pain Page 1 of 2 A. EFFECTIVE DATE : July 1, 2018 B. PURPOSE

POLICY – Chronic Opioid Therapy Pain Management Agreement

for Patients with Chronic Non-malignant Pain

CHRONIC OPIOID THERAPY TOOLKIT

Prepared by the UConn Health

Opioid Task Force

October 2019

Table of Contents

Chronic Opioid Therapy – Policy………………………………………………………………………………………. 3

Chronic Opioid Therapy – Procedure……………………………………………………………………………..... 5

Chronic Opioid Therapy - Provider Initial Checklist…………………………………………………………… 7

Chronic Opioid Therapy - Provider Follow-up Checklist…………………...…………………………….… 8

Chronic Opioid Therapy - Patient Introduction………………………………………………………………... 9

Chronic Opioid Therapy Pain Management Agreement………………………………………………… 10

Management of Acute Orofacial and Postoperative Pain – Clinical Guideline....................15

Substance Abuse Screening Tool – Opioid Risk Tool (ORT)…………………………………………..... 18

Non-Opioid Medication Alternatives to Care for Pain………………………………………………....… 19

NSAID & Other Analgesics Comparison Chart………………………………………………………………… 20

Non-Medication Alternatives to Care for Pain…………………………………………………………….... 21

Medications to Avoid While on Opioids…………………………………………………………………....…… 22

Opioid Tapering Protocol......................................................................................................23

Naloxone Prescribing Information Sheet…………………………………………………………………....…. 27

Naloxone Pharmacies……………………………………………………………………………………………………. 28

CLINICAL POLICY

Chronic Opioid Therapy Pain Management Agreement for Patients with Chronic Pain

Page 1 of 2

A. EFFECTIVE DATE : July 1, 2018 B. PURPOSE : To establish uniform standards for the use of the Chronic Opioid Therapy

Pain Management Agreement with patients receiving opioid prescriptions for chronic pain for 3 months or longer.

C. POLICY : 1. All patients prescribed opioids for treatment of chronic pain for 3 months or longer will be required to participate in a Medication Agreement.

2. Patients will have been assessed for risk of future addiction. 3. Agreements are valid for 1 year and must be renewed if treatment

continues. 4. Practitioners will adhere to all requirements of state law including

checking CPMRS prior to the initial prescription and at 3 month intervals.

5. UConn Health Practitioners will not provide long term opioid prescriptions to patients who do not adhere to the terms of the agreement including random urine testing, pill counts, and adjunctive pharmacologic and non-pharmacologic therapies (physiotherapy).

D. SCOPE : Applies to all UConn Health Providers who prescribe opioids for chronic pain.

E. PROCEDURES, GUIDELINES AND PROTOCOLS :

• Procedure – Obtaining a Medication agreement • Procedure – Pill count for Patients with Chronic Opioid Therapy

Pain Management Agreements • Procedure – Patients with Cancer Associated Pain • Procedure – Patients with Sickle Cell {pending}

F. OTHER RELATED DOCUMENTS:

• Chronic Opioid Therapy Pain Management Agreement • Opioid Risk Tool (ORT)

G. REFERENCES : CGS §20 – 14o: PA 17 -131; CDC Annual Surveillance Report of Drug Related Risks and Outcomes|United States

H. RELATED POLICIES : None I. SEARCH WORDS : Prescriptions, Opioids, Medication Agreement J. ENFORCEMENT: Violations of this policy may result in appropriate disciplinary measures in

accordance with University By-Laws, General Rules of Conduct for All University Employees, applicable collective bargaining agreements, the University of Connecticut Student Code, other applicable University Policies, or as outlined in the procedures document related to this policy.

K. APPROVED BY :

1. Andrew Agwunobi, MD (Signed) 12/10/18 UConn Health Chief Executive Officer Date

2. Anne D. Horbatuck (Signed) 12/7/18 Policy Committee Chair/Co-Chair Date

https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/PROCEDURE-Obtaining-Pain-Managment-Agreement-Attachment-to-Chronic-Opioid-Therapy-Policy.pdf

https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/PROCEDURE-Random-Pill-Counts-Attachment-to-Chronic-Opioid-Therapy.pdf

https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/PROCEDURE-Random-Pill-Counts-Attachment-to-Chronic-Opioid-Therapy.pdf

https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/Opioid-Therapy-Agreement-for-Cancer-Associated-Pain-Attachment-to-Chronic-Opioid.pdf

https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/Chronic-Opioid-Therapy-Pain-Management-Agreement-Attachment-to-Chronic-Opioid-Therapy.pdf

https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/OpioidRiskTool-Attachment-to-Chronic-Opioid-Therapy.pdf

CLINICAL POLICY

Chronic Opioid Therapy Pain Management Agreement for Patients with Chronic Pain

Page 2 of 2

[END OF POLICY]

3. Scott Allen, MD (Signed) 12/7/18

Policy Committee Chair/Co-Chair Date

L. REVISION HISTORY : 1. Approved: 4/22/2018 by Clinical Council 2. Revised: 10/23/18, 11/28/18

PROCEDURE (Workflow) Chronic Opioid Therapy Pain Management Agreement for Patients

with Chronic Non-malignant Pain

A. EFFECTIVE DATE: July 1, 2018

B. PURPOSE : To Operationalize the Chronic Opioid Therapy Pain Management

Agreement

C. POLICY : Policy Chronic Opioid Therapy Pain Management Agreement [Link]

D. SCOPE : Applies to all UConn Health patients receiving opioid prescriptions for

the treatment for Chronic Non-Malignant Pain (CNMP) with the

exception of patients with Sickle Cell Disease

E. DEFINITIONS : 1. Chronic Opioid Therapy – Any treatment in which an opioid is

prescribed for 3 months or longer

2. CNMP – Chronic Non-Malignant Pain

3. CPMRS- state controlled substance prescription monitoring system

4. EHR – Electronic Health Record

5. LEP – Limited English Proficiency

6. ORT – Opioid Risk Tool

7. VRI – Video Remote Interpreter

F. MATERIALS NEEDED : Chronic Opioid Therapy Pain Management Agreement

G. PROCEDURE

(WORKFLOW) :

1. Prescribing practitioner determines the need to prescribe an opioid

for relief of CNMP when alternate measures to relieve pain have

been unsuccessful.

2. Prescribing Practitioner completes the risk assessment (the ORT

can be done in under 1 minute) to determine the risk of future

addiction.

3. Practitioner informs the patient of the need to initiate a

medication agreement.

4. The agreement is reviewed with the patient by a member of the

care team.

a. For patients who are deaf or hearing impaired, an

interpreter must be provided either via the VRI or with a

live interpreter.

b. For patients with LEP, an interpreter must be provided

either via the telephone interpretation service or a live

interpreter.

5. The patient or legal guardian signs the agreement.

6. Clinical staff assure that the agreement is dated with the date the

agreement is signed and the date the agreement expires (one year

from date of signing).

7. Clinical Staff facilitate scanning of the agreement into the EHR

where it will be viewable by all other practitioners involved in the

patient’s care.

8. Clinical Staff provide the patient with a copy of the agreement.

9. Clinical Staff perform initial qualitative urine toxicology screen.

Toxicology screen will be repeated every 6 months and at random

5

PROCEDURE (Workflow) Chronic Opioid Therapy Pain Management Agreement for Patients

with Chronic Non-malignant Pain

intervals as determined by the practitioner with a screen for the

prescribed opioid.

10. The Practitioner consults the CPMRS prior to the initial prescription

of a controlled substance and at 3-month intervals.

11. Clinical staff will perform random “pill counts” at the direction of

the Practitioner. This can be used for monitoring and safety

reasons for patients with inconsistent urine results, as a secondary

method of measuring adherence, and for dialysis patients.

Patients are to come in within that business day. If this is

burdensome due to work or life responsibilities, staff can call

randomly sometime in the following two weeks. Patient must

come in one of the two times called.

12. Practitioner may discontinue prescribing opioids if there is a

substantive change in the patient’s medical condition including the

onset of pregnancy, failure to obtain benefit, or serious adverse

effect.

13. Medication Agreements will be considered void

a. If the patient violates the term of the agreement.

b. If the patient’s qualitative urine toxicology screen has

other opioids present or prescribed substance is absent.

c. Patient fails to keep quarterly follow up appointments.

H. ATTACHMENTS : Links to policies on Communication with Deaf and hearing impaired

patients and LEP, Standing order for Qualitative Urine Toxic screen

I. STAKEHOLER(S) : Medical Staff, Nursing Services, JDH Administration, UCONN Health

Dental Service, UConn Medical Group

J. REFERENCES : none

K. SEARCH WORDS : Medication agreement, opioids

L. APPROVED BY :

1. _______________________________________________________

Denis Lafreniere, MD, FACS Date

Professor and Chief, Division of Otolaryngology

Associate Dean of Clinical Affairs

Medical Director, UConn Medical Group

M. Revision History 1. Approved: 4/22/2018 by Clinical Council

2. Revised

6

Chronic Opioid Therapy – Provider Initial Checklist

Initial Checklist: � Determined that chronic opioid is the best medical option for treating the patient’s chronic pain

� Patient is participating in ALL aspects of a multidisciplinary care program as indicated including: o Mental health care, Physical therapy, compliance with other medications, specialist

appointments, PCP office appointments

� Identify what pain is being treated with the opioid

� Identify a patient goal for treatment

� Completed Opioid Risk Tool (ORT) reviewed and documented

� Review and sign medication agreement (copy to patient and to scanning for EMR)

� Collect urine toxicology

� Check CPMRS

� I have discussed intranasal Narcan with the patient, prescribed it, and provided the patient with a list of pharmacies that dispense it

� Patient has been prescribed a stimulant laxative (Senna) if needed while on chronic opioids

� Schedule 3-month f/u appointment for pain evaluation

7

Chronic Opioid Therapy – Provider Follow-up Checklist

Follow up Checklist: � Patient is attending Q3 month visits for opioid check in (mandated by the DEA)

� Patient is participating in ALL aspects of a multidisciplinary care program as indicated including:

o Mental health care, Physical therapy, compliance with other medications, specialist

appointments, PCP office appointments, random utox or pill counts

� Considered alternative and/or adjunctive chronic pain medications (Duloxetine, Gabapentin,

Pregabalin, TCA, Cyclobenzaprine)

� Checked CTPMP (must be done at least every 3 months as per CT State Statute) and it appeared

as though the patient was in compliance with conditions of the opioid agreement

� Reviewed prior utox (perform at least every 6 months), perform new utox if needed

� Medication agreement is on file and less than 1 year old, if more than 1 year old, new

agreement signed today

� I have discussed intranasal Narcan with the patient, prescribed it, and provided the patient with

a list of pharmacies that dispense it

� Patient has been recommended a stimulant laxative (Senna) if needed for constipation

8

Chronic Opioid Therapy - Patient Introduction UConn Health is committed to exceptional, high quality patient care and safety. Your provider has recommended a medication to treat your pain with the goal of improving your functional status. These medications can be helpful; however, can also be dangerous if not taken as directed by your provider. We are committed to your safety while working with you to get better. This document highlights our institutional rules and expectations which must be followed for your safety. Safety monitoring is for everyone regardless of age, race, diagnosis, ethnicity, or social class. Every patient receiving opioids from UConn Health is monitored for their safety. Our Commitment to You:

• WE will help you understand the risks and benefits of taking these beneficial yet potentially dangerous medications.

• WE will monitor your safety which may include: random urine testing for the presence of the medication and other drugs; routinely reviewing your medical, pharmacy and refill records; random pill counting; monitoring refills through the Connecticut Prescription Monitoring Program.

• WE will use these medications in combination with other helpful treatments (physical therapy, massage, acupuncture, cognitive behavioral therapy, counseling, etc).

• WE will ask for help when we need it and may refer you to a specialist (Neurologist, Orthopedist, or Psychiatrist) if indicated.

• WE will help you get the care you need, including treatment for addiction and mental health problems if necessary. Treatment program information and phone numbers will be provided when indicated or requested without judgement or bias.

• WE will update you with new opioid and non-opioid pain medications and treatments. • WE will continue to treat your pain in other ways if we decide that controlled substances are no

longer safe or working for you and need to be discontinued. • WE will NOT continue using opioids or sedatives if we don’t think they are safe or beneficial

anymore.

9

Patient sticker here

UConn Health Chronic Opioid Therapy Pain Management Agreement

I understand that opioid pain medications can be addicting. I know that it is a crime to give

away or sell these medications. I understand that my doctor does not have to prescribe these

medicines for me and that there are other options to treat pain. I can die from taking too much

opioids. The risks and benefits of opioid pain medications have been discussed with me.

Because these medications are dangerous, there are many rules for getting regular opioid

prescriptions from my doctor’s office, which are described in detail below. I understand and

agree to follow all of these rules.

REASON FOR TREATMENT:

Diagnosis for which opioid is being prescribed

MY TREATMENT GOAL:

Treatment Goal (e.g. “be able to kneel on the ground and play with kids,” “complete PT,” “get

through an 8 hour work day,” “to be able to do enough exercise for weight loss. If unsuccessful

with weight loss then opioid medication will be stopped”.)

MY PRESCRIPTION:

Opioid Regimen

I have read (or someone read to me) the Chronic Opioid Therapy Informed Consent and I

understand the risks, benefits and alternatives for Opioid use

________ (Initials)

I have read (or someone read to me) the Pain Management Agreement

________ (Initials) SIGNATURE:

Patient Name DOB

Patient Signature Date

Read and reviewed with Healthcare Team Member Signature Date

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Provider Name Provider Signature Date

Name of translator if applicable

Chronic Opioid Therapy Informed Consent

POSSIBLE RISKS: 1. Overdose: You can die from an overdose of opioid medications. The risk of dangerous overdose

is higher if you take opioids combined with alcohol or other medications that can make you

sleepy (See Appendix I). Most overdoses are unintentional and can happen to anyone taking

opioid medication.

a. There is a medicine called Naloxone (Narcan®) that can save your life. It is available at

some pharmacies and does not require a prescription. We recommend you get it, but it

is not a requirement of this agreement.

2. Side Effects: Such as constipation, nausea, vomiting, sedation, drowsiness, slowed breathing,

slowed reaction time, confusion, difficulty thinking, depression, headaches and sexual

dysfunction can occur at any time. It may be unsafe for you to operate machinery, drive a car, or

be responsible for taking care of other people while using this medication.

a. For men: Chronic opioid use can cause low testosterone levels in men. This can

decrease your stamina, mood, libido and physical and sexual performance.

b. For women: If you use opioid medications while pregnant, the baby can be born

addicted to opioids. I will tell my doctor right away if I am or I become pregnant.

