How do I get naloxone?
Any person who asks for naloxone from a pharmacy for themselves or to help a person experiencing an opioid overdose can purchase naloxone, with or without a prescription (click here for Missouri’s standing order). However, this does not necessarily mean that every pharmacy will stock naloxone so we suggest calling your local pharmacy to make sure they have it.
To get naloxone from a pharmacy without a prescription:
- Call to make sure the pharmacy stocks naloxone.
- At the pharmacy, go to the prescription drop off window and ask to speak with a pharmacist about naloxone. While every pharmacy has their own protocol, the pharmacist must provide overdose education (overdose risk factors, how to recognize and respond to an overdose, and how to use naloxone) when dispensing naloxone.
- The pharmacy may be able to bill your insurance, even without a prescription. While most insurances will cover at least some of the cost of naloxone, every insurance plan has different billing requirements. Your pharmacist can contact your insurance company to discuss any payment questions.
A limited supply of naloxone is available for free through:
The MO-HOPE project offers training and tools, including naloxone, for overdose prevention and reversal to diverse professional and community audiences. If your agency is interested in receiving naloxone through the MO-HOPE project, please fill out the MO-HOPE Naloxone Request Form.
*Please note, the MO-HOPE Project has a limited supply of naloxone and we may or may not be able to meet the request of each agency.
NCADA is a non-profit community health organization that provides individual assessments, treatment referrals, community awareness and other services aimed to reduce and prevent the harms of alcohol and other drug use. Call 314-962-3456 or send an e-mail request to email@example.com to schedule a time to meet with a counselor for free naloxone (including a brief training on how to administer).
NCADA has two offices (open Monday-Friday, 9 a.m. – 5 p.m):
9355 Olive Boulevard
St. Louis, MO 63132
Franklin County Office
3033 Highway A, Suite 102
Washington, MO 63090
MONetwork is a non-profit outreach center located in St. Louis City that offers an open-door harm reduction-based approach to providing assistance to those affected by substance use and their families. Free naloxone is available daily Monday-Friday 10-5 or Saturday and Sunday 12-6.
Missouri Network for Opiate Reform and Recovery
4022 S. Broadway
St. Louis, MO 63118
844-Rebel Up (844-732-3587)
The Missouri State Targeted Response Grant has provided the following recovery community centers (in addition to MONetwork) with naloxone, as well as OUD recovery support services:
Naloxone is available to anyone who requests it.
Monday – Friday from 8 am-4:30pm. No appointment necessary. Just ask lobby staff for naloxone or Narcan. No ID required.
Saint Louis County Department of Public Health
North Central Community Health Center
4000 Jennings Station Road
Pine Lawn, MO 63121
For additional information, please contact firstname.lastname@example.org.
A staff member will provide a rescue kit after going over the signs & symptoms of an opioid overdose and how to use Narcan.
If you are unable to get naloxone locally, you may be able to get it mailed to you (click here):
“Naloxoneforall.org works to get naloxone to people who use drugs and the folks who are the most likely to be a first responder in an opioid overdose emergency. For that reason we ask that if you are not a person who uses drugs and if you are not likely to be a first responder, please access supplies in your community. If you want assistance locating these resources, you may contact us. In addition, we do not supply service organizations, police departments, or other funded entities. You may reach out to us for advice after you have exhausted all other options.”
If your agency is interesting in acquiring naloxone through other mechanisms, the MO-HOPE Project team surveyed representatives from partnering agencies to collect information about what they have gotten from the MO-HOPE project as well as assess for sustainability plans. See the results here!
Additionally, Community health centers, free and charitable clinics, public health departments, federally qualified health centers, and other nonprofit providers nationwide may be eligible to receive intramuscular naloxone through Direct Relief (DirectRelief.org, 1-800-676-1638)
For individuals with commercial insurance, kaléo’s new “Virtual Standing Order” program allows you to receive EVIZIO (a ready-to-use, automatic naloxone injection device, which gives electronic voice-guided, step-by-step instructions) without a prescription at no cost. Call 1-877-883-8946 to speak with a pharmacist and arrange delivery of naloxone directly to your home. Click here for more information.
If you have a prescription, you can also receive EVIZIO at no cost through kaléo’s EVZIO2YOU program, which you can learn more about here.
For federal and state government agencies and tribes, (including those agencies who receive federal grant funding to address the opioid overdose epidemic), kaléo offers a purchase price of of $180 per auto-injector of EVZIO ($360 per pack of two auto injectors and a trainer) when purchased directly from kaléo. Click here for more information.
*If you are aware of any resource offering naloxone that is not yet listed above, please contact Sarah Phillips at email@example.com