In Louisville, KY, the pharmacist-run clinic at KentuckyOne Health's Our Lady of Peace administers injections of long-acting medications to patients with opioid addiction or a schizoaffective disorder, mostly on an every-4-week dosing schedule, according to clinic pharmacist Robert "Bobby" Conzelman. Pharmacy manager Steve Cummings said the idea for the outpatient injection clinic occurred to him because there are patients who are not compliant with their psychiatric medication. Long-acting injectable antipsychotics were being prescribed at the facility, he said, and an opioid antagonist had become available but was cost-prohibitive for inpatient use. Cummings said he saw an advantage to having a pharmacist in the clinic to dispense the medications that would be injected. Then, when the Kentucky Board of Pharmacy changed the definition of the practice of pharmacy to add "administration of medications or biologics in the course of dispensing or maintaining a prescription drug order," it became clear who should staff the clinic. "Bring in a pharmacist to dispense and administer," Cummings recalled. According to Conzelman, the clinic is now averaging two or three injections a day, and 25%-30% of the injections given at the clinic have been for opioid- and alcohol-dependence treatment.