3. Addiction: Opioid medications are addictive.

Tolerance: Your body may get used to the opioid medications and their effect on your pain

could decrease over time. If this happens, we may need to stop the medicine.

Physical Dependence: You may have withdrawal symptoms such as abdominal cramping,

diarrhea, anxiety when you stop the medicine.

4. Theft: People may try to steal these medications from you. You should not tell other people you

have these medications. You are responsible for keeping these medications safe, for example,

keeping them hidden in a lock-box.

5. CT Law: Connecticut state law (CGS § 14-227a) prohibits driving while under the influence of

alcohol or drugs. If your driving is impaired and you are taking opioid medications, you could get

a DUI (Driving Under the Influence) or a DWI (Driving While Intoxicated) offense.

POSSIBLE BENEFITS: 1. Opioids may help improve your function at home and work

2. You may have improvement of your pain, but will not make you pain free, and the

improvement can decrease over time

3. By decreasing pain, you may have improvement in sleep

4. If pain is better controlled, you may be able to take better care of yourself such as exercising,

working, and taking care of your home

11


5. You and your doctor may be able to focus more on your other medical problems once your pain

is better controlled

6. Overall, taking opioids may improve your quality of life

7. Setting a treatment goal helps measure how opioids are helping you with your pain

ALTERNATIVES: There are many alternative options for treatment of chronic pain other than opioids. Opioids

are not the recommended treatment for chronic pain that is not due to cancer. Opioids are not

recommended on their own to treat chronic pain. Alternative options will be recommended in

addition to opioid medication (See Appendix II).

12


Pain Management Agreement

AGREEMENT: 1. I understand that treatment with opioids is started as a trial and will only be continued if it is

helping.

2. I understand that the goal of treatment is to function better and opioids will not make me pain

free.

3. I understand that medication is only one part of my treatment plan and I agree to participate in

all recommended treatments and follow up.

4. I agree to have regular visits specifically for the condition I am receiving opioid therapy to treat

as well as set yearly clinic visit to re-sign a medication agreement. At a minimum, I will be seen

in the office every three months for ongoing care and evaluation.

5. I agree to take the medication only as prescribed. It is my responsibility to call the office no less

than 7 days in advance when I need a refill. I understand that refills will never be provided at

night or over the weekends. I understand that changes to my prescriptions, including dose

adjustments and new medications, will be made only during scheduled office visits and not over

the phone or during unscheduled visits.

6. I agree to random drug testing and random pill counts, which may be requested at any time. I

understand that the medication will be stopped if I am unreachable or unavailable for this

monitoring within 24 hours when requested.

7. I agree to fill all opioid prescriptions at the same pharmacy every time.

8. I understand that providers in CT are limited to a 7 day supply for a new prescription and a 30

day supply script without refills after that.

9. I understand that lost or stolen medications will not be refilled early. It is my responsibility to

protect and secure my medications. This includes keeping them out of reach of children.

10. I will not abuse alcohol or use any illegal drugs while taking this medication.

11. I will not take any opioid medications from another provider. I will not take any sedating

medications or other controlled substances without prior approval from my provider. Controlled

substances can include prescriptions from other doctors, medications borrowed or accepted

from family or friends and any illicit or street drugs.

12. I understand that pharmacies report all opioid prescriptions to a database that my prescribers

are required by CT law to check.

13. I understand that if my prescriber is unavailable, a covering provider within my UConn Health

primary care office may refill my medication.

14. If an unavoidable emergency situation occurs requiring a prescription for sedative or opioid pain

medication, I will contact my prescribing provider within 72 hours and discuss with the office.

15. I agree to allow my providers at the UConn Health to speak with other providers (within and

outside UConn Health) and pharmacists regarding my use of controlled substances, mental

health and pain management as deemed clinically necessary. I agree to have the electronic

medical record contain information about the opioid agreement so the other providers at

UConn Health are informed.

16. In addition to all of the above, I understand and accept the right of UConn Health to terminate

this agreement for the following reasons:

a. If I give, sell, or in any way distribute prescribed medications to any other person(s).

b. If I, in any way, attempt to forge or alter a prescription.

c. If I have violent or aggressive behavior at the clinic or over the phone.

13


d. If my medical condition declines to the point at which, in my doctor’s judgment,

continuing opioid medications is dangerous for my well-being or safety.

e. If there is evidence that I am no longer receiving a reasonable benefit from the

medication or my doctor determines that I am no longer a good candidate to continue

the medication.

f. If I don’t follow all of my physician’s recommendations.

g. If I don’t follow all of the conditions of this agreement.

14

UConn SDM Clinical Guidelines: Management of Acute Orofacial Pain – developed by the SDM Opioid Working Group led by Dr. Elias M. Chatah – June 2019

A. EFFECTIVEDATE

06/19/2019

B. PURPOSE To establish uniform standards for the management of acute orofacial and postoperative pain.

C. SCOPE Applies to all UConn School of Dental Medicine providers. D. GUIDELINE Children and adolescents: refer to the American Academy of Pediatric Dentistry (AAPD)

Policy on Acute Pediatric Dental Pain Management (2017).

Adults: 1. Consider the use of long-acting local anesthetics such as bupivacaine to reduce the

severity of post-operative pain.2. In the absence of a contraindication, Non-Steroidal Anti-Inflammatory Drugs

(NSAIDs) should be considered pre-emptively and first-line analgesic therapy tohelp reduce the severity of postoperative pain.

3. The sequencing of NSAIDs and APAP administration is evidence-based to besynergistic and should be considered.

4. If opioids are indicated:a. it is recommended that the provider screen patients for the risks of

developing substance use disorders using a validated screening tool,namely, the Opioid Risk Tool (see below).

b. it is recommended that the provider, or their delegate, check the CTPrescription Monitoring and Reporting System (CPMRS) for any concernsrelated to substance use disorders and potential opioid misuse.

Long-acting or extended-release opioids are not evidence-based for managing acute and post-operative pain.

5. Patient identified as “not at risk” of developing substance use disorders or opioidmisuse, and in the absence of 1. an opioid contraindication, 2. a past and familyhistory of substance use disorders, 3. benzodiazepine and centrally-acting sedativetherapy, and 4. drug interactions, a short-acting opioid with the lowest potencymay be prescribed for no longer than 3 days.

6. Patients identified as “at risk” of developing substance use disorders or opioidmisuse:

a. must be informed of their risk screening resultb. must be re-evaluated for the need for opioids. The provider must consider

a trial of opioid alternatives (NSAID + APAP) prior to prescribing an opioidc. if opioid alternatives are not effective, they may be prescribed a short-

acting opioid with the lowest potency for no longer than 3 days7. Consent for opioid therapy must take place by informing the patient of possible

risks associated with opioids.Consent must be documented in the EHR. 8. All patient instructions for analgesia and analgesic prescriptions must be

documented in the patient’s record.

CLINICAL GUIDELINE Management of Acute Orofacial

and Postoperative Pain

15


NSAID and APAP Prescribing Precautions: refer to F.

E. OTHER RELATED DOCUMENTS

Chronic Opioid Therapy Pain Management Agreement: https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/Chronic-Opioid-Therapy-Pain-Management-Agreement-Attachment-to-Chronic-Opioid-Therapy.pdf Opioid Risk Tool (ORT): https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/OpioidRiskTool-Attachment-to-Chronic-Opioid-Therapy.pdf

F. REFERENCES American Society of Anesthesiologists Task Force on Acute Pain Management. Practice Guidelines for Acute Pain Management in the Perioperative Setting: An Updated Report by the American Society of Anesthesiologists Task Force on Acute Pain Management Anesthesiology 2 2012, Vol.116, 248-273, February 2012: http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933589 Pennsylvania Guidelines on the Use of Opioids in Dental Practice: https://www.pamedsoc.org/docs/librariesprovider2/pamed-documents/opioid_dental_prescribing_guidelines3_13_15.pdf?sfvrsn=cc7fc7e3_2 American Association of Oral and Maxillofacial Surgeons – white paper Opioid Prescribing: Acute and Postoperative Pain Management: https://www.aaoms.org/docs/govt_affairs/advocacy_white_papers/opioid_prescribing.pdf Moore P. et al. Benefits and harms associated with analgesic medications used in the management of acute dental pain - An overview of systematic reviews JADA 149(4), April 2018. https://jada.ada.org/article/S0002-8177(18)30117-X/pdf American Academy of Pediatric Dentistry (AAPD) Policy on Acute Pediatric Dental Pain Management (2017): https://www.aapd.org/media/Policies_Guidelines/P_AcutePainMgmt.pdf American Academy of Pediatric Dentistry (AAPD) Policy on Substance Abuse in Adolescent Patients (2016): http://www.aapd.org/media/Policies_Guidelines/P_SubstanceAbuse.pdf CDC Guideline for Prescribing Opioids for Chronic Pain: https://www.cdc.gov/drugoverdose/pdf/guidelines_factsheet-a.pdf Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report. Kronke K. et al. Pain Medicine, Vol. 20, Issue 4, Apr 2019, P. 724–735 doi: 10.1093/pm/pny307: https://academic.oup.com/painmedicine/article/20/4/724/5301726 NSAID Prescribing Precautions: https://www.aafp.org/afp/2009/1215/p1371.pdf Acetaminophen: Preventing Harm through Safe Use (Canada): https://www.ismp-canada.org/download/safetyBulletins/2017/ISMPCSB2017-04-Acetaminophen.pdf

16


Safe Paracetamol Use Guideline - Queensland Health (Australia): https://www.health.qld.gov.au/__data/assets/pdf_file/0030/147666/qh-gdl-415.pdf

The ADA Practical Guide to Substance Use Disorders and Safe Prescribing - ISBN - 978-1-118-88601-4

Connecticut Voluntary Non-Opioid Directive: https://portal.ct.gov/-/media/Departments%20and%20Agencies/DPH/dph/Injury%202018/CT%20VNOD%20Form_FINAL

G. RELATEDGUIDELINESand POLICIES

UCONN Health CLINICAL POLICY: Chronic Opioid Therapy Pain Management Agreement for Patients with Chronic Pain. https://health.uconn.edu/policies/wp-content/uploads/sites/28/2019/01/Chronic-Opioid-Pain-Management-Agreement-for-Patients-with-Chronic-Pain.pdf

H. SEARCHWORDS

Orofacial Pain, Postoperative Pain, Prescriptions, Opioids, Acute Pain, Medication Agreement.

I. APPROVEDBY

Dental Clinical Affairs Committee 06/19/2019 UConn Opioid Task Force 06/25/2019

J. REVISIONHISTORY

1. New Guidelines Approved: 6/19/19 by Dental Clinical Affairs Committee2. Revised:

17

Opioid Risk Tool

This tool should be administered to patients upon an initial visit prior to beginning opioid therapy for

pain management. A score of 3 or lower indicated low risk for future opioid abuse, a score of 4 to 7

indicated moderate risk for opioid abuse, and a score of 8 or higher indicated a high risk for opioid

abuse.

Mark each box that applies Female Male

Family history of substance abuse

Alcohol 1 3

Illegal drugs 2 3

Rx drugs 4 4

Personal history of substance abuse

Alcohol 3 3

Illegal drugs 4 4

Rx drugs 5 5

Age between 16—45 years 1 1

History of preadolescent sexual abuse 3 0

Psychological disease

ADD, OCD, bipolar, schizophrenia 2 2

Depression 1 1

Scoring totals

Questionnaire developed by Lynn R. Webster, MD to assess risk of opioid addiction.

Webster LR, Webster R. Predicting aberrant behaviors in Opioid-treated patients: preliminary validation

of the Opioid risk tool. Pain Med. 2005; 6(6): 432.

18

Non-Opioid Medication Alternatives to Care for Pain

Tylenol/Acetaminophen

Topicals

NSAIDS: See comparison chart for classes

Antidepressants

Tricyclic antidepressants: Imipramine (Tofranil), Nortriptyline (Pamelor) Desipramine

(Norpramin), Amitryptiline (Elavil)

SSRIs: Fluoxetine (Prozac)

SNRIs: Duloxetine (Cymbalta)

Anticonvulsants: Gabapentin (Neurontin), Pregabalin (Lyrica)

Gabapentinoi

19

Comparison Chart: NSAIDS & Other Analgesics Prepared by: Loren Regier, Sharon Downey - The RxFiles, AUG/2000Class / Agent Comments /

ProductsUsual Dosage

RangeMax/day

Cost x30 days #(comparative dose)

Salicylates ASA-Plain ASPIRIN�

ASA-Enteric Coated ENTROPHEN�

OTC; 650mg supp; 80,325mgtab; 81,325,650,975mg EC tab;irreversible platelet inhibition

325-650mg q4-6h325-975mg QID 4g 650mg po QID $11

Diflunisal DOLOBID� 250,500mg tab 250-500mg BID 1.5g 250mg po BID $37Non-acetylated Salicylates - less adverse GI reactions, less cross-allergy in NSAID (& CSI?) allergic patients; available, but not commonly used Salsalate DISALCID� ✘ 500,750mg tab 1000mg TID 3g 1500mg po BID $54Choline Mg Trisalicylate TRILISATE� ✘ 500mg tab 1-1.5g BID 3g 1000mg po BID $36Indole Acetic Acids Indomethacin INDOCID� 25,50mg cap; 50,100mg supp 25-50mg TID 200mg 25mg po TID $17 Sulindac CLINORIL� 150,200mg tab; PD 150-200mg BID 400mg 150mg po BID $34 Tolmetin TOLECTIN� 200,600mg tab; 400mg cap 200-600mg TID-QID 2g 400mg po TID $53Phenylacetic Acids

Diclofenac ### VOLTAREN� 25,50mg EC tab; 50,100mgsupp; 75,100mg SR tab 25-50mg BID-TID 200mg 50mg po TID $22

