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State Naloxone Access Rules and Resources

Read your state's access rules and find valuable resources about naloxone.

VIEW STATES

(A – G) (H – M) (N – R) (S – W)

* 3rd party prescribing allows a prescriber to write a prescription for a medication to someone other than the intended user of the medication.

* A standing order is a mechanism by which a healthcare provider with prescribing privileges, including a state health officer, writes a prescription that covers a large group of people.

 

State: Alabama
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense naloxone at any pharmacy to family member, friend, or other individual, including law enforcement, in a postition to assist.
Other Resources: https://www.alabamapublichealth.gov/pharmacy/naloxone-dispensing.html

 

State: Alaska
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows licensed healthcare providers (including pharmacists) to make naloxone available to anyone at risk or in a position to assist, directly, or via standing order.
Other Resources: http://dhss.alaska.gov/dph/director/pages/heroin-opioids/narcan.aspx

 

State: Arizona
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense naloxone to anyone without a prescription.
Other Resources: https://azdhs.gov/documents/prevention/womens-childrens-health/injury-prevention/opioid-prevention/opioid-naloxone-faq.pdf

 

State: Arkansas
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows licensed healthcare providers (including pharmacists) to make naloxone available to anyone at risk or in a position to assist someone at risk.
Other Resources: https://www.pharmacyboard.arkansas.gov/Websites/pharmacy/images/home-page/Naloxone%20Protocol%202018%20Dec%206.pdf

 

State: California
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows licensed healthcare providers (including pharmacists) to make naloxone available to anyone. Statewide standing order permits community organizations to dispense naloxone to a person at risk or in a position to assist a person at risk without a prescription.
Other Resources: https://www.chcf.org/wp-content/uploads/2018/10/NaloxoneAccessCA2018.pdf

 

State: Colorado
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacies, which have a standing order written by a medical professional with prescriptive authority, to dispense naloxone to someone at risk, in a position to assist someone at risk, a first responder or a harm reduction organization without a prescription.
Other Resources: http://stoptheclockcolorado.org/

 

State: Connecticut
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows certified pharmacists to dispense naloxone to anyone without a prescription.
Other Resources: https://portal.ct.gov/DCP/Drug-Control-Division/Drug-Control/Naloxone-Pharmacies

 

State: Delaware
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Standing order allows authorized Community-Based training programs and pharmacies to train and dispense naloxone to anyone who has completed the training without a prescription.
Other Resources: https://www.helpisherede.com/Get-Help/Overdose-Response#naloxone-availability

 

State: Florida
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacists to dispense naloxone to patients, caregivers and first responders without a prescription.
Other Resources: http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0300-0399/0381/Sections/0381.887.html
http://www.myflfamilies.com/service-programs/substance-abuse/samh/treatment/opioidSTRP

 

State: Georgia
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order allows licensed pharmacies to dispense naloxone to anyone in a position to help – training advised but not required.
Other Resources: https://dph.georgia.gov/sites/dph.georgia.gov/files/ChronicDisease/Standing%20Order%20Naloxone%5B2%5D.pdf

 

State: Hawaii
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows healthcare providers (including pharmacists) to make naloxone available to anyone at risk or in a position to assist someone at risk, or to a harm reduction organization.
Other Resources: https://www.hhhrc.org/overdose

 

State: Idaho
3rd Party: Yes
Standing Order: NO
Pharmacy Access Notes: Law allows prescribers and pharmacists to prescribe and dispense to anyone at risk, in a position to assist (including in course of official duties), or in the opinion of the pharmacist has a valid reason to possess. Effective July 1, 2019 – any licensed healthcare professional (ex: nurses) can dispense to anyone with a valid reason to possess naloxone.
Other Resources: No statewide distribution resource.
https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2019/legislation/H0012.pdf

 

State: Illinois
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists and overdose education and naloxone distribution programs to dispense naloxone to anyone who requests it.
Other Resources: https://optin.in.gov/

 

State: Indiana
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists, and entities registered with the Indiana State Health Department to dispense naloxone to anyone who requests it.
Other Resources: https://www.in.gov/isdh/27387.htm

 

State:  Iowa
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order form State Health Officer allows trained pharmacists to dispense naloxone to a person at risk, someone in a position to assist or to a first responder employed by law enforcement or fire department, wihtout a prescription.
Other Resources: https://pharmacy.iowa.gov/naloxone-standing-order

