If your paging amp resides in Bldg A, you would need to extent a trunk port from Bldg B to Bldg A's amplifier, depending on the distance and subsequent db loss, you might need a pre-amp in Bldg B to boost the signal to Bldg A. The problem you might run into is if a person from Bldg A and a person from Bldg B tried paging at the same time.
If you have a paging amp in each building, you would need a paging trunk pair between Bldg A's amp and Bldg B's amp and the same for Bldg B to Bldg A (again with the possibility of a pre-amp at each location).
If you are using staion level paging adapters, such as Valcom, at each location, you could use a UDP extension as a feed. This would eliminate the need for any pre-amps, though you would still require two circuits between the buildings.
There are several possible ways of solving this situation, and none of them are pretty. Is there any copper between the buildings or just fiber? Are the buildings reletively close that you could install a drop between buildings with minimal expense?
franke