Diclofenac+Misoprostol ARTHROTEC-50�

ARTHROTEC-75�

(50mg + 200µg) tab(75mg + 200µg) tab

1 tab BID-TID1 tab OD-BID

200mg/800µg

One tab po BIDOne tab po BID

$47$61

Pyrolizine Carboxylic Acids

Ketorolac TORADOL� ✘##; 10mg tab; 30mg injectableIM formulation available

10mg po q6h x7d max10-30mg IM q4-6h

40mg120mg 10mg po QID ## $67 ##

Pyranocarboxylic Acids Etodolac ULTRADOL� ☎ ~COX-2 selective; 200,300mg cap 200-600mg BID 1.2g 300mg po BID $50Propionic Acids Fenoprofen NALFON� 300mg cap; 600mg tab 300-600mg TID-QID 3.2g 600mg po TID $63 Flurbiprofen ANSAID� 50, 100mg tab 50-100mg TID-QID 300mg 100mg po BID $32

Ibuprofen MOTRIN� OTC: 200mg tab; 100mg/5mlsusp.; Rx. 300,400,600mg tab 200-800mg TID-QID 3.2g 400mg po QID $13

Ketoprofen ORUDIS� 50,100mg EC; 200mg SR tab50mg cap; 50,100mg supp 25-100mg TID-QID 300mg 50mg po TID $25

Naproxen ### NAPROSYN�125,250,375,500mg; 750mg SR;125mg/5ml susp; 500mg supp;(EC available non-formulary)

125-500mg BID 1.5g 375mg po BID $16

Oxaprozin DAYPRO� ✘ 600mg caplet; long t1/2 (50h) 600-1800mg OD 1.8g 600mg po OD $30 Tiaprofenic Acid SURGAM� 200,300mg tab 200-300mg BID 600mg 200mg po BID $32Oxicams - long t1/2 (>50h) Piroxicam FELDENE� 10,20mg cap & supp 10-20mg OD 20mg 20mg po OD $33Piroxicam-beta-cyclodextrin BREXIDOL� ✘ 20mg tab (may give 40mg x1 initially) 20mg OD x 7d max 20mg 20mg po OD ### $97 ##

Tenoxicam MOBIFLEX� ✘ 20mg tab 20-40mg OD 40mg 20mg po OD $51Naphthylalkanones - long t1/2 (>24h) Nabumetone RELAFEN� ☎ ~COX-2 selective; PD; 500mg tab 1-2g OD 2g 1g po OD $43Anthranilic Acids Floctafenine IDARAC� 200,400mg tab 200-400mg TID-QID 1.2g 200mg po QID $59 Mefenamic Acid PONSTAN� 250mg cap; (initially 500mg x1) 250mg QID x 7d max 1.5g 250mg po QID ## $37 ##

COX-2 Specific Inhibitors (CSIs) - similar efficacy to NSAIDs but less GI upset/ulceration & no effect on platelets; lack long-term/published dataCelecoxib CELEBREX� ☎ 100,200mg cap 100mg BID (OA) -

200mg BID (RA;$97) 400mg 100mg BID200mg OD $52

Rofecoxib VIOXX� ☎ 12.5, 25mg tab; 12.5mg/mlsusp; methotrexate DI

12.5-25mg OD (OA)50mg 12.5mg OD

25mg OD $52

Analgesics: Non-Anti-inflammatory - least GI risk; recommended as first-choice option in osteoarthritis; monitor LFTs in chronic use

Acetaminophen TYLENOL� OTC; 325,500mg tab; 120,325,650mg supp; syrup/elixir 325-1000mg TID-QID 4g 650mg po QID

not anti-inflammatory $12☎ = EDS = Exception Drug Status; ✘ Not currently approved for Provincial Formulary coverage in Saskatchewan; NA = not yet available; PD = Pro-drug;OTC = over the counter; Rx = by prescription; OA = osteoarthritis; RA rheumatoid arthritis; susp = suspension; supp = suppository; DI = drug interaction# Approximate retail cost to consumer based on applicable acquisition cost, markup, and dispensing fee. Lowest generic price used where available. Cost comparison based on lowest anti-inflammatory dose (as per Micromedex). Lower doses of NSAIDs often effective for analgesia (except CSIs).## Monthly cost for ketorolac, mefenamic acid, & Brexidol� shown for comparison only; Recommended maximum length of oral treatment is 7 days.

### Fast-acting formulations available but non-formulary in SK (Anaprox� 275, 550mg tabs; Voltaren Rapide� 50mg tabs); slightly faster onset, but more expensive.

if for acute pain: 50mg X1, then 25-50mg od (X 5d)

20

Non-Medication Alternatives to Care for Pain

Typically covered by insurance Physical therapy

Occupational therapy

Mental health treatment

Chiropractic therapy

Nerve stimulation

Injections

Specialist pain care

Surgery

Pain classes

Sometimes covered by insurance Acupuncture

Massage

Reiki

Typically not covered by insurance Heat and cold therapy (heating pads, ice

packs)

Attention to proper sleep

Stretching

Exercise

Weight loss

Relaxation or stress reduction training

Music therapy

Self-care techniques

Counseling and coaching

Meditation

Rehabilitation

Support Groups

21

Medications to Avoid While on Opioids

Please note this list is not comprehensive and any medication changes should be discussed with your

doctor or pharmacist prior to taking with your opioid.

- Any medication or substance that makes you feel tired or sedated- Alcohol

Opioids Generic Brand

Buprenorphine

Belbuca, Buprenex,

Butrans, Probuphine

Implant, Subutex

Butalbital

(often combined with

acetaminophen or aspirin)

Fioricet, Fiorinal

Butorphanol Stadol

Codeine Tylenol #3

Fentanyl

Actiq, Duragesic, Fentora,

Lazanda, Sublimaze,

Subsys

Hydrocodone

Hydromet, Hysingla,

Lortab, Norco, Tussigon,

Vicodin, Vicoprofen,

Zohydro

Hydromorphone Dilaudid, Exalgo

Levorphanol Levo-Dromoran

Meperidine Demerol

Methadone Dolophine, Methadose

Morphine

Avinza, Duramorph,

Embeda, Kadian, MS

Contin, MS-IR,

Nalbuphine Nubain, Raltrox

Oxycodone

Roxicodone, Endocet,

Oxaydo, Oxycontin, Oxy-

IR, Percodan, Percocet,

Roxicet, Xtampza

Oxymorphone Opana

Pentazocine Talwin

Tapentadol Nucynta

Tramadol Conzip, Ultram, Ultracet

Non-Opioids Generic Brand

Alprazolam Xanax

Baclofen Gablofen, Lioresal

Carisoprodol Soma

Chlorodiazepoxide Librium

Clonazepam Klonopin

Cyclobenzaprine Flexeril

Dantrolene Dantrium

Diazepam Valium

Dronabinol Marinol, Syndros

Estazolam ProSom

Eszopiclone Lunesta

Gabapentin Gralise, Horizant,

Neurontin

Lorazepam Ativan

Metaxalone Metaxall, Skelaxin

Methocarbamol Robaxin

Orphenadrine Norflex

Oxazepam Serax

Pentobarbital Nembutal

Phenobarbital Luminal, Phenobarb

Pregabalin Lyrica

Temazepam Restoril

Tetrahydrocannabinol Medical Marijuana

Tizanidine Zanaflex

Triazolam Halcion

Zaleplon Sonata

Zolpidem Ambien

Over The Counter Medications and Herbal Remedies Diphenhydramine Benadryl, Tylenol PM, Advil PM, others

Doxylamine Unisom

Kava Kava

St John's Wart

Valerian

22

Opioid Tapering General Principles Opioid tapering can be a scary time for patients. Prescribers may be worried about their patient turning to illegal means for pain control or abandoning them in their pain management treatment, but tapering can reduce the development of tolerance and offer the opportunity to assess continued need of a high risk medicine. Additionally, reasons to taper are varied and range from alleviating unacceptable side effects, reducing potential for diversion of medications, address the failure to reach functional goal(s), and meet the desire for less risky medication use.

Tapering should begin by decreasing dosing milligrams first followed by frequency of dosing once at the lowest milligram option. If this is not tolerated, decrease to the lowest acceptable dose and then decrease frequency if able.

Published evidence illustrates success for patients on high daily doses and a willingness to taper.

Many medications used to alleviate withdrawal symptoms, like opioids, need to be used with caution in patients >65.

Example Tapers for Opioids Slowest Taper

(over years)

Reduce by 2-10% q4-8 weeks with pauses in taper

as needed

Consider for patients taking doses >90 MEDD of long-acting opioids† for 1+ yrs

Slower Taper (over months or years)

Reduce by 5 to 20% every 4 weeks with pauses in taper

as needed

*Most common taper*

Faster Taper (over weeks)****

Reduce by 10 to 20% every week

Rapid Taper (over days)****

Reduce by 20 to 50% of first dose if needed, then reduce by 10 to 20% every day

Ex: morphine SR 90 mg q8h = 270 MEDD

Month 1: 90 mg SR qAM, 75 mg noon, 90 mg qPM [5% reduction]*

Month 2: 75 mg SR qAM, 75 mg noon, 90 mg qPM

Month 3: 75 mg SR q8h (60 mg+15 mg)



Month 6: 60 mg SR q8h



Month 1: 75 mg SR q8h (60 mg+15 mg) [16% reduction]






Month 7: 15mg SR qHS, then stop***


Week 1: 75 mg SR Q8h [16% reduction]

Week 2: 60 mg SR q8h (15 mg x 4)



Week 5: 15 mg SR q8h

Week 6: 15 mg SR q12h

Week 7: 15 mg SR qHS x 7 days, then stop***


Day 1: 60 mg SR q8h (15 mg x 4) [33% reduction]

Day 2: 45 mg SR q8h (15 mg x 3)

Day 3: 30 mg SR q8h (15 mg x 2)

Day 4: 15 mg SR q8h

Days 5-7: 15 mg SR q12h

Days 8-11: 15 mg SR qHS, then stop***

23

Last updated: OTF – 6/27/2019 Page 2 of 4


Month 9: 45 mg SR Q8h**

MEDD= morphine equivalent daily dose (for assistance calculating MEDDà https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf) *Continue the taper based on patient response. Pauses in the taper may allow the patient time to acquire new skills formanagement of pain and emotional distress while allowing for neurobiological equilibration.**Continue following this rate of taper until off the morphine or the desired dose of opioid is reached.***May consider morphine IR 15 mg ½ tablet (7.5 mg) twice daily.**** Rapid tapers can cause withdrawal effects and patients should be treated with adjunctive medications to minimize theseeffects; may need to consider admitting the patient for inpatient care. If patients are prescribed both long-acting and short-actingopioids, the decision about which formulation to be tapered first should be individualized based on medical history, mental health diagnoses, and patient preference. Data shows that overdose risk is greater with long-acting preparations.†Long acting opioids= methadone, oxymorphone, sustained-release morphine, sustained-release oxycodone, tramadol ER,transdermal fentanyl, others

Managing Withdrawal Symptoms During the Taper:

Symptoms of Withdrawal Early Symptoms (hours to days) Late Symptoms (days to weeks) Prolonged Symptoms (weeks to

months) • Anxiety/restlessness• Rapid short respirations• Runny nose, tearing eyes,

sweating• Insomnia• Dilated reactive pupils

• Runny nose, tearing eyes• Rapid breathing, yawning• Tremor, diffuse muscle spasms/aches• Piloerection• Nausea, vomiting, and diarrhea• Abdominal pain• Fever, chills• Increased white blood cells If sudden

withdrawal

• Irritability, fatigue• Bradycardia• Decreased body temperature• Craving• Insomnia

Adjuvant Medications to Reduce Withdrawal Symptoms Indication Treatment Options

Autonomic symptoms (sweating, tachycardia, myoclonus)

First line • Clonidine 0.1 to 0.2 mg oral every 6 to 8 hours; hold dose if blood pressure <90/60 mmHg (0.1 to

0.2 mg 2 to 4 times daily is commonly used in the outpatient setting)o Recommend test dose (0.1 mg oral) with blood pressure check 1 hour post dose; obtain daily

blood pressure checks; increasing dose requires additional blood pressure checkso Re-evaluate in 3 to 7 days; taper to stop; average duration 15 days

Alternatives • Baclofen 5 mg 3 times daily may increase to 40 mg total daily dose

o Re-evaluate in 3 to 7 days; average duration 15 dayso May continue after acute withdrawal to help decrease cravingso Should be tapered when it is discontinuedo Dose adjustment in renal impairment:

§ CrCl 50-80 mL/min: initial: 5 mg q12h§ CrCl 30-<50 mL/min: initial: 2.5 mg q8h§ CrCl <30 mL/min (not on HD): initial: 2.5 mg q12h§ ESRD on HD: avoid use

24


• Gabapentin start at 100 to 300 mg and titrate to 1800 to 2100 mg divided in 2 to 3 daily doseso Can help reduce withdrawal symptoms and help with pain, anxiety, and sleepo Dose adjustment in renal impairment:

§ CrCl ≥60 mL/min: 300-1200 mg TID§ CrCl 30-59 mL/min: 200-700 mg BID§ CrCl 15-29mL/min: 200-700 mg once daily§ CrCl <15 mL/min: reduce daily dose in proportion to CrCl based on dose for CrCl of 15mL/minute (eg, reduce dose by one-half [range: 50 to 150 mg/day] for CrCl 7.5mL/minute)

• Tizanidine 4 mg three times daily, can increase to 8 mg three times dailyo Dose adjustment in renal impairment and geriatrics:

§ CrCl <25 mL/min: use with cautionAnxiety, dysphoria, lacrimation, rhinorrhea

• Hydroxyzine 25 to 50 mg three times a day as needed**o Dose adjustment in renal impairment:

§ GFR ≤50 mL/min: administer 50% of the dose• Diphenhydramine 25 mg every 6 hours as needed**

Myalgias • NSAIDs (e.g., naproxen 375 to 500 mg twice daily or ibuprofen 400 to 600 mg four times daily)***o Caution in geriatric patients; consider using a reduced doseo KDIGO 2012 guidelines for renal dose adjustment:

§ eGFR 30 to <60 mL/minute/1.73 m2: Avoid use in patients with intercurrent diseasethat increases risk of acute kidney injury

§ eGFR <30 mL/minute/1.73 m2: Avoid use• Acetaminophen 650 mg every 6 hours as needed

o Dose adjustment in renal impairment:§ eGFR§ CrCl 30-59 mL/min: 200-700 mg BID§ CrCl 15-29mL/min: 200-700 mg once daily§ CrCl <15 mL/min: reduce daily dose in proportion to CrCl based on dose for CrCl of 15

mL/minute (eg, reduce dose by one-half [range: 50 to 150 mg/day] for CrCl 7.5mL/minute)

• Topical medications like menthol/methylsalicylate cream, lidocaine cream/ointmentSleep disturbance

• Trazodone 25 to 300 mg orally

Nausea • Prochlorperazine 5 to 10 mg every 4 hours as needed**• Promethazine 25 mg orally or rectally every 6 hours as needed**• Ondansetron 4 mg every 6 hours as needed

Abdominal cramping

• Dicyclomine 20 mg every 6 to 8 hours as needed**

Diarrhea Ensure all opioid related stool softeners/senna has been discontinued • Loperamide 4 mg orally initially, then 2 mg with each loose stool, not to exceed 16 mg daily• Bismuth subsalicylate 524 mg every 0.5 to 1 hour orally, not to exceed 4192 mg/day

Notes: **caution/avoid in patients > 65 years old; ***caution in patients with risk of GI bleed, renal compromise, cardiac disease

25


References: Boscarino JA, Hoffman SN, Han JJ. “Opioid-use disorder among patients on long-term opioid therapy: impact of final DSM-5 diagnostic criteria on prevalence and correlates.” Subst Abuse Rehabil. 2015;6:83-91.

Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain — Part B: Recommendations for Practice, Version 5.5. April 30, 2010. [NOUGG] Accessed at: http://nationalpaincentre.mcmaster.ca/documents/opioid_guideline_part_b_v5_6.pdf.

Berna C, Kulich RJ, Rathmell JP. Tapering Long-term Opioid Therapy in Chronic Noncancer Pain: Evidence and Recommendations for Everyday Practice. Mayo Clin Proc. 2015;90(6):828-42.

Kral, LA, Jackson K, Uritsky TJ. A practical guide to tapering opioids. Ment Health Clin (internet). 2015;5(3):102-8. DOI: 10.9740/ mhc.2015.05.102.

Chou R, Fanciullo GJ, Fine PG, et al. Clinical guidelines for the use of chronic opioid therapy in chronic non-cancer pain. J Pain. 2009;10(2):113-30. DOI: 10.1016/j.jpain.2008.10.008.

Kahan M, Wilson L, Mailis-Gagnon A, Srivastava A. National Opioid Use Guideline G. Canadian guideline for safe and effective use of opioids for chronic non-cancer pain: clinical summary for family physicians. Part 2: special populations. Can Fam Physician. 2011;57(11):1269-76, e419-28.

American Society of Addiction Medicine (ASAM) National practice guideline for the use of medications in the treatment of addiction involving opioid use. 2015. Available from: http://www.asam.org/docs/default-source/practice-support/guidelines-and-consensusdocs/asam-national-practice-guideline-supplement.pdf?sfvrsn=24.

Charney DS, Sternberg DE, Kleber HD, et al. The clinical use of clonidine in abrupt withdrawal from methadone. Effects on blood pressure and specific signs and symptoms. Arch Gen Psychiatry. 1981 Nov;38(11):1273-7.

Mattick RP, Hall W. Are detoxification programmes effective? Lancet. 1996 Jan 13;347(8994):97-100.

Boscarino JA, Hoffman SN, Han JJ. Opioid-use disorder among patients on long-term opioid therapy: impact of final DSM-5 diagnostic criteria on prevalence and correlates. Substance Abuse and Rehabilitation 2015;6:83–91.

Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain Part B: Recommendations for Practice, Version 5.5 April 30, 2010. [NOUGG] Accessed at: http://nationalpaincentre.mcmaster.ca/documents/opioid_guideline_part_b_v5_6.pdf.

Ahmadi-Abhari SA, Akhondzadeh S, Assadi SM, et al. Baclofen versus clonidine in the treatment of opiates withdrawal, side-effects aspect: a double-blind randomized controlled trial. Journal of Clinical Pharmacy and Therapeutics 2001;26:67-71.

Akhondzadeh S, Ahmadi-Abhari SA, Assadi SM, et al. Double-blind randomized controlled trial of baclofen in the treatment of opiates wit Journal of Clinical Pharmacy and Therapeutics 2000;25:347-53.

Assadi SM, Radgoodarzi R, Ahmadi-Abhari SA. Baclofen for maintenance treatment of opioid dependence: A randomized double-blind placebo-controlled clinical trial. BMC Psychiatry. 2003;3:16-26.

de Beaurepaire, R. Suppression of alcohol dependence using baclofen: a 2 year observational study of 100 patients. Frontiers in Psychiatry. 2012;103:1-7.

26

Naloxone Prescribing Information Sheet Naloxone kits should be prescribed to high-risk patients:

• Received emergency care for opioid intoxication or

overdose

• Have suspected substance abuse or nonmedical

opioid use

• Are taking >100mg morphine equivalents/day

• Are taking opioids but have unreliable access to

emergency medical services

• Have been recently incarcerated/released from

prison

• Have resumed opioid use after a period of

abstinence

• Patient or family requesting naloxone kit

• Are receiving an opioid prescription for pain PLUS:

o A prescription for buprenorphine or

methadone

o A history of poorly controlled respiratory

disease or infection

o A history of renal dysfunction, hepatic

disease, or cardiac comorbidities

o Known or excessive alcohol use or

dependency

o Concurrent use of benzodiazepines,

antihistamines, muscle relaxants,

barbiturates, or alcohol

o Suspected poorly controlled depression

Provider liability: • No civil or criminal liabilities for prescribers prescribing naloxone kits (CT §17a-714a (2012))

• Providers do not need to be affiliated with an opioid overdose prevention program

Naloxone kit ordering: • There is no clinical difference in effect between the Intranasal and Intramuscular naloxone

• Pharmacies do not require a prescription to dispense naloxone

o Some pharmacists are not certified, and therefore would need a prescription

o It may be easier to print out and hand to the patient like this:

Intranasal (IN) Naloxone Intramuscular (IM) Naloxone

Kit made by the dispensing pharmacy

• Naloxone 2mg syringe 10x2mL (to be used with nasal

atomizer) Cost $315.31 (AWP $396.00) - sometimes

covered

• Narcan nasal spray Cost $118.94 (AWP $150.00) -

covered by most plans including Medicaid

Either a commercial product (Evzio®), or as a kit made by

the dispensing pharmacy

• Naloxone 0.4mg single-dose vial 10x1mL vials Cost

$111.17 (AWP $187.20) - sometimes covered

• Evzio auto injector Cost $3997.50 (AWP $4920.00) -

typically not covered and not sure on Medicaid

Education: • Administration instructions for patients: https://ce.pharmacy.uconn.edu/wp-

content/uploads/sites/2102/2017/03/Naloxone_Card.pdf

• Nasal Spray administration 3-step guide: https://ce.pharmacy.uconn.edu/wp-

content/uploads/sites/2102/2017/03/Narcan_Quick_Start_Guide.pdf

• CT Consumer Protection resources: http://www.portal.ct.gov/DCP/Drug-Control-Division/Drug-Control/Opioid-

Overdose-Information-for-Pharmacists

27

August 2017

Pharmacy-Name Phone Address City State ZipCVS PHARMACY #1180 (860) 678-8605 358 W MAIN ST AVON CT 06001-3643CVS PHARMACY #1155 (860) 829-0800 308 BERLIN TPKE BERLIN CT 06037-1506PHARMERICA (800) 282-4321 77 OLD BRICKYARD LN BERLIN CT 06037-1423STOP & SHOP PHARMACY #614 (860) 828-0772 1135 FARMINGTON AVE BERLIN CT 06037-5200WALGREENS #10119 (860) 828-6844 980 FARMINGTON AVE BERLIN CT 06037-2219BEACON PRESCRIPTIONS (860) 583-1006 57 SOUTH ST BRISTOL CT 06010-6524BEACON PRESCRIPTIONS #3 (860) 589-5587 25 COLLINS RD BRISTOL CT 06010-3893CVS PHARMACY #1276 (860) 584-8998 81 NORTH ST BRISTOL CT 06010-4152CVS PHARMACY #288 (860) 582-8167 839 FARMINGTON AVE BRISTOL CT 06010-3922CVS PHARMACY #5703 (860) 585-0122 60 MIDDLE ST BRISTOL CT 06010-5201RITE AID #1427 (860) 582-3491 430 N MAIN ST STE A BRISTOL CT 06010-4117SHOPRITE PHARMACY OF BRISTOL #308 (860) 584-5733 1200 FARMINGTON AVE BRISTOL CT 06010-4714STOP & SHOP #628 (860) 582-5674 597 FARMINGTON AVE BRISTOL CT 06010-3932STOP & SHOP PHARMACY #642 (860) 583-9213 747 PINE ST BRISTOL CT 06010-6959WALGREENS #10203 (860) 585-7426 25 MAIN ST BRISTOL CT 06010-6528WALGREENS #11825 (860) 583-3638 525 FARMINGTON AVE BRISTOL CT 06010-3931CVS PHARMACY #2253 (860) 693-8077 111 ALBANY TPKE CANTON CT 06019-2507WALGREENS #11604 (860) 693-8329 220 ALBANY TPKE CANTON CT 06019-7068CVS PHARMACY #1148 (203) 272-3255 905 S MAIN ST CHESHIRE CT 06410-3418CVS PHARMACY #2502 (203) 250-2251 581 HIGHLAND AVE CHESHIRE CT 06410-2205PROCARE LTC PHARMACY OF CONNECTICUT LLC (877) 827-7901 1492 HIGHLAND AVE STE 1C CHESHIRE CT 06410-1287RITE AID #10361 (203) 271-0282 922 S MAIN ST CHESHIRE CT 06410-3419RITE AID #1087 (203) 272-3543 180 MAIN ST CHESHIRE CT 06410-2406STOP & SHOP #695 (203) 272-5993 275 HIGHLAND AVE CHESHIRE CT 06410-2522CVS PHARMACY #145 (860) 677-5047 330 MAIN ST FARMINGTON CT 06032-2961

ARROW PRESCRIPTION CENTER #11 (860)524-5304 500 ALBANY AVENUE HARTFORD CT 06120-2599

ARROW PRESCRIPTION CENTER #12 (860) 522-9289 500 FARMINGTON AVE HARTFORD CT 06105-3106

Local Naloxone Prescribing Pharmacies

28

August 2017

Pharmacy-Name Phone Address City State ZipLocal Naloxone Prescribing Pharmacies

CHARTER OAK HEALTH CENTER PHARMACY (860) 550-7550 21 GRAND ST HARTFORD CT 06106-1541COMMUNITY CARE PHARMACY INC (860) 560-2000 408 NEW BRITAIN AVE HARTFORD CT 06106-3832CVS PHARMACY #10100 (860) 273-3171 151 FARMINGTON AVE HARTFORD CT 06156-0001CVS PHARMACY #1183 (860) 244-9424 777 MAIN ST HARTFORD CT 06103-2308CVS PHARMACY #1948 (860) 296-1155 690 WETHERSFIELD AVE HARTFORD CT 06114-1930CVS PHARMACY #2099 (860) 769-6870 479 BLUE HILLS AVE HARTFORD CT 06112-1514CVS PHARMACY #350 (860) 233-9673 566 FARMINGTON AVE HARTFORD CT 06105-3050CVS PHARMACY #5263 (860) 595-1750 150 WASHINGTON ST HARTFORD CT 06106-4405CVS PHARMACY #840 (860) 956-7107 908 MAPLE AVE HARTFORD CT 06114-2723HARTFORD HOSPITAL (860) 727-1123 85 SEYMOUR ST HARTFORD CT 06106-5501HARTFORD PHARMACY II (860) 244-2222 57 PARK ST HARTFORD CT 06106-2520HARTFORD PHARMACY III (860) 422-8888 33 NEW BRITAIN AVE HARTFORD CT 06106-3306HARTFORD PHARMACY INC (860) 422-8888 469 PARK ST HARTFORD CT 06106-1519RITE AID #10349 (860) 296-3478 315 FRANKLIN AVE HARTFORD CT 06114-1851RITE AID #3203 (860) 560-1881 1291 ALBANY AVE HARTFORD CT 06112-2198STOP & SHOP PHARMACY #634 (860) 232-8861 150 NEW PARK AVE HARTFORD CT 06106-2159WALGREENS #03827 (860) 522-5005 161 WASHINGTON ST HARTFORD CT 06106-2464WALGREENS #15465 (860) 595-1813 100 RETREAT AVE STE 102B HARTFORD CT 06106-2528CVS PHARMACY #2119 (860) 828-6584 1055 FARMINGTON AVE KENSINGTON CT 06037-2244RITE AID #10342 (860) 829-0740 900 FARMINGTON AVE KENSINGTON CT 06037-2219CVS PHARMACY #2018 (203) 237-8984 540 W MAIN ST MERIDEN CT 06450-3293CVS PHARMACY #6807 (203) 237-8997 153 BROAD ST MERIDEN CT 06451-1818CVS PHARMACY #865 (203) 235-8285 839 E MAIN ST MERIDEN CT 06450-5801CVS/PHARMACY #16712 (203) 634-6060 474 CHAMBERLAIN HWY MERIDEN CT 06450-6064GENOA, A QOL HEALTHCARE COMPANY LLC (888) 436-6277 883 PADDOCK AVE MERIDEN CT 06451-3816GRAEBER'S PHARMACY INC (203) 235-4463 172 WEST MAIN STREET MERIDEN CT 06450-6008GREAT HILLS LLC (203) 906-3993 152 COLONY ST # A MERIDEN CT 06450-7044HANCOCK LTC INC (203) 235-0335 29 GRAVEL ST MERIDEN CT 06451-3225