 

State: Kansas
3rd Party: NO
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order/protocol allows pharmacist to dispense naloxone to anyone at risk, in a position to assist, a first responder or a school nurse without a prescription.
Other Resources: https://odcp.ky.gov/Stop-Overdoses/Pages/default.aspx
https://pharmacy.ky.gov/Documents/Sample%20Naloxone%20Protocol%20and%20Education%20Sheets.pdf

 

State: Kentucky
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacists with a physician approved protocol to dispense naloxone to anyone without a prescription.
Other Resources: https://odcp.ky.gov/Stop-Overdoses/Pages/default.aspx
https://pharmacy.ky.gov/Documents/Sample%20Naloxone%20Protocol%20and%20Education%20Sheets.pdf

 

State: Louisiana
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows a pharmacist to dispense to anyone (after required training), without a prescription.
Other Resources: http://www.lsbme.la.gov/content/la-health-alert-information-2019-renewed-standing-order-naloxone
http://ldh.la.gov/index.cfm/page/2973

 

State: Maine
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows a pharmacist with a standing order from a physician to prescribe to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://www.mainehealthequity.org/naloxone-training

 

State: Maryland
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense to anyone without a prescription.
Other Resources: https://bha.health.maryland.gov/NALOXONE/Documents/FINAL%20Naloxone%20Stand.Order%20Ino%20one%20pager%20.pdf

 

State: Massachusetts
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer authorizes licensed pharmacists to dispense naloxone to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://www.mass.gov/service-details/information-for-community-members-about-how-to-get-naloxone
https://www.mass.gov/service-details/overdose-prevention-training-resources

 

State: Michigan
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and statewide standing order from State Health Officer allow a trained pharmacist to dispense naloxone to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_4871_79584_79585_79587_79591-409684–,00.html

 

State: Minnesota
3rd Party: NO
Standing Order: Yes
Pharmacy Access Notes: State law allows pharmacists, in collaboration with a registered practitioner, to provide naloxone to persons at risk for, or know of someone at risk for, opioid overdose.
Other Resources: https://www.health.state.mn.us/communities/opioids/mnresponse/naloxoneaccess.html

 

State: Mississippi
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense to anyone without a prescription.
Other Resources: https://www.mbp.ms.gov/Documents/Naloxone_Standing_Order_Press_Release_5_31_2018.pdf

 

State: Missouri
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://mohopeproject.org/resources/get-naloxone/

 

State: Montana
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense to anyone without a prescription.
Other Resources: https://dphhs.mt.gov/Portals/85/publichealth/documents/EMSTS/Opioids/NaloxoneStandingOrder.pdf?ver=2017-10-06-131612-670

 

State: Nebraska
3rd Party: Yes
Standing Order: NO
Pharmacy Access Notes: Law and standing order allow pharmacists to dispense to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://nebraskalegislature.gov/laws/statutes.php?statute=28-470
http://dhhs.ne.gov/publichealth/PDMP/Documents/Naloxone%20Standing%20Order%20-%20Expires%208-10-19%20-%20Safranek.pdf

 

State: Nevada
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacists in accordance with standardized procedures or under a standing order from a physician to dispense naloxone to patients, caregivers, person in a position to assit and first responders without a prescription.
Other Resources: http://dpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Resources/opioids/opioid_STR_Pamphlet_nasal_ap6.pdf
http://dpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Resources/opioids/naloxone_toolkit_color.pdf

 

State: New Hampshire
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacists with a standing order from a physician to dispense naloxone to patients, caregivers and first responders without a prescription.
Other Resources: http://anyoneanytime.wpengine.com/about/what-is-naloxone/

 

State: New Jersey
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows any individual pharmacist or chain pharmacy with a standing order from the Department of Health to dispense naloxone to anyone without a prescription.
Other Resources: https://nj.gov/health/integratedhealth/services-treatment/naloxone.shtml

 

State: New Mexico
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and statewide standing order from State Health Officer allow a pharmacist to dispense naloxone to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://nmhealth.org/about/phd/idb/hrp/

 

State: New York
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and standing orders allow pharmacists to dispense naloxone to anyone without a prescription.
Other Resources: https://www.health.ny.gov/diseases/aids/general/opioid_overdose_prevention/

