Fentanyl Test Strip Request In recognition of Overdose Awareness Day on August 31, 2023, the State of Ohio Board of Pharmacy is partnering with the Office of Governor Mike DeWine, RecoveryOhio, the Ohio Department of Mental Health and Addiction Services, and the Ohio Department of Health to offer no-cost fentanyl test strips to all Ohio terminal distributors of dangerous drugs licensed by the Board. Distribution and use of these strips can be a crucial factor in avoiding overdoses even among people who use drugs other than opioids. In certain areas, most of all drugs tested, not just opioids, were positive for fentanyl. Surveys of people who use drugs have shown that respondents would change their behaviors if they were able to detect the presence of fentanyl in their drug supply, whether it be not using the drugs, using the drugs with others who have naloxone, or using the drugs more slowly. To help save lives, the State of Ohio Board of Pharmacy encourages you to make these important tools available to your patients. The Board is offering each Ohio terminal distributor of dangerous drugs up to two boxes of strips per order (100 strips per box). Strips will be available until supplies last and may be reordered by the same location if additional strips are needed. Additionally, you may also request copies of the Board's educational handouts (100 per pack).PHARMACIES ONLY: USE THIS FORM (www.pharmacy.ohio.gov/nalbrochure) to request copies of the Board's naloxone patient counseling brochures. Unlike fentanyl test strips, brochure requests are limited to pharmacies only.PLEASE ALLOW 7-10 BUSINESS DAYS FOR DELIVERY.For any questions regarding this form, please contact the Board via email at: contact@pharmacy.ohio.gov.Fentanyl test strips are being provided by Grant Number 5H79TI083294-03 from SAMHSA. Question Title * 1. Contact Information Name of Licensed Terminal Distributor of Dangerous Drugs Terminal Distributor License Number (9 or 10 numerical digits, beginning with 02) Full Name of Contact Person Mailing Address City/Town State/Province (Ohio Locations Only) ZIP/Postal Code (5 Digits Only) Email Address Phone Number Question Title * 2. Terminal Distributor License Type: Pharmacy Hospital EMS Clinic Other (please specify) Question Title * 3. Number of Fentanyl Test Strip Boxes Requested (100 Per Box / Max 2 Per Order) 100 (1 Box of 100 Strips) 200 (2 Boxes of 100 Strips) Question Title * 4. Number of English language Fentanyl Test Strip Educational Handouts (100 Per Pack / Max 2 Per Order) 100 (1 Packet) 200 (2 Packets) Question Title * 5. Number of Spanish language Fentanyl Test Strip Educational Handouts (100 Per Pack / Max 2 Per Order) 100 (1 Packet) 200 (2 Packets) Done