29

August 2017


HANCOCK'S PHARMACY AND SURGICAL CENTER (203) 235-6323 840 E MAIN ST MERIDEN CT 06450STOP & SHOP PHARMACY #654 (203) 238-1261 485 BROAD ST MERIDEN CT 06451-2710WALGREENS #05948 (203) 639-8166 425 W MAIN ST MERIDEN CT 06450-4607WALGREENS #09820 (203) 238-0910 825 E MAIN ST MERIDEN CT 06450-6550WALGREENS #10003 (203) 634-3241 134 STATE ST MERIDEN CT 06450-6006CVS PHARMACY #2896 (860) 344-1320 675 WASHINGTON ST MIDDLETOWN CT 06457-2901CVS PHARMACY #364 (860) 344-1857 308 MAIN STREET EXT MIDDLETOWN CT 06457-4406GENOA, A QOL HEALTHCARE COMPANY LLC (860) 344-1704 230 MAIN STREET EXT STE A MIDDLETOWN CT 06457-4470HANCOCK PHARMACY V (860) 346-9700 644 MAIN ST MIDDLETOWN CT 06457-2731RITE AID #10366 (860) 346-8601 10 MAIN ST STE A MIDDLETOWN CT 06457-3407STOP & SHOP #623 (860) 346-0160 416 E MAIN ST MIDDLETOWN CT 06457-4555WALGREENS #02858 (860) 346-7372 633 WASHINGTON ST MIDDLETOWN CT 06457-2542WALGREENS #12338 (860) 704-0135 311 E MAIN ST MIDDLETOWN CT 06457-4556ARCH STREET PHARMACY 333 ARCH ST NEW BRITAIN CT 06051-2520BEACON PRESCRIPTIONS (860) 225-6487 543 W MAIN ST NEW BRITAIN CT 06053-3915CVS PHARMACY #294 (860) 229-3757 177 COLUMBUS BLVD NEW BRITAIN CT 06051-2226CVS PHARMACY #760 (860) 224-3494 713 W MAIN ST NEW BRITAIN CT 06053-3969CVS/PHARMACY #16633 (860) 348-9163 475 HARTFORD RD NEW BRITAIN CT 06053-1524NB HEALTH CARE LLC 248 MAIN ST NEW BRITAIN CT 06051-2222NEW BRITAIN PHARMACY (860) 223-0522 46 BROAD ST NEW BRITAIN CT 06053-4305RITE AID #10343 (860) 224-7798 1350 STANLEY ST NEW BRITAIN CT 06053-3224STOP & SHOP PHARMACY #645 (860) 348-9830 1309 CORBIN AVE NEW BRITAIN CT 06053-3857WALGREENS #07585 (860) 826-7272 102 WASHINGTON ST NEW BRITAIN CT 06051-1826CVS PHARMACY #691 (860) 667-1888 1181 MAIN ST NEWINGTON CT 06111-3033CVS/PHARMACY #16925 (860) 616-0023 3265 BERLIN TPKE NEWINGTON CT 06111-5101RITE AID #10348 (860) 666-4079 40 CEDAR ST NEWINGTON CT 06111-2613STOP & SHOP #630 (860) 667-8380 44 FENN RD NEWINGTON CT 06111-2212STOP & SHOP PHARMACY #2613 (860) 594-7123 206 KITTS LN NEWINGTON CT 06111-4250WALGREENS #07047 (860) 667-0461 2920 BERLIN TPKE NEWINGTON CT 06111-4116

30

August 2017


CVS PHARMACY #1125 (860) 564-2111 10 LATHROP RD PLAINFIELD CT 06374-2030CVS PHARMACY #839 (860) 793-9248 14 FARMINGTON AVE PLAINVILLE CT 06062-1780GENOA, A QOL HEALTHCARE COMPANY LLC (860) 479-2667 91 NORTHWEST DR STE L-14 PLAINVILLE CT 06062-1534RITE AID #4687 (860) 747-5787 52 EAST ST PLAINVILLE CT 06062-2309WALGREENS #07086 (860) 793-9356 5 FARMINGTON AVE PLAINVILLE CT 06062-1726CVS PHARMACY #2219 (860) 258-4963 2427 MAIN ST ROCKY HILL CT 06067-2503CVS PHARMACY #2525 (860) 563-9393 323 CROMWELL AVE ROCKY HILL CT 06067-1801ROCKY HILL COMMUNITY PHARMACY (860) 372-4618 366 CROMWELL AVE ROCKY HILL CT 06067-1841STOP & SHOP PHARMACY #632 (860) 563-4462 80 TOWN LINE ROAD ROCKY HILL CT 06067CVS PHARMACY #1242 (860) 651-1440 714 HOPMEADOW ST SIMSBURY CT 06070-2234HOPMEADOW APOTHECARY (860)651-3331 1300 HOPMEADOW ST SIMSBURY CT 06070-1411STOP & SHOP PHARMACY #607 (860) 651-9843 498 BUSHY HILL RD SIMSBURY CT 06070-2931WALGREENS #05134 (860) 658-0479 540 BUSHY HILL RD SIMSBURY CT 06070-2925BEACON PRESCRIPTIONS (860) 628-3972 609 N MAIN ST SOUTHINGTON CT 06489-2051CVS PHARMACY #1028 (860) 621-7371 724 QUEEN STREET SOUTHINGTON CT 06489CVS PHARMACY #1060 (860) 621-1996 326 MAIN ST SOUTHINGTON CT 06489-2508CVS/PHARMACY #17491 (860) 406-6755 600 EXECUTIVE BLVD SOUTHINGTON CT 06489-6008RITE AID # 6599 (860) 276-8511 500 QUEEN ST SOUTHINGTON CT 06489-1801RITE AID #475 (860) 628-2444 167 MAIN ST SOUTHINGTON CT 06489-2505SERAFINO'S PHARMCY INC (860) 628-7979 36 N MAIN ST SOUTHINGTON CT 06489-2517STOP & SHOP PHARMACY #684 (860) 620-9060 505 N MAIN ST SOUTHINGTON CT 06489-2051WALGREENS #07641 (860) 621-3729 359 MAIN ST SOUTHINGTON CT 06489-4538CVS PHARMACY #1038 (860) 236-9348 1044 BOULEVARD WEST HARTFORD CT 06119-1801CVS PHARMACY #1156 (860) 521-9877 1240 FARMINGTON AVE WEST HARTFORD CT 06107-2618CVS PHARMACY #2153 (860) 561-6164 150 S MAIN ST WEST HARTFORD CT 06107-3432CVS PHARMACY #333 (860) 521-5844 976 1/2-978 FARMINGTON AVE WEST HARTFORD CT 06107-2102CVS PHARMACY #671 (860) 236-6181 1099 NEW BRITAIN AVE WEST HARTFORD CT 06110-2418SUBURBAN PHARMACY (860) 236-3564 344 N MAIN ST WEST HARTFORD CT 06117-2526WALGREENS #07750 (860) 231-7665 940 QUAKER LN S WEST HARTFORD CT 06110-1458

31

August 2017


WALGREENS #15207 (860) 523-5849 668 FARMINGTON AVE WEST HARTFORD CT 06119-1810CVS PHARMACY #348 (860) 529-2535 1078 SILAS DEANE HWY WETHERSFIELD CT 06109-4231RITE AID #10347 (860) 257-8100 657 SILAS DEANE HWY WETHERSFIELD CT 06109-3026STOP & SHOP #610 (860) 956-0477 1380 BERLIN TPKE WETHERSFIELD CT 06109-1093WALGREENS #04490 (860) 721-7224 1100 SILAS DEANE HWY WETHERSFIELD CT 06109-4232RITE AID #4620 (203) 879-5853 744 WOLCOTT RD WOLCOTT CT 06716-1906

32

August 2017

Pharmacy-Name Phone Address City State ZipCVS PHARMACY #718 (203) 735-7837 24 PERSHING DR ANSONIA CT 06401-2214CVS/PHARMACY #17324 (203) 278-5056 20 W MAIN ST ANSONIA CT 06401-1812HANCOCK PHARMACY VI (203) 734-8900 95 WAKELEE AVE ANSONIA CT 06401-1151RITE AID #667 (203)734-3152 404 MAIN ST ANSONIA CT 06401-2307STOP & SHOP SUPERMARKET #635 (203) 732-3907 100 DIVISION ST ANSONIA CT 06401-2147BEACON FALLS PHARMACY LLC (203) 729-4567 20 NORTH MAIN STREET; P.O. BOX #218BEACON FALLS CT 06403CVS PHARMACY #1109 (203) 794-9500 7 DURANT AVE BETHEL CT 06801-1906CVS/PHARMACY #16858 (203) 634-6060 7 STONY HILL RD BETHEL CT 06801-1030ENGLISH APOTHECARY (203) 792-3363 140 GREENWOOD AVE BETHEL CT 06801-2530RITE AID #10382 (203) 792-6190 289 GREENWOOD AVE BETHEL CT 06801-2402TOWNE APOTHECARY LLC (203) 266-7801 95 MAIN ST S BETHLEHEM CT 06751-2004CVS PHARMACY #1102 (860) 243-8351 341 COTTAGE GROVE RD BLOOMFIELD CT 06002-3148CVS PHARMACY #1903 (860) 243-1704 799-824 PARK AVE BLOOMFIELD CT 06002-2417RITE AID #10340 (860) 242-5551 835 PARK AVE BLOOMFIELD CT 06002-2469CVS PHARMACY #172 (203) 488-9485 2-6 SHORT BEACH RD BRANFORD CT 06405-6233STOP & SHOP PHARMACY #687 (203) 481-3392 22 LEETES ISLAND RD BRANFORD CT 06405-6514TOWNE PHARMACY (203) 488-1631 1012 MAIN ST BRANFORD CT 06405-3730WALGREENS #03944 (203) 481-0386 329 E MAIN ST BRANFORD CT 06405-3106WALGREENS #10309 (203) 488-9059 1036 W MAIN ST BRANFORD CT 06405-3428ALBION-HANCOCK PHARMACY (203) 331-9200 2125 FAIRFIELD AVE BRIDGEPORT CT 06605-2639BRIDGEPORT CHEMISTS (203) 367-3666 1407 FAIRFIELD AVE BRIDGEPORT CT 06605-1928BRIDGEPORT PHARMACY (203) 367-9000 978 E MAIN ST BRIDGEPORT CT 06608-1913CVS PHARMACY #1139 (203) 368-0944 2610 E MAIN ST BRIDGEPORT CT 06610-1422CVS PHARMACY #1153 (203) 330-8278 1875 BOSTON AVE BRIDGEPORT CT 06610-2623CVS PHARMACY #2143 (203) 371-1280 3710 MAIN ST BRIDGEPORT CT 06606-3613HANCOCK PHARMACY 2 (203) 368-9000 1020 FAIRFIELD AVE BRIDGEPORT CT 06605-1187MAIN STREET PHARMACY 3 LLC (203) 870-9902 2117 BOSTON AVE BRIDGEPORT CT 06610-3030RITE AID #3619 (203) 382-0009 1060 E MAIN ST BRIDGEPORT CT 06608-1915ST VINCENTS OUTPATIENT PHARMACY (203) 576-5713 2800 MAIN ST BRIDGEPORT CT 06606-4201

Additional Naloxone Prescribing Pharmacies

33

August 2017

Pharmacy-Name Phone Address City State ZipAdditional Naloxone Prescribing Pharmacies

STOP & SHOP PHARMACY #670 (203) 372-6538 4531 MAIN ST BRIDGEPORT CT 06606-1846WALGREENS #05723 (203) 334-6978 960 NORTH AVE BRIDGEPORT CT 06606-5750WALGREENS #07522 (203) 374-2819 4083 MAIN ST BRIDGEPORT CT 06606-2302WALGREENS #09521 (203) 696-0127 1000 PARK AVE BRIDGEPORT CT 06604-3406CVS PHARMACY #696 (203) 775-9593 14 CANDLEWOOD LAKE RD BROOKFIELD CT 06804-2529RITE AID #10383 (203) 740-1005 215 FEDERAL RD BROOKFIELD CT 06804-2630CVS PHARMACY #942 (860) 779-0523 542 PROVIDENCE RD BROOKLYN CT 06234-3413CVS PHARMACY #7916 (860) 673-8006 292 SPIELMAN HWY BURLINGTON CT 06013-1727RITE AID #10341 (860) 824-5481 76 MAIN ST CANAAN CT 06018-2460RITE AID #10353 (860) 546-6766 200 WESTMINSTER RD CANTERBURY CT 06331-1450QUALITY CARE DRUG - CENTERBROOK (860) 767-0206 33 MAIN ST CENTERBROOK CT 06409-1083CVS PHARMACY #1284 (860) 664-9337 14 E MAIN ST CLINTON CT 06413-2019SHOPRITE PHARMACY OF CLINTON (860) 669-6619 266 E MAIN ST CLINTON CT 06413-2254STOP & SHOP #652 (860) 669-6636 215 E MAIN ST CLINTON CT 06413-2200WALGREENS #07814 (860) 664-4691 218 E MAIN ST CLINTON CT 06413-2230STOP & SHOP PHARMACY #608 (860) 537-2570 99 LINWOOD AVE COLCHESTER CT 06415-1159CVS PHARMACY #5848 (860) 537-0711 119 S MAIN ST COLCHESTER CT 06415-1456RITE AID #10362 (860)537-9034 27 BROADWAY ST COLCHESTER CT 06415-1001CVS PHARMACY #2475 (203) 422-2129 122 E PUTNAM AVE COS COB CT 06807-2720CVS PHARMACY #2220 (860) 742-3543 3514 MAIN ST COVENTRY CT 06238-1551WALGREENS #11919 (860) 742-5389 1630 BOSTON TPKE COVENTRY CT 06238-1205CVS PHARMACY #3835 (860) 613-0499 72 BERLIN RD CROMWELL CT 06416-2602PROFESSIONAL HOMECARE SERVICES INC (860) 632-3600 104 SEBETHE DR CROMWELL CT 06416-1038STOP & SHOP PHARMACY #606 (860) 635-6303 35 SHUNPIKE RD CROMWELL CT 06416-2414WALGREENS #09818 (860) 613-2324 4 HAMMERHEAD PL CROMWELL CT 06416-1805CVS PHARMACY #2545 (203) 730-4870 35 PADANARAM RD DANBURY CT 06811-3701CVS PHARMACY #629 (203) 794-9438 146 SOUTH ST DANBURY CT 06810-7951CVS PHARMACY #7093 (203) 778-7471 47 LAKE AVENUE EXT DANBURY CT 06811-5259

