Voluntary Non-opioid Directive (VNOD)
The VNOD aims to prevent providers from inadvertently offering certain controlled substances to those who could be adversely affected

Overview
Under direction of AS 13.55.010, we have developed a Voluntary Non-opioid Directive (VNOD) form for public use. The VNOD helps prevent providers from accidentally offering certain controlled substances to people who might be harmed by them. It also allows patients to let their provider know that they do not want to receive opioids for any reason
Voluntary non-opioid directive formDOH encourages patients to complete the Voluntary Non-opioid Directive in consultation with their primary care provider or behavioral health treatment provider. A signed VNOD should be given to a health care provider and recorded in the patient’s medical record.
The existence of a signed VNOD:
- Does not alter an advance health care directive
- Does not limit the prescribing, dispensing, or administering of an opioid overdose drug
- Does not prohibit offering, prescribing, or administering opioid medications for the purpose of medication assisted treatment, as approved for such use by the FDA
Former State of Alaska Chief Medical Officer, Dr. Lily Lou, issued a memo to Alaskan health care providers on the implementation of the Voluntary Non-Opioid Directive.
VNOD additional guidance