Naloxone Standing Order

As of 4/1/2025, the Portal is active for organizations with existing accounts. 

Previously submitted account applications will be reviewed in early May. Immediate account requests for portal eligible organizations may be granted in exceptional circumstances.

In the 2023 legislative session, the Minnesota Legislature mandated the carrying of naloxone hydrochloride, an opiate or opioid antagonist that reverses opioid overdoses, to select groups in the state, expanding access to the medication as an intervention to prevent opioid overdose deaths in Minnesota. 

Naloxone Standing Order FAQs

Learn more about Naloxone Standing Orders

• Q: How much can an organization order?
  • A: At this time, it is recommended mandated organizations order 3 to 6 months supply. Please order what is needed for your organization to satisfy the state mandate (if mandated). For other eligible groups, we recommend starting with your estimated monthly supply and adjusting as needed.
  • Narcan can only be ordered by the case. Each case includes: two doses per unit (12 units per case), making 24 total doses of nasal naloxone per case. Some extra doses per order are expected but, before ordering, consider what will be done with any extra doses. Naloxone is a lifesaving medication, and the more available it is, the more likely a life can be saved.
  • If there are additional doses in your order, consider partnering with local first responders, such as EMS and fire. If a school, consider placing units strategically throughout the building with trained personnel. If law enforcement, consider implementing a naloxone leave behind policy or similar strategy. You can always place another order for more naloxone if needed and having naloxone where it is most likely to save a life is important and the goal of this program.
• Q: How much does it cost to order?
  • A: There is no cost. This is a program that provides free naloxone to all the eligible groups listed above.
  Q: Where should orders be shipped?
  • A: Your order should be shipped to the building of the organization placing the order, such as the school district office, police station, group home, etc. The product cannot be shipped to PO Box. It will be delivered during regular business hours on a regular business day.
• Q: Why do organizations need a Standing Order for naloxone?
  • A: The Standing Order is needed because naloxone is a prescription drug. The standing order not only allows groups to receive and possess it but also purchase, administer, and distribute the naloxone. 
• Q: Why do schools need a Condition Specific Protocol for naloxone?
  • A: Naloxone is medication and schools should have direction on why, when, and how to give naloxone.
• Q: How will organizations know that an order was received?
  • A: When your order is placed the email provided in the contact information will receive a confirmation email. Later, once the order has been reviewed and approved by program staff, an email with tracking information from the supplier, Emergent Biosolutions, will be sent.  
• Q: How can organizations share extra naloxone kits?
  • A: We encourage you to share with other eligible groups outlined above, first responders, who are likely to respond to overdoses, as well as harm reduction groups in the state who provide naloxone to people most likely to overdose:
  • Steve Rummler HOPE Network - Call 952-943-3937
  • Rural AIDS Action Network (RAAN) - Call 320-257-3036
  • Red Door Clinic - Call 612-543-5555
  • Indigenous Peoples Task Force - Call 612-870-1723
  • LSS StreetWorks Collaborative - Call 612-354-3345 or email street.works@lssmn.org
  • Southside Harm Reduction Services - Text 612-615-9725
• Q: Can organizations sell extra naloxone kits?
  • A: Naloxone from this program may not be sold. It can only be used for approved activities such as meeting legislative mandates or distributing to at-risk populations.
• Q: How often can organizations reorder through this state distribution program?
  • A: There is no limit, please reorder when needed. Do not order extreme amounts to “stock up” for the future as it could affect other eligible groups' access to naloxone.
• Q: Can organizations get reimbursed if they already have naloxone?
  • A: No. This is a program to order needed doses of naloxone, not a reimbursement program. If you already have naloxone, you may use this program to replace naloxone doses after they are used or near expiration.
• Q: Where can school nurses send questions about anything related to implementation of a naloxone program in their school?
  • A: Please send all inquiries to health.school.health@state.mn.us.
• Q: My organization isn't an eligible group. Are we allowed to sign up for the standing order and protocol and order from the naloxone portal?
  • A: At this time, both the standing order and protocol as well as ordering are only available to the eligible groups listed above.

• Naloxone Standing Order FAQs
  • Q: How much can an organization order?
    • A: At this time, it is recommended mandated organizations order 3 to 6 months supply. Please order what is needed for your organization to satisfy the state mandate (if mandated). For other eligible groups, we recommend starting with your estimated monthly supply and adjusting as needed.
    • Narcan can only be ordered by the case. Each case includes: two doses per unit (12 units per case), making 24 total doses of nasal naloxone per case. Some extra doses per order are expected but, before ordering, consider what will be done with any extra doses. Naloxone is a lifesaving medication, and the more available it is, the more likely a life can be saved.
    • If there are additional doses in your order, consider partnering with local first responders, such as EMS and fire. If a school, consider placing units strategically throughout the building with trained personnel. If law enforcement, consider implementing a naloxone leave behind policy or similar strategy. You can always place another order for more naloxone if needed and having naloxone where it is most likely to save a life is important and the goal of this program.
  • Q: How much does it cost to order?
    • A: There is no cost. This is a program that provides free naloxone to all the eligible groups listed above.
    Q: Where should orders be shipped?
    • A: Your order should be shipped to the building of the organization placing the order, such as the school district office, police station, group home, etc. The product cannot be shipped to PO Box. It will be delivered during regular business hours on a regular business day.
  • Q: Why do organizations need a Standing Order for naloxone?
    • A: The Standing Order is needed because naloxone is a prescription drug. The standing order not only allows groups to receive and possess it but also purchase, administer, and distribute the naloxone. 
  • Q: Why do schools need a Condition Specific Protocol for naloxone?
    • A: Naloxone is medication and schools should have direction on why, when, and how to give naloxone.
  • Q: How will organizations know that an order was received?
    • A: When your order is placed the email provided in the contact information will receive a confirmation email. Later, once the order has been reviewed and approved by program staff, an email with tracking information from the supplier, Emergent Biosolutions, will be sent.  
  • Q: How can organizations share extra naloxone kits?
    • A: We encourage you to share with other eligible groups outlined above, first responders, who are likely to respond to overdoses, as well as harm reduction groups in the state who provide naloxone to people most likely to overdose:
    • Steve Rummler HOPE Network - Call 952-943-3937
    • Rural AIDS Action Network (RAAN) - Call 320-257-3036
    • Red Door Clinic - Call 612-543-5555
    • Indigenous Peoples Task Force - Call 612-870-1723
    • LSS StreetWorks Collaborative - Call 612-354-3345 or email street.works@lssmn.org
    • Southside Harm Reduction Services - Text 612-615-9725
  • Q: Can organizations sell extra naloxone kits?
    • A: Naloxone from this program may not be sold. It can only be used for approved activities such as meeting legislative mandates or distributing to at-risk populations.
  • Q: How often can organizations reorder through this state distribution program?
    • A: There is no limit, please reorder when needed. Do not order extreme amounts to “stock up” for the future as it could affect other eligible groups' access to naloxone.
  • Q: Can organizations get reimbursed if they already have naloxone?
    • A: No. This is a program to order needed doses of naloxone, not a reimbursement program. If you already have naloxone, you may use this program to replace naloxone doses after they are used or near expiration.
  • Q: Where can school nurses send questions about anything related to implementation of a naloxone program in their school?
    • A: Please send all inquiries to health.school.health@state.mn.us.
  • Q: My organization isn't an eligible group. Are we allowed to sign up for the standing order and protocol and order from the naloxone portal?
    • A: At this time, both the standing order and protocol as well as ordering are only available to the eligible groups listed above.