34

August 2017


CVS PHARMACY #798 (203) 790-9485 299 WHITE ST # 305 DANBURY CT 06810-6934RITE AID #10385 (203) 748-4134 1 PADANARAM RD STE B DANBURY CT 06811-4836RITE AID #1404 (203) 797-0223 30 GERMANTOWN RD DANBURY CT 06810-5033RITE AID #10384 (203) 798-7520 113-115 MILL PLAIN RD DANBURY CT 06811-5277STOP & SHOP PHARMACY #644 (203) 797-8476 44 LAKE AVENUE EXT DANBURY CT 06811-5244STOP & SHOP PHARMACY #659 (203) 798-0735 72 NEWTOWN RD DANBURY CT 06810-6254WALGREENS #03523 (203) 791-0405 75 MAIN ST DANBURY CT 06810-7802WALGREENS #06968 (203) 798-7753 101 FEDERAL RD DANBURY CT 06811-4019WALGREENS #15590 (203) 792-2044 95 LOCUST AVE STE 100 DANBURY CT 06810-6148CVS PHARMACY #918 (203) 655-2865 964 POST RD DARIEN CT 06820-4508WALGREENS #01873 (203) 655-8904 138 HEIGHTS RD DARIEN CT 06820-4119WALGREENS #12058 (860) 774-0490 1093 N MAIN ST DAYVILLE CT 06241-2124CVS PHARMACY #17489 (860) 412-1284 2177 KILLINGLY CMNS DAYVILLE CT 06241-2188GENOA, A QOL HEALTHCARE COMPANY LLC (860) 457-4690 1007 N MAIN ST DAYVILLE CT 06241-2170STOP & SHOP PHARMACY #697 (860) 774-5301 1094 KILLINGLY COMMONS DRIVE DAYVILLE CT 06241-2143WALGREENS #10261 (860) 526-8052 180 MAIN ST DEEP RIVER CT 06417-2039CVS PHARMACY #1044 (203) 732-4495 656 NEW HAVEN AVE DERBY CT 06418-2528CVS PHARMACY #4149 (860) 267-6853 54 E HIGH ST EAST HAMPTON CT 06424-1052RITE AID #10363 (203) 267-0732 25 E HIGH ST STE 8 EAST HAMPTON CT 06424-1087STOP & SHOP PHARMACY #2611 (860) 267-2771 11 E HIGH ST EAST HAMPTON CT 06424-1022CVS PHARMACY #1089 (860) 290-2091 20 BURNSIDE AVE EAST HARTFORD CT 06108-3403CVS PHARMACY #1101 (860) 568-1700 16 MAIN ST EAST HARTFORD CT 06118-3208CVS PHARMACY #85 (860) 569-0888 972 SILVER LN EAST HARTFORD CT 06118-1248GENOA A QOL HEALTHCARE CO LLC (860) 785-6052 287 MAIN ST STE A-2 EAST HARTFORD CT 06118-1885RITE AID #198 (860) 528-6115 329 ELLINGTON RD EAST HARTFORD CT 06108-1141RIVERSIDE PHARMACY INC (201) 270-8013 926 MAIN ST EAST HARTFORD CT 06108-2237STOP & SHOP PHARMACY #693 940 SILVER LN EAST HARTFORD CT 06118-1235WALGREENS #07566 (860) 569-4120 922 SILVER LN EAST HARTFORD CT 06118-1248WALGREENS #09784 (860) 289-4944 20 CONNECTICUT BLVD EAST HARTFORD CT 06108-3007

35

August 2017


CVS PHARMACY #1968 (203) 468-6594 369 MAIN ST EAST HAVEN CT 06512-2835CVS PHARMACY #857 (203) 467-8876 660 FOXON RD EAST HAVEN CT 06513-1863RITE AID #3264 (203) 469-4609 10 HEMINGWAY AVE EAST HAVEN CT 06512-3404RITE AID #4092 (203) 468-1039 645 FOXON RD EAST HAVEN CT 06513-1951RITE AID #4778 (203) 469-7648 588 MAIN ST EAST HAVEN CT 06512-2001STOP & SHOP PHARMACY #692 (203) 468-1113 370 HEMINGWAY AVE EAST HAVEN CT 06512-3240WALGREENS #12120 (203) 468-9732 157 MAIN ST EAST HAVEN CT 06512-2525CVS PHARMACY #4473 (860) 739-0276 15 CHESTERFIELD RD EAST LYME CT 06333-1730RITE AID #10354 (860) 739-9007 340 FLANDERS RD EAST LYME CT 06333-1710BIG Y PHARMACY #60 (860) 623-1407 67 PROSPECT HILL RD EAST WINDSOR CT 06088-3605RITE AID #10345 (860) 623-3327 74 BRIDGE ST EAST WINDSOR CT 06088-9679BIG Y PHARMACY #73 (860) 896-0264 135 WEST ROAD ELLINGTON CT 06029CVS PHARMACY #1098 (860) 741-0751 47 HAZARD AVE ENFIELD CT 06082-3813CVS PHARMACY #750 (860) 741-5498 875 ENFIELD ST ENFIELD CT 06082-3617CVS/PHARMACY #16603 (860) 741-8054 90 ELM ST ENFIELD CT 06082-3770EYE OF HORUS PHARMACEUTICAL SERVICES, LLC (860) 745-0183 15 PALOMBA DRIVE; SUITE #8 ENFIELD CT 06082GENOA, A QOL HEALTHCARE COMPANY LLC (860) 253-2605 153 HAZARD AVE STE 100 ENFIELD CT 06082-4592RITE AID #4772 (860) 749-4184 71 PALOMBA DRIVE ENFIELD CT 06082-3801STOP & SHOP PHARMACY #2605 (860) 741-2200 54 HAZARD AVE ENFIELD CT 06082-3845WALGREENS #01824 (860) 741-3503 30 HAZARD AVE ENFIELD CT 06082-3713WALGREENS #09432 (860) 253-0463 2 SHAKER RD ENFIELD CT 06082-3112RITE AID #10364 (860) 767-2181 125 WESTBROOK RD ESSEX CT 06426-1521CVS PHARMACY #133 (203) 255-1089 698 POST RD FAIRFIELD CT 06824-6247CVS PHARMACY #1912 (203) 366-8070 1968 BLACK ROCK TPKE FAIRFIELD CT 06825-3543CVS PHARMACY #2151 (203) 255-0060 330 GRASMERE AVE FAIRFIELD CT 06824-6102CVS PHARMACY #3373 (203) 331-4731 961 BLACK ROCK TPKE FAIRFIELD CT 06825-4702RITE AID #10386 (203) 259-2353 1619 POST RD FAIRFIELD CT 06824-5910STOP & SHOP PHARMACY #650 (203) 254-8538 1160 KING'S HIGHWAY CUTOFF FAIRFIELD CT 06430

36

August 2017


UNITY PHARMACY (203) 955-1781 1326 POST RD FAIRFIELD CT 06824-6012WALGREENS #16080 (203) 336-3551 414 KINGS HWY E FAIRFIELD CT 06825-4846CVS PHARMACY #556 (860) 464-0288 1657 ROUTE 12 GALES FERRY CT 06335-1533CVS PHARMACY #459 (860) 659-1329 2639 MAIN ST GLASTONBURY CT 06033-2023CVS PHARMACY #5450 (860) 633-4668 766 NEW LONDON TPKE GLASTONBURY CT 06033-3076STOP & SHOP #631 (301)341-4387 215 GLASTONBURY BLVD GLASTONBURY CT 06033-4408STOP & SHOP PHARMACY #605 55 OAK STREET GLASTONBURY CT 06033WALGREENS #02228 (860) 633-4186 2900 MAIN ST GLASTONBURY CT 06033-1027WALGREENS #11533 (860) 781-7073 1312 MANCHESTER RD GLASTONBURY CT 06033-1824CVS PHARMACY #1202 (860) 653-4221 20 BANK ST GRANBY CT 06035-2302GRANBY PHARMACY LLC (860) 653-2517 9 HARTFORD AVE GRANBY CT 06035-2308STOP & SHOP PHARMACY #611 (860) 844-8346 120 SALMON BROOK ST GRANBY CT 06035-2604GREENVIEW PHARMACY LLC (203) 531-3323 13 N WATER ST GREENWICH CT 06830-5814CVS PHARMACY #1280 (203) 862-9320 99 GREENWICH AVE GREENWICH CT 06830-5511CVS PHARMACY #6702 (203) 422-2022 644 W PUTNAM AVE GREENWICH CT 06830-6008GREENWICH PHARMACY LLC (203)6612721 116 GREENWICH AVE GREENWICH CT 06830-5504NORTH STREET PHARMACY (203) 869-2130 1043 NORTH ST GREENWICH CT 06831-2701STOP & SHOP PHARMACY #682 (860) 445-8807 220 ROUTE 12 GROTON CT 06340CVS PHARMACY #377 (860) 446-0912 915 POQUONNOCK RD GROTON CT 06340-4257WALGREENS #07759 (860) 405-1919 441 LONG HILL RD GROTON CT 06340-4149CVS PHARMACY #1966 (203) 458-1444 1057 BOSTON POST RD GUILFORD CT 06437-2644WALGREENS #01455 (203) 453-1619 1116 BOSTON POST RD GUILFORD CT 06437-2624ANNEX PHARMACY (203) 287-3127 2380A DIXWELL AVE HAMDEN CT 06514-1810CVS PHARMACY #775 (203) 287-0835 2045 DIXWELL AVE HAMDEN CT 06514-2405DIXWELL PHARMACY, LLC (203) 281-6571 2380 DIXWELL AVE HAMDEN CT 06514-1847OUTPATIENT PHARMACY SERVICES AT YALE NEW HAVEN HEALTH (844) 881-0043 1100 SHERMAN AVE HAMDEN CT 06514-1363RITE AID #10375 (203) 230-0274 2175 DIXWELL AVE HAMDEN CT 06514-2405STOP & SHOP PHARMACY #600 (203) 248-9631 2335 DIXWELL AVE HAMDEN CT 06514-2100WALGREENS #02410 (203) 230-0610 1697 WHITNEY AVE HAMDEN CT 06517-1928

37

August 2017


WALGREENS #05406 (203) 230-2803 1191 DIXWELL AVE HAMDEN CT 06514-4733WALGREENS #09101 (203) 288-5217 2505 WHITNEY AVE HAMDEN CT 06518-3019CVS PHARMACY #10130 (860) 228-3888 110 MAIN ST HEBRON CT 06248-1518HIGGANUM PHARMACY (860) 345-3607 23 KILLINGWORTH RD HIGGANUM CT 06441-4242JEWETT CITY PHARMACY (860) 376-4468 78 MAIN ST JEWETT CITY CT 06351-2226RITE AID #10355 (860) 376-1206 27 MAIN ST JEWETT CITY CT 06351-2203KENT STATION PHARMACY (860) 927-3725 38 N MAIN ST KENT CT 06757-1511CVS PHARMACY #17490 (860) 823-2961 195 RIVER RD LISBON CT 06351-3253CVS PHARMACY #135 (860) 567-0856 266 WEST ST LITCHFIELD CT 06759-3404RITE AID #1214 (860) 567-7064 331 WEST ST LITCHFIELD CT 06759-3406CONNECTICUT PHARMACY OF MADISON (203) 421-2132 200 BOSTON POST RD STE 9 MADISON CT 06443-2144CVS PHARMACY #388 (203) 245-3165 613 BOSTON POST RD & ROUTE 79MADISON CT 06443-3080STOP & SHOP #624 (203) 245-7467 136 SAMSON ROCK DR MADISON CT 06443-3018WESTOWN PHARMACY (860) 649-9946 455 HARTFORD RD MANCHESTER CT 06040CVS PHARMACY #4436 (860) 533-1156 241 MIDDLE TPKE W MANCHESTER CT 06040-3834RITE AID #1155 (860) 649-9110 335 CENTER ST MANCHESTER CT 06040-3922GENOA, A QOL HEALTHCARE COMPANY LLC (860) 288-2119 444 CENTER ST MANCHESTER CT 06040-3926STOP & SHOP PHARMACY #689 (860) 645-8050 286 BROAD ST MANCHESTER CT 06040-4049MANCHESTER RX LLC (860) 649-1025 348 MAIN ST MANCHESTER CT 06040-4123WALGREENS #05407 (860) 649-8899 295 MAIN ST MANCHESTER CT 06040-4128LENOX PHARMA LLC D/B/A LENOX PHARMACY (860) 649-0896 299 E CENTER ST MANCHESTER CT 06040-5211WALGREENS #06654 (860) 644-1210 149 DEMING ST MANCHESTER CT 06042-1731CVS PHARMACY #1910 (860) 646-4510 260 N MAIN ST MANCHESTER CT 06042-2004CVS/PHARMACY #16597 (860) 327-0083 125 BUCKLAND HILLS DR MANCHESTER CT 06042-8701BIG Y PHARMACY #34 141 B Storrs Road Mansfield Center CT 06250CVS PHARMACY #1241 (203) 877-8127 734 BRIDGEPORT AVE MILFORD CT 06460-3169CVS PHARMACY #71 (203) 783-9058 989 BOSTON POST RD MILFORD CT 06460-3531

38

August 2017


CVS/PHARMACY #17137 (203) 306-5064 1191 BOSTON POST RD MILFORD CT 06460-2763GENOA, A QOL HEALTHCARE COMPANY, LLC (203) 301-8861 941 BRIDGEPORT AVE STE M5 MILFORD CT 06460-3142HOWES' DRUG & MEDICAL, INC (203) 878-2441 78 BROAD ST MILFORD CT 06460-3353RITE AID #10367 (203) 874-0845 1387 NEW HAVEN AVE MILFORD CT 06460-8159RITE AID #2574 (203) 877-6774 1360 BOSTON POST RD MILFORD CT 06460-2704STOP & SHOP PHARMACY #647 (203) 876-0654 855 BRIDGEPORT AVE MILFORD CT 06460-3171STOP & SHOP PHARMACY #663 (203) 877-1912 1360 E TOWN RD MILFORD CT 06460-3623WALGREENS #01451 (203) 878-7265 1083 BOSTON POST RD MILFORD CT 06460-3550WALGREENS #06503 (203) 876-7643 541 BRIDGEPORT AVE MILFORD CT 06460-4203COMPOUNDED SOLUTIONS IN PHARMACY LLC (203) 268-4964 810 MAIN ST MONROE CT 06468-2809CVS PHARMACY #1941 (203) 261-1185 511 MONROE TPKE MONROE CT 06468-2386RITE AID #10369 (203) 268-9091 508 MONROE TPKE MONROE CT 06468-2309RITE AID #10370 (203) 261-6493 435 MAIN ST MONROE CT 06468-1151WALGREENS #07602 (203) 268-1216 275 MONROE TPKE MONROE CT 06468-2246NATHAN HALE PHARMACY (860) 873-1481 26 FALLS RD MOODUS CT 06469RITE AID #10357 (860) 564-5871 20 PROSPECT ST MOOSUP CT 06354-1425MCQUADE'S PHARMACY INC (860) 536-4606 10 CLARA DR MYSTIC CT 06355-1957CVS PHARMACY #2056 (860) 536-5635 25 BROADWAY AVE MYSTIC CT 06355-2834CVS PHARMACY #124 (203) 723-1172 98 BRIDGE ST NAUGATUCK CT 06770-2822STOP & SHOP #604 (203) 729-4182 727 RUBBER AVE NAUGATUCK CT 06770-3642FORD PHARMACY & MED SUPPLY (203) 729-2680 2 CHURCH ST NAUGATUCK CT 06770-4112RITE AID #1375 (203) 723-7745 56 RUBBER AVE NAUGATUCK CT 06770-4136CVS PHARMACY #1213 (203) 966-6758 94 PARK ST NEW CANAAN CT 06840-5401GPG LLC (203) 801-0808 118 MAIN ST NEW CANAAN CT 06840-4709NEW CANAAN PHARMACY (203) 920-1385 44 EAST AVE NEW CANAAN CT 06840-5518WALGREENS #09821 (203) 801-0121 36 PINE ST NEW CANAAN CT 06840-5430STOP & SHOP PHARMACY #2612 (203) 312-9818 25 ROUTE 39 NEW FAIRFIELD CT 06812-4615CANDLEWOOD DRUGS (203) 312-9999 11 ROUTE 37 NEW FAIRFIELD CT 06812-4615

