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Clinical pharmacist practitioners (CPPs) can facilitate this care. The Veterans Health Administration\u2019s (VHA) Stepped Care for Opioid Use Disorder Train the Trainer Initiative (SCOUTT) implemented B-MOUD in primary care, mental health, and pain clinics across 37 VHA facilities. B-MOUD activities provided by CPPs within SCOUTT are not well known.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We sought to examine CPPs\u2019 roles, typical activities, and opportunities to provide B-MOUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We performed a cross-sectional survey of CPPs within SCOUTT facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In March 2023, known CPPs in SCOUTT clinics were invited via email to participate in an online survey. We also emailed local SCOUTT leaders to forward the invitation to CPPs not initially invited. The anonymous survey gathered information on clinic settings, CPP roles in 25 B-MOUD related tasks (eg, patient intake, risk assessment, initiation), state licensure, and whether they had or desired controlled substance prescriptive authority for B-MOUD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-two CPPs responded to the survey working in pain (40.9%), primary care (27.3%), mental health (22.7%), and primary care mental health integrated (22.7%) settings. Nearly all (95.5%) reported involvement in naloxone education and distribution and patient management after B-MOUD initiation. Additionally, 90.9% reviewed and interpreted urine drug test results, 90.9% conducted B-MOUD follow-up (assessing side effects or treatment outcomes) and 72.7% assisted in B-MOUD initiation. Most CPPs (95.5%) indicated they work in a team-based environment often acting as a medication expert, were prescribing B-MOUD (27.3%), or desired to do so (86.4%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In the VHA\u2019s SCOUTT Initiative, CPPs play a significant role in leading and collaboratively facilitating B-MOUD. The VHA\u2019s SCOUTT approach to CPP management and B-MOUD prescribing efforts may be a model to emulate in other health systems to improve access to and management of B-MOUD care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29768357251381070","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T11:09:21Z","timestamp":1763377761000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Roles, Activities, and Opportunities of Clinical Pharmacists in a National Initiative to Improve Office-Based Buprenorphine Care"],"prefix":"10.1177","volume":"19","author":[{"given":"Spencer G.","family":"Calder","sequence":"first","affiliation":[{"name":"Vulnerable Veteran Innovative Patient-Aligned-Care-Team (VIP) Initiative, Veterans Administration Health Systems Research (VA HSR) Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center, VA Salt Lake City Health Care System, UT, USA"},{"name":"Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie E.","family":"Kenny","sequence":"additional","affiliation":[{"name":"Center for Care Delivery &amp; Outcomes Research, Minneapolis Veterans Affairs Health Care System, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veldana","family":"Alliu","sequence":"additional","affiliation":[{"name":"Clinical Pharmacy Practice Office, Pharmacy Benefits Management, Veterans Health Administration, Department of Veterans Affairs, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terri L.","family":"Jorgenson","sequence":"additional","affiliation":[{"name":"Clinical Pharmacy Practice Office, Pharmacy Benefits Management, Veterans Health Administration, Department of Veterans Affairs, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tera","family":"Moore","sequence":"additional","affiliation":[{"name":"Clinical Pharmacy Practice Office, Pharmacy Benefits Management, Veterans Health Administration, Department of Veterans Affairs, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hildi J.","family":"Hagedorn","sequence":"additional","affiliation":[{"name":"Center for Care Delivery &amp; Outcomes Research, Minneapolis Veterans Affairs Health Care System, MN, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA"},{"name":"Center of Excellence in Substance Addiction Treatment and Education, VA Puget Sound Health Care System, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Center of Excellence in Substance Addiction Treatment and Education, VA Puget Sound Health Care System, Seattle, WA, USA"},{"name":"US Health Services Research &amp; Development (HSR&amp;D) Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA, USA"},{"name":"Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2453-8871","authenticated-orcid":false,"given":"Adam J.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Vulnerable Veteran Innovative Patient-Aligned-Care-Team (VIP) Initiative, Veterans Administration Health Systems Research (VA HSR) Informatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center, VA Salt Lake City Health Care System, UT, USA"},{"name":"Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181e57962"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1331\/154434506776180658"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1086-5802(16)30373-4"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1331\/JAPhA.2008.07108"},{"key":"e_1_3_3_6_2","unstructured":"Giberson S Yoder S Lee MP. 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