State Naloxone Access Rules and Resources

In states that adopt a naloxone access law, there is a 9-11% decrease in the number of opioid-related deaths, according to the National Bureau of Economic Research.

Important Notes

Third 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. Naloxone can be obtained at most but not all pharmacies due to varying state laws and requirements. Check to see if your pharmacy participates in the naloxone standing order.

Select Your State

State Listings & Information

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/osmap/pages/default.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/faqs/naloxone/

 

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
https://drugpolicy.org/pharmacy-naloxone-access-california

 

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
http://www.floridahealth.gov/licensing-and-regulation/ems-system/_documents/standing-order-naloxone.pdf
https://www.isavefl.com/education.shtml

 

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:
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://dph.illinois.gov/topics-services/opioids/naloxone.html

 

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, without 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://pharmacy.ks.gov/k-tracs/pharmacists/naloxone-dispensing

 

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://health.maryland.gov/pha/NALOXONE/Pages/Pharmacies-that-stock-naloxone-.aspx
https://health.maryland.gov/pha/NALOXONE/Pages/Statewide-Standing-Order.aspx

 

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/news/naloxone-statewide-standing-order
https://standupms.org/naloxone/

 

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/amdd/naloxone/
https://dphhs.mt.gov/assets/publichealth/EMSTS/opioids/MontanaStandingOrderforNaloxoneOpioidAntagonists2021.pdf

 

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
https://dhhs.ne.gov/Pages/Drug-Overdose-Prevention-Naloxone.aspx

 

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 assist 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:
https://www.thedoorway.nh.gov/avoid-overdose
https://www.oplc.nh.gov/sites/g/files/ehbemt441/files/inline-documents/sonh/nh-dhhs-naloxone-standing-order-template.pdf

 

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
https://nj.gov/humanservices/stopoverdoses/

 

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 prescription, or through free state training program.
Other Resources:
http://okimready.org/overdose/
https://oklahoma.gov/health/health-education/injury-prevention-service/drug-overdose/naloxone.html

 

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/
https://www.oregon.gov/oha/ph/preventionwellness/substanceuse/opioids/pages/naloxone.aspx

 

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:
https://txoti.org/

 

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/
https://dopl.utah.gov/docs/NaloxoneStandingOrder.pdf

 

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
https://www.doh.wa.gov/YouandYourFamily/DrugUserHealth/OverdoseandNaloxone

 

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
https://nextdistro.org/westvirginia

 

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/

 

Additional Location: Washington 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.gov/us/dc/council/laws/21-186
https://dbh.dc.gov/page/where-can-i-get-naloxone-dc