39

August 2017


APOTHECARY & WELLNESS CENTER (203) 789-4076 1450 CHAPEL ST NEW HAVEN CT 06511-4405BERNEYS PHARMACY (203) 562-4447 615 HOWARD AVE NEW HAVEN CT 06519-2112CHAPEL STREET PHARMACY (203) 522-1893 1245 CHAPEL ST NEW HAVEN CT 06511-4611COMMUNITY HEALTH PHARMACY LLC (203) 645-1450 210 DIXWELL AVE NEW HAVEN CT 06511-3416CVS PHARMACY # 11007 (203) 498-9442 123 CHURCH ST NEW HAVEN CT 06510-2001CVS PHARMACY #2259 (203) 401-4661 215 WHALLEY AVE NEW HAVEN CT 06511-3205CVS PHARMACY #811 (203) 389-4714 1150 WHALLEY AVE NEW HAVEN CT 06515-1790EAST ROCK PHARMACY (203) 691-5405 767 ORANGE ST NEW HAVEN CT 06511-2534HANCOCK PHARMACY AT LONG WHARF INC (203) 787-9908 1 LONG WHARF DR STE 116 NEW HAVEN CT 06511-5991HANCOCK PHARMACY VII (203) 776-7100 306 GRAND AVE NEW HAVEN CT 06513-3730MY FAIR HAVEN PHARMACY LLC (203) 877-3479 72 GRAND AVE NEW HAVEN CT 06513-3997NEW HAVEN PHARMACY INC (203) 777-3700 382 GRAND AVE NEW HAVEN CT 06513-3733RITE AID #1882 (203) 777-0695 325 FERRY ST NEW HAVEN CT 06513-3702RITE AID #441 (203) 777-7248 66 CHURCH ST NEW HAVEN CT 06510-3304RITE AID #6708 (203) 492-0090 249 LEGION AVE NEW HAVEN CT 06519-5508STOP & SHOP PHARMACY #648 (203) 389-8863 112 AMITY RD NEW HAVEN CT 06515-1405VISELS DRUG STORE (203) 562-6878 714 DIXWELL AVE NEW HAVEN CT 06511-1038WALGREENS #03579 (203) 389-2143 1471 WHALLEY AVE NEW HAVEN CT 06515-1153WALGREENS #06474 (203) 752-9893 88 YORK ST NEW HAVEN CT 06511-5619WALGREENS #06914 (203) 469-3016 87 FOXON ST NEW HAVEN CT 06513-2365WALGREENS #09785 (203) 777-8001 436 WHALLEY AVE NEW HAVEN CT 06511-3012WALGREENS #13944 (203) 777-7758 60 TEMPLE ST NEW HAVEN CT 06510-2717WALGREENS #13945 (203) 777-7863 800 HOWARD AVE STE 197 NEW HAVEN CT 06519-1369WALGREENS #13947 (203) 777-7880 1415 CHAPEL ST NEW HAVEN CT 06511-4421WALGREENS #13969 (203) 777-7809 55 PARK ST STE 1A NEW HAVEN CT 06511-5474WHALLEY DRUG (203) 843-5022 399 WHALLEY AVE NEW HAVEN CT 06511-3008CVS PHARMACY #1080 (860) 443-5359 817 BANK ST NEW LONDON CT 06320-3503

40

August 2017


GENOA, A QOL HEALTHCARE COMPANY LLC (860) 447-9145 21 MONTAUK AVE STE 102 NEW LONDON CT 06320-4906MEDICINE SHOPPE (THE) (860) 442-0669 613 BROAD STREET NEW LONDON CT 06320

QUALITY CARE DRUG NEW LONDON (860) 443-0421 467 OCEAN AVE NEW LONDON CT 06320-4502RITE AID #10352 (860) 447-0661 280 BROAD ST NEW LONDON CT 06320-5227SHOPRITE OF NEW LONDON (860) 447-1194 351 N FRONTAGE RD NEW LONDON CT 06320-2628WALGREENS #10483 (860) 440-3566 698 BANK ST NEW LONDON CT 06320-5040CVS PHARMACY #822 (860) 354-4455 40 EAST ST NEW MILFORD CT 06776-3014RITE AID #4995 (860) 354-6313 173 DANBURY RD NEW MILFORD CT 06776-4309STOP & SHOP PHARMACY #683 (860) 355-3763 180 DANBURY RD NEW MILFORD CT 06776-4328CVS PHARMACY #1897 (203) 426-2595 6 QUEEN ST NEWTOWN CT 06470-2146MAIN STREET RX INC (855) 505-6779 266 S MAIN ST STE D-2 NEWTOWN CT 06470-6706STOP & SHOP PHARMACY #636 (203) 270-0827 228 SOUTH MAIN STREET NEWTOWN CT 06470WALGREENS #12315 (203) 270-4658 49 S MAIN ST NEWTOWN CT 06470-2141CVS PHARMACY #1152 (860) 691-0380 58 PENNSYLVANIA AVE NIANTIC CT 06357-3230STOP & SHOP PHARMACY #665 (860) 739-5957 248 FLANDERS RD NIANTIC CT 06357-1264RITE AID #10371 (203) 488-8703 280 BRANFORD RD NORTH BRANFORD CT 06471-9995CVS PHARMACY #692 (203) 239-4071 162 WASHINGTON AVE NORTH HAVEN CT 06473-1711CVS/PHARMACY #17034 (203) 859-3491 200 UNIVERSAL DR N NORTH HAVEN CT 06473-3156NORTH HAVEN PHARMACY (203) 239-2086 278 MAPLE AVE NORTH HAVEN CT 06473-3326PEOPLES MEDICAL & PHARMACY (203) 287-7375 445 WASHINGTON AVE NORTH HAVEN CT 06473-1320RITE AID #1033 (203) 865-3179 85 MIDDLETOWN AVE NORTH HAVEN CT 06473-3927STOP & SHOP PHARMACY #694 (203) 234-1757 79 WASHINGTON AVE NORTH HAVEN CT 06473-1704WALGREENS #09071 (203) 239-4428 49 WASHINGTON AVE NORTH HAVEN CT 06473-1704RITE AID #10372 (203) 484-0431 1395 MIDDLETOWN AVE NORTHFORD CT 06472-1395CIRCLE CARE CENTER PHARMACY (203) 957-3366 618 WEST AVE NORWALK CT 06850-4008CONNECTICUT PHARMACY (203) 518-1146 664 MAIN AVE UNIT B102 NORWALK CT 06851-1162CONNECTICUT PHARMACY MEDICAL SUPPLY (203) 939-1790 664 MAIN AVE UNIT B101 NORWALK CT 06851-1162

41

August 2017


CVS PHARMACY #1149 (203) 866-0949 696 WEST AVE NORWALK CT 06850-3302CVS PHARMACY #1154 (203) 750-6901 6 WILLARD RD NORWALK CT 06851-4414CVS PHARMACY #7856 (203) 299-5486 281 CONNECTICUT AVE NORWALK CT 06854-1938CVS PHARMACY #854 (203) 847-6057 327 MAIN AVE NORWALK CT 06851-6156NORWALK PHARMACY LLC (203) 536-4901 250 WESTPORT AVE NORWALK CT 06851-4158RITE AID #10388 (203) 846-2398 120 NEW CANAAN AVE NORWALK CT 06850-2643RITE AID #3440 (203) 838-6141 190 EAST AVE NORWALK CT 06855-1112STOP & SHOP PHARMACY #640 (203) 299-1718 385 CONNECTICUT AVE NORWALK CT 06854-1805STOP & SHOP PHARMACY #662 (203) 849-8735 380 MAIN AVE NORWALK CT 06851-1553VITAL CARE OF CONNECTICUT INC (203) 845-0616 189 MAIN ST NORWALK CT 06851-3607WALGREENS #06308 (203) 845-0457 55 WESTPORT AVE NORWALK CT 06851-3931WALGREENS #10058 (203) 845-8767 235 MAIN ST NORWALK CT 06851-2720WALGREENS #10177 (203) 299-1215 54 WEST AVE NORWALK CT 06854-2225CVS PHARMACY #1027 (860) 887-5970 372 W MAIN ST NORWICH CT 06360-5421GENOA, A QOL HEALTHCARE COMPANY LLC (860) 215-4321 47 TOWN ST STE G NORWICH CT 06360-2323GREENVILLE DRUG STORE (860) 889-9857 213 CENTRAL AVE NORWICH CT 06360-3801RITE AID #10358 (860) 886-1417 624 W MAIN ST NORWICH CT 06360-6043

SHOPRITE PHARMACY OF NORWICH (860) 859-9758 634 W MAIN ST NORWICH CT 06360-6007STOP & SHOP PHARMACY #615 (860) 887-1615 42 TOWN ST NORWICH CT 06360-2316UNCAS PHARMACY (860) 889-8413 20 TOWN STREET NORWICH CT 06360WALGREENS #02976 (860) 885-0389 399 W MAIN ST NORWICH CT 06360-5414CVS PHARMACY #916 (860) 945-3390 26 DAVIS ST OAKVILLE CT 06779-1925CVS PHARMACY #1898 (203) 698-1457 225 SOUND BEACH AVE OLD GREENWICH CT 06870-1607RITE AID #6601 (860) 434-8111 90 HALLS RD OLD LYME CT 06371-4406BIG Y WORLD CLASS MARKET #58 (860) 395-0515 22 SPENCER PLAIN RD OLD SAYBROOK CT 06475-4000CVS PHARMACY #123 (860) 388-1145 519 BOSTON POST RD OLD SAYBROOK CT 06475-1526STOP & SHOP #688 (860) 388-6461 105 ELM ST OLD SAYBROOK CT 06475-4132CVS PHARMACY #2097 (203) 795-4704 279 BOSTON POST RD ORANGE CT 06477-3558

42

August 2017


CVS/PHARMACY #17071 (203) 859-3695 25 BOSTON POST RD ORANGE CT 06477-3203WALGREENS #07935 (203) 795-6001 54 BOSTON POST RD ORANGE CT 06477-3201OXFORD PHARMACY (203) 888-4567 100 OXFORD RD OXFORD CT 06478-1990RITE AID #10359 (860) 599-4030 37 S BROAD ST PAWCATUCK CT 06379-7909RITE AID #10373 (860) 342-2121 227 MAIN ST PORTLAND CT 06480-1858BORDONARO'S PHARMACY INC (860) 342-3390 283 MAIN ST PORTLAND CT 06480-1856CVS PHARMACY #1244 (203) 758-3316 26 WATERBURY RD PROSPECT CT 06712-1215STOP & SHOP PHARMACY #727 (860) 963-2642 60 PROVIDENCE TURNPIKE PUTNAM CT 06260CVS PHARMACY #8249 (860) 963-2548 57 PROVIDENCE PIKE PUTNAM CT 06260-2413RITE AID #10350 (860) 963-7230 203 KENNEDY DR PUTNAM CT 06260-1628STOP & SHOP PHARMACY #656 (203) 438-0340 125 DANBURY ROAD; ROUTE #35 RIDGEFIELD CT 06877BISSELL PHARMACY (203) 438-6600 23 GOVERNOR ST RIDGEFIELD CT 06877-4687CVS PHARMACY #10462 720 BRANCHVILLE RD RIDGEFIELD CT 06877-6129RITE AID #10389 (203) 438-7378 125 DANBURY RD RIDGEFIELD CT 06877-4139WALGREENS #11164 (203) 894-8744 46A DANBURY RD RIDGEFIELD CT 06877-4019CVS PHARMACY #738 (203) 431-8888 467 MAIN ST RIDGEFIELD CT 06877-4513WALGREENS #06757 (203) 637-1496 1333 E PUTNAM AVE RIVERSIDE CT 06878-1529CVS PHARMACY #2210 (203) 698-4005 1239 E PUTNAM AVE RIVERSIDE CT 06878-1522SALEM PHARMACY LLC (860) 949-8624 24 HARTFORD RD UNIT 11 SALEM CT 06420-3841CVS PHARMACY #185 (203) 888-9068 215 WEST ST SEYMOUR CT 06483-2640SEYBRIDGE PHARMACY INC (203) 888-0073 37 NEW HAVEN RD SEYMOUR CT 06483-3460STOP & SHOP PHARMACY #603 (203) 881-2756 15 FRANKLIN ST SEYMOUR CT 06483-2809WALGREENS #11619 (203) 881-9999 144 BANK ST SEYMOUR CT 06483-2721SHARON PHARMACY (860) 364-5272 8 GAY ST SHARON CT 06069-0116STOP & SHOP PHARMACY #629 (203) 929-3887 898 BRIDGEPORT AVENUE SHELTON CT 06484WALGREENS #09612 (203) 225-0296 700 BRIDGEPORT AVE SHELTON CT 06484-4734WALGREENS #11605 (203) 924-7740 73 CENTER ST SHELTON CT 06484-3243CVS PHARMACY #1043 (860) 644-4241 525 BUCKLAND RD SOUTH WINDSOR CT 06074-3746CVS PHARMACY #1123 (203) 262-1831 22 DEPOT HILL RD SOUTHBURY CT 06488-2258HERITAGE VILLAGE PHARMACY 493 HERITAGE RD SOUTHBURY CT 06488-3847