 

State: North Carolina
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense to anyone without a prescription.
Other Resources: http://www.naloxonesaves.org/

 

State: North Dakota
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows a pharmacist to dispense directly or under a standing order to anyone at risk or in a position to assist someone at risk without a prescription.
Other Resources: https://prevention.nd.gov/stopoverdose/naloxone

 

State: Ohio
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows a pharmacist under a standing order from a physician to dispense to anyone without a prescription.
Other Resources: https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/violence-injury-prevention-program/projectdawn/

 

State: Oklahoma
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and standing orders allow participating pharmacies to dispense to anyone without a prescritpion, or through free state training program.
Other Resources: http://okimready.org/overdose/
http://www.thinksmartok.org/restoring-life

 

State: Oregon
3rd Party: Yes
Standing Order: NO
Pharmacy Access Notes: Law allows a pharmacist to dispense to anyone without a prescription.
Other Resources: https://staysafeoregon.com/prevent-overdose/save-life-using-naloxone/

 

State: Pennsylvania
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows a pharmacist under a standing order from a physician to dispense to anyone without a prescription.
Other Resources: https://www.ddap.pa.gov/overdose/Pages/Naloxone_Reversal.aspx

 

State: Rhode Island
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Pharmacists operating under a collaborative practice agreement (standing order from a physician) can dispense naloxone to anyone without a prescription.
Other Resources: https://preventoverdoseri.org/get-naloxone/

 

State: South Carolina
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows any licensed pharmacist to dispense to anyone without a prescription.
Other Resources: http://naloxonesavessc.org/

 

State: South Dakota
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacists to dispense, under a collaborative practice (protocol or standing order) with a physician, to anyone at risk or in a position to assist someone at risk without prescription.
Other Resources: https://doh.sd.gov/documents/EMS/EMSNaloxone.pdf

 

State: Tennessee
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows a pharmacist under a standing order from a physician to dispense to anyone at risk or in a position to assist someone at risk without a prescription.
Other Resources: https://www.tn.gov/health/health-program-areas/health-professional-boards/csmd-board/csmd-board/naloxone-training-information.html

 

State: Texas
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and standing order allows accredited pharmacists to dispense to anyone at risk or in a position to assist someone at risk without a prescription.
Other Resources: http://sites.utexas.edu/naloxone/training/

 

State: Utah
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and standing order allow pharmacists to dispense to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: http://www.utahnaloxone.org/utah-pharmacies-with-naloxone-rescue-kits/

 

State: Vermont
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Statewide standing order from State Health Officer allows pharmacists to dispense to anyone without a prescription.
Other Resources: http://www.healthvermont.gov/response/alcohol-drugs/narcan-naloxone-overdose-rescue

 

State: Virginia
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and standing order allow pharmacists and community organizations to dispense to anyone without a prescription.
Other Resources: http://dbhds.virginia.gov/behavioral-health/substance-abuse-services/revive

 

State: Washington
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacists and non-medical personnel to dispense under a Collaborative Drug Therapy Standing order from a legal prescriber to anyone without a prescription.
Other Resources: http://depts.washington.edu/pcapuw/inhouse/FAQs_Naloxone_for_Community_Agencies.pdf

 

State: West Virginia
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and statewide standing order from State Health Officer allow pharmacists to dispense to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://dhhr.wv.gov/bph/Documents/Standing%20Order%20for%20Naloxone%202018/Naloxone%20Prescription%20for%20Overdose%20Prevention%20-%2006.05.2018.pdf

 

State: Wisconsin
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law and statewide standing order from State Health Officer allow participating pharmacies to dispense to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://www.dhs.wisconsin.gov/opioids/standing-order.htm

 

State: Wyoming
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows pharmacists to prescribe naloxone directly to anyone at risk or in a position assist someone at risk.
Other Resources: https://health.wyo.gov/publichealth/prevention/substanceabuseandsuicide/opioid-information-wyoming/opioid-overdose-response/

 

State: D.C.
3rd Party: Yes
Standing Order: Yes
Pharmacy Access Notes: Law allows trained community health organizations (with a standing order from a physician) or healthcare providers including trained pharmacists to dispense to anyone at risk or in a position to help someone at risk without a prescription.
Other Resources: https://code.dccouncil.us/dc/council/laws/21-186.html