Opioid Stewardship & Naloxone

Opioid Stewardship & Naloxone

Since surveillance began in 2016, Canada has seen significantly elevated numbers of opioid-related deaths. There is also evidence that the COVID-19 pandemic has exacerbated the opioid crisis, with jurisdictions reporting higher rates of fatal overdoses and related harms. Saskatchewan is among the provinces with the highest rates of opioid-related hospitalizations and mortality. Pharmacies have a key role in addressing this crisis through opioid stewardship practices and naloxone distribution.

Accessing Naloxone

In Saskatchewan, naloxone is available without a prescription and may be purchased from pharmacies. The PAS Naloxone Registry lists Saskatchewan pharmacies currently selling naloxone. 

Naloxone is also available without charge to the public through provincial and federal government programs:

Saskatchewan Take Home Naloxone Program

Saskatchewan residents who are at risk of an opioid overdose and/or might witness an opioid overdose, such as friends and family of people who use opioids, are eligible for publicly funded training and a covered Take Home Naloxone kit. The training covers overdose prevention, recognition and response, including how to administer naloxone. Kits and training are available at pharmacies, clinics, and other sites.

Take Home Naloxone Program Locations

Sign-up Form to Register your Pharmacy as a Take Home Naloxone Program Location

Take Home Naloxone Program Fee Policy

Take Home Naloxone Program Fee Claims Procedure

Take Home Naloxone Program Training Manual

Federal Coverage for Clients with Non-Insured Health Benefits

The federal government provides full coverage of naloxone for individuals with NIHB. Pharmacies that stock naloxone for patient access are listed on the PAS Naloxone Registry. Pharmacies may dispense the following using NIHB coverage:

Education and Support

A variety of national and provincial organizations have resources available for pharmacists regarding opioid stewardship and harm reduction. These include professional development, patient education, and clinical management resources.

Creating a Safe Space in Pharmacy to Address Opioid Use and Harm Reduction

Toward the Heart BCCDC Harm Reduction Services

Language Matters: Create a Safer Space with Less Stigma


Indigenous-Centered Approaches to Harm Reduction and Hepatitis C Programs

BC First Nations Health Authority

Indigenous Harm Reduction Principles and Practices 

Professional Practice Resources

Canadian Pharmacists Association (CPhA)

Practice Development Resources: Opioid Stewardship

University of Waterloo

Naloxone and Opioid Resources

Video Tutorial: Naloxone Made Easy

Canadian Agency for Drugs and Technologies in Health (CADTH)

Non-Drug Ways to Manage Chronic Pain

Institute for Safe Medication Practices Canada (ISMP)

Opioid Stewardship Resources

Patient Education Resources

University of Waterloo

Injectable Naloxone Patient Infographic

Intranasal Naloxone Patient Infographic

Health Canada

Opioid Overdose Wallet Card

University of Toronto: Faculty of Medicine

Navigating Opioids for Chronic Pain Infographic

Institute for Safe Medication Practices Canada (ISMP)

Buprenorphine/Naloxone (Suboxone) for Opioid Use Disorder: Your Questions Answered 

Methadone for Opioid Use Disorder: Your Questions Answered

Centre for Addiction and Mental Health (CAMH)

Making the Choice, Making it Work: Treatment for Opioid Addiction