43

August 2017


RELIANT PHARMACY (203) 262-8000 200 MAIN ST S SOUTHBURY CT 06488-4250STOP & SHOP PHARMACY #621 (203) 262-4559 100 MAIN ST N SOUTHBURY CT 06488-3839WALGREENS #07258 (203) 267-6718 370 MAIN ST S SOUTHBURY CT 06488-4200BIG Y PHARMACY #17 (860) 684-4597 87 W STAFFORD RD STAFFORD SPRINGS CT 06076-1044RITE AID #4759 (860) 684-9555 88 W STAFFORD RD STAFFORD SPRINGS CT 06076-1067CVS PHARMACY #10605 (860) 684-0015 37 W MAIN ST STAFFORD SPRINGS CT 06076-1459CORNERSTONE PHARMACY (203) 324-0251 134 STILLWATER AVE STAMFORD CT 06902-4839CVS #3719 (203) 363-0627 11 FOREST ST STAMFORD CT 06901-1877CVS PHARMACY #1051 (203) 967-4600 593 NEWFIELD AVE STAMFORD CT 06905-3302CVS PHARMACY #1219 (203) 921-1313 229 HOPE ST STAMFORD CT 06906-1601CVS PHARMACY #1775 (203) 325-5172 1058 HOPE ST STAMFORD CT 06907-2110CVS PHARMACY #2258 (203) 323-1293 537 CANAL ST STAMFORD CT 06902-5901CVS PHARMACY #343 (203) 541-3972 66 HIGH RIDGE RD STAMFORD CT 06905-3807CVS PHARMACY #5881 (203) 322-1520 969 HIGH RIDGE RD STAMFORD CT 06905-1608CVS/PHARMACY #16872 (203) 448-1030 21 BROAD ST STAMFORD CT 06901-2309RITE AID #10390 (203) 325-1260 82 HOYT ST STAMFORD CT 06905-5701STAMFORD RX INC (203) 883-8484 1055 HIGH RIDGE RD STAMFORD CT 06905-1121STOP & SHOP PHARMACY #637 (203) 356-0126 2200 BEDFORD ST STAMFORD CT 06905-3905STOP & SHOP PHARMACY #646 (203) 358-9626 1937 W MAIN ST STAMFORD CT 06902-4516WALGREENS # 16549 ONE HOSPITAL PLAZA SUITE G 122 STAMFORD CT 06902WALGREENS #10310 (203) 353-9117 780 E MAIN ST STAMFORD CT 06902-3832WALGREENS #11620 (203) 322-7669 1203 HIGH RIDGE RD STAMFORD CT 06905-1214WALGREENS #15358 (203) 602-7754 2200 ATLANTIC ST STE 200 STAMFORD CT 06902-6834CVS PHARMACY #10317 (860) 429-1536 8 ROYCE CIR STORRS MANSFIELD CT 06268-2258CVS PHARMACY #785 (860) 487-2034 632 MIDDLE TPKE STORRS MANSFIELD CT 06268-1308CVS PHARMACY #2572 (203) 383-7735 1 HAWLEY LN STRATFORD CT 06614-1200CVS PHARMACY #2573 (203) 383-7741 1425 BARNUM AVE STRATFORD CT 06614-5404ORONOQUE PHARMACY (203) 378-1111 7365 MAIN STREET STRATFORD CT 06614RITE AID #10376 (203) 377-8065 3680 MAIN ST STRATFORD CT 06614-4102ROTARY DRUG (203) 378-9394 1030 BARNUM AVE STRATFORD CT 06614-4985

44

August 2017


STOP & SHOP PHARMACY #639 (203) 375-5717 200 E MAIN ST STRATFORD CT 06614-5114WALGREENS #03359 (203) 377-2851 1606 BARNUM AVE STRATFORD CT 06614-5301CVS PHARMACY #2022 (860) 668-5115 163 MOUNTAIN RD SUFFIELD CT 06078-2005RITE AID #10378 (860) 589-7713 8 S MAIN ST STE A TERRYVILLE CT 06786-6235CVS PHARMACY #954 (860) 314-2891 311 MAIN ST TERRYVILLE CT 06786-5928RITE AID #2737 (860) 283-8541 455 S MAIN ST THOMASTON CT 06787-1816CVS/PHARMACY #17373 (860) 618-4008 1922 E MAIN ST TORRINGTON CT 06790-3101CVS PHARMACY #1097 (860) 482-8298 661 MAIN ST TORRINGTON CT 06790-3602PETRICONE'S TORRINGTON PHARMACY (860) 489-5511 110 E MAIN ST TORRINGTON CT 06790-5429RITE AID #1437 (860) 482-5522 92 WILLOW ST TORRINGTON CT 06790-5501STOP & SHOP PHARMACY #622 (860) 489-2433 211 HIGH ST TORRINGTON CT 06790-6301WALGREENS #05949 (860) 482-5621 28 E ELM ST TORRINGTON CT 06790-5016WALGREENS #10144 (860) 482-8837 1745 E MAIN ST TORRINGTON CT 06790-3520CVS PHARMACY #10367 (203) 261-2541 930 WHITE PLAINS RD TRUMBULL CT 06611-4550CVS/PHARMACY #17072 (203) 455-0103 120 HAWLEY LN TRUMBULL CT 06611-5347CVS/PHARMACY #17425 (203) 873-2013 5065 MAIN ST STE TARGET TRUMBULL CT 06611-4204MEDICAL ARTS PHARMACY (203) 590-3737 15 CORPORATE DR STE 1-1 TRUMBULL CT 06611-1351STOP & SHOP PHARMACY #620 (203) 261-3691 100 QUALITY ST TRUMBULL CT 06611-3143TRUMBULL PHARMACY LLC (203) 880-9954 10 BROADWAY BLDG B TRUMBULL CT 06611-1302CVS PHARMACY #2839 (860) 848-3202 2005 NORWICH NEW LONDON TPKEUNCASVILLE CT 06382-1369RITE AID #10356 (860) 848-7979 601 ROUTE 32 STE F UNCASVILLE CT 06382-2104CVS PHARMACY #953 (860) 675-9210 45 S MAIN ST UNIONVILLE CT 06085-1278WALGREENS #15389 (860) 673-3219 5 MILL ST UNIONVILLE CT 06085-1019CVS PHARMACY #231 (860) 871-1661 142 TALCOTTVILLE RD VERNON CT 06066-4705STOP & SHOP PHARMACY #2614 (860) 870-6255 50 WINDSORVILLE RD VERNON CT 06066-2385STOP & SHOP PHARMACY #613 (860) 871-1053 10 PITKIN RD VERNON CT 06066-4709WALGREENS #01977 (860) 896-1485 188 UNION ST VERNON CT 06066-2429BEACON PHARMACY LLC DBA ROCKVILLE PHARMACY (860) 875-9263 40 W MAIN ST VERNON ROCKVILLE CT 06066-3501

45

August 2017


CVS PHARMACY #2109 (860) 870-6765 22 WINDSOR AVE VERNON ROCKVILLE CT 06066-2439MEDICINE SHOPPE (THE) 79 EAST ST VERNON ROCKVILLE CT 06066-3845WALGREENS #06992 (860) 871-6068 529 TALCOTTVILLE RD VERNON ROCKVILLE CT 06066-2311CENTRAL ADMIXTURE PHARMACY SERVICES INC. (203) 265-5637 27 VILLAGE LANE WALLINGFORD CT 06492CONNECTICUT PHARMACY DIRECT (203) 295-4629 10 FAIRFIELD BLVD UNIT C WALLINGFORD CT 06492-5903CVS PHARMACY #935 (203) 294-8890 891 N COLONY RD WALLINGFORD CT 06492-2437RITE AID #576 (203) 265-3600 605 N COLONY RD WALLINGFORD CT 06492-3109STOP & SHOP #638 (203) 265-6400 930 N COLONY RD WALLINGFORD CT 06492-2471WALGREENS #10647 (203) 265-6336 284 S COLONY RD WALLINGFORD CT 06492-4554BRASS MILL PHARMACY LLC (203) 997-2009 1405 E MAIN ST UNIT 3 WATERBURY CT 06705-1081BUNKER HILL PHARMACY (203) 574-7825 256 BUNKER HILL AVE WATERBURY CT 06708-1906CVS PHARMACY #1151 (203) 596-0909 464 REIDVILLE DR WATERBURY CT 06705-2650CVS PHARMACY #1960 (203) 755-5490 1279 W MAIN ST WATERBURY CT 06708-3101CVS PHARMACY #2140 (203) 465-7055 526 MERIDEN RD WATERBURY CT 06705-2217CVS PHARMACY #2388 (203) 591-3080 2000 N MAIN ST WATERBURY CT 06704-2364CVS/PHARMACY #17238 (203) 437-3674 300 CHASE AVE WATERBURY CT 06704-2246RITE AID #1790 (203) 573-0378 141 MERIDEN RD WATERBURY CT 06705-1937RITE AID #2089 (203) 754-3636 1030 WOLCOTT ST WATERBURY CT 06705-1316RITE AID #2666 (203) 596-8192 277 FAIRFIELD AVE WATERBURY CT 06708-4068SHOPRITE PHARMACY OF WATERBURY (203) 753-1718 943 WOLCOTT ST WATERBURY CT 06705-1301STOLL'S PHARMACY (203) 575-0199 185 GROVE ST WATERBURY CT 06710-2289STOP & SHOP PHARMACY #618 (203) 755-5814 410 REIDVILLE DR WATERBURY CT 06705-2660STOP & SHOP PHARMACY #675 (203) 755-9538 920 WOLCOTT ST WATERBURY CT 06705-1300STOP & SHOP PHARMACY #679 (203) 597-1498 240 CHASE AVE WATERBURY CT 06704-2237WALGREENS #03192 (203) 757-6010 649 W MAIN ST WATERBURY CT 06702-1082WALGREENS #06966 (203) 757-1998 11 MERIDEN RD WATERBURY CT 06705-1933WALGREENS #12025 (203) 753-1116 20 E MAIN ST WATERBURY CT 06702-2302WATERBURY PHARMACY (203) 757-2000 197 E MAIN ST WATERBURY CT 06702-2323

46

August 2017


CVS PHARMACY #1268 (860) 443-1244 106 BOSTON POST RD WATERFORD CT 06385-2426CVS PHARMACY #16614 (860) 443-3171 900 HARTFORD TPKE WATERFORD CT 06385-4246RITE AID #744 (860) 437-8880 75 BOSTON POST RD WATERFORD CT 06385-2423SIMPLY PHARMACY (860) 865-1303 92 BOSTON POST RD WATERFORD CT 06385-2421STOP & SHOP #667 117 BOSTON POST RD WATERFORD CT 06385-2400RITE AID #10381 (860) 274-7559 620 MAIN ST WATERTOWN CT 06795-2614RITE AID #922 (860) 274-9191 1271 MAIN ST WATERTOWN CT 06795-3107STOP & SHOP PHARMACY #657 (860) 274-7461 763 STRAITS TPKE WATERTOWN CT 06795-3318CVS PHARMACY #941 (203) 933-5499 844 JONES HILL RD WEST HAVEN CT 06516-5643CVS PHARMACY #2584 (203) 931-4541 252 ORANGE AVE WEST HAVEN CT 06516-2003CVS PHARMACY #3549 (203) 931-1198 355 CAMPBELL AVE WEST HAVEN CT 06516-5329RITE AID #1839 (203) 933-5260 70 ELM ST WEST HAVEN CT 06516-3810STOP & SHOP PHARMACY #696 (203) 931-9478 460 ELM STREET WEST HAVEN CT 06516WALGREENS #07584 (203) 932-9311 394 CAMPBELL AVE WEST HAVEN CT 06516-5012WEST HAVEN PHARMACY (203) 9347100 764 CAMPBELL AVE WEST HAVEN CT 06516-3786WALGREENS #10244 (860) 399-6899 1211 BOSTON POST RD WESTBROOK CT 06498-1949THE WESTON CENTER PHARMACY (203) 226-7800 190 WESTON RD WESTON CT 06883-2126CVS PHARMACY #623 (203) 227-7343 397 POST RD E WESTPORT CT 06880-4401SHORELINE INTEGRATIVE PHARMACY LLC (203) 451-8852 1835 POST RD E WESTPORT CT 06880-5666STOP & SHOP #653 (203) 254-9461 1790 POST RD E WESTPORT CT 06880-5607WALGREENS #07145 (203) 226-8452 880 POST RD E WESTPORT CT 06880-5223CVS PHARMACY #0943 (860) 456-5931 1200 MAIN ST WILLIMANTIC CT 06226-1908MEDICAL PHARMACY INC (860) 423-1661 1213 MAIN ST WILLIMANTIC CT 06226-1907STOP & SHOP PHARMACY #674 (860) 456-7240 1391 MAIN ST WILLIMANTIC CT 06226-1949WALGREENS #07333 (860) 423-6304 1475 MAIN ST WILLIMANTIC CT 06226-1914LANGS PHARMACY OF WILTON CENTER (203) 241-4711 28 CENTER ST WILTON CT 06897-3007CVS PHARMACY #3795 (203) 762-5020 93 OLD RIDGEFIELD RD WILTON CT 06897-3023STOP & SHOP PHARMACY #658 (203) 834-2204 5 RIVER ROAD WILTON CT 06897

47

August 2017


CVS PHARMACY #1166 (860) 298-5925 219 BROAD ST WINDSOR CT 06095-2904CVS PHARMACY #349 (860) 947-5078 484 WINDSOR AVE WINDSOR CT 06095-4401CVS/PHARMACY #17291 (860) 907-3069 1075 KENNEDY RD WINDSOR CT 06095-1308STOP & SHOP PHARMACY #619 (860) 688-1744 1095 KENNEDY RD WINDSOR CT 06095-1339CVS PHARMACY #1070 (860) 623-2407 90 MAIN ST WINDSOR LOCKS CT 06096-1913WALGREENS #09746 (860) 292-1751 1 ELM ST WINDSOR LOCKS CT 06096-2334BEACON PRESCRIPTIONS (860) 738-2506 294 MAIN ST WINSTED CT 06098-1688CVS PHARMACY #2682 (860) 738-6250 47 MAIN ST WINSTED CT 06098-1703RITE AID #2286 (860) 379-5436 200 NEW HARTFORD RD WINSTED CT 06098-3373STOP & SHOP PHARMACY #625 (860) 738-2707 200 NEW HARTFORD RD WINSTED CT 06098-3373

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CHRONIC OPIOID THERAPY TOOLKIT - UConn Health · Chronic Opioid Therapy Pain Management Agreement for Patients with Chronic Pain Page 1 of 2 A. EFFECTIVE DATE : July 1, 2018 B. PURPOSE

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