Healthy People in a Healthy Environment

News: Anyone Can Get Naloxone Without Prescription


Maryland Department of Health and Mental Hygiene Behavioral Health Administration –

Spring Grove Hospital Center – Dix Building 55 Wade Avenue – Catonsville, Maryland 21228

Larry Hogan, Governor – Boyd K. Rutherford, Lt. Governor – Dennis R. Schrader, Secretary Barbara J. Bazron, Ph.D., Deputy Secretary / Executive Director

Naloxone and the Statewide Standing Order: What you need to know

Starting June 1, 2017, anyone can get naloxone at a Maryland pharmacy without a prescription.

Naloxone is a life-saving medication that can quickly restore the breathing of a person experiencing an opioid overdose. Opioids are a group of drugs that include heroin and prescription medications like oxycodone, hydrocodone, morphine, fentanyl and methadone. Naloxone is available as a generic drug or under the brand names NARCAN® and EVZIO®.

Getting Naloxone from a Pharmacy

1. Call ahead. Most pharmacies carry naloxone, but you may want to verify they have it in stock.

2. Ask to speak with the pharmacist. Naloxone is a prescription drug, so it won’t be available on the retail shelf with “over the counter” medications like aspirin.

3. Mention the Statewide Standing Order, issued by Dr. Howard Haft, Maryland Department of Health. The Statewide Standing Order allows pharmacists to dispense naloxone to anyone without a paper or electronic prescription.

4. Talk to the pharmacist about how to recognize an opioid overdose and administer naloxone.

5. Need more information? Get overdose response training online at or attend a training in your community through the Maryland Overdose Response Program.

Visit for:

 More information about naloxone and how to prevent and respond to opioid overdose

 A copy of the Statewide Standing Order

 Information for pharmacists on how to dispense naloxone and educate patients

 A list of Maryland pharmacies that stock naloxone

 Links to additional resources for people who use opioids and their loved ones

Don’t I need a prescription to get naloxone?

No, the Statewide Standing Order acts as your prescription for naloxone in Maryland.

How much does naloxone cost?

Like other prescription drugs, what you pay depends on whether you have insurance with a prescription drug plan, and what that plan covers. Naloxone is covered by Maryland Medicaid. If you don’t have insurance, ask the pharmacist about any discounts or coupons from the pharmacy or drug maker.

Which type of naloxone will I get?

The Statewide Standing Order covers generic naloxone, NARCAN® Nasal Spray, and the EVZIO® naloxone “auto-injector”. Talk to the pharmacist to determine which product is right for you. Insurance plans may not cover every naloxone product, so ask the pharmacist or call your insurance company’s customer service number for more information.