Peer-Reviewed Publication
J Subst Use Addict Treat2026;210114.September 15, 2026Journal Article

Increased buprenorphine prescribing following implementation of a low-barrier virtual prescriber network.

Zoe Lindenfeld1, Michael L Barnett2, Jialiang Hua3, Stephen Crystal4
1Edward J. Bloustein School of Planning and Public Policy, Rutgers University, New Brunswick, NJ, 08901, USA. Electronic address: Zoe.Lindenfeld@Rutgers.edu.
2Department of Health Services, Policy, and Practice, Brown School of Public Health, Providence, RI, USA.
3Center for Health Services Research, Rutgers Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA.
4Center for Health Services Research, Rutgers Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ, USA; Rutgers School of Social Work, New Brunswick, NJ, USA.

Abstract

INTRODUCTION: Rates of buprenorphine receipt have stagnated across the United States despite high overdose mortality and federal policy changes designed to increase prescribing. In March 2023, the city of Paterson, New Jersey (NJ) implemented RealFix, a municipal initiative focused on rapid induction and delivery of buprenorphine. RealFix uses a walk-in model and a virtual provider-hub service to…

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