The Curbsiders Internal Medicine Podcast #401 Updates in Addiction Medicine - SGIM 2023
Jun 26, 2023
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Prescribe Buprenorphine — Know Local Rules
- Check state law and your medical board before prescribing buprenorphine now that the X-waiver is eliminated.
- Complete the one-time eight-hour DEA training (or document prior equivalent training) when renewing your DEA registration.
Training Tied To DEA Registration — One‑Time Only
- The MATE Act ties medication access to training, requiring a one-time eight-hour cumulative curriculum for DEA registrants.
- Experts worry one lifetime training check-box will not keep clinicians current with rapid changes in the drug landscape.
Prepare For OTC Narcan — Watch Price/Availability
- Expect Narcan (4 mg nasal) to move OTC; pharmacies decide timing and price so check availability locally.
- Continue prescribing Narcan while the label transition occurs and prioritize community distribution if cost becomes a barrier.