Naloxone Dispensing Information for Pharmacies

Naloxone is a safe medication that can reverse the effects of opioids. Pharmacists who dispense naloxone can play a critical role in reducing the morbidity and mortality associated with opioid overdose in New York City.

The Department of Health has issued a citywide non-patient specific prescription or standing order. This authorizes all pharmacists and supervised pharmacy interns to dispense naloxone to anyone who requests it, without a patient-specific prescription.

Sign Up to Dispense Naloxone

To immediately access a signed copy of the standing order and to enroll your pharmacy in the reporting system, complete the New York City Pharmacy Naloxone Dispensing Agreement.

For more information, email pharmacynaloxone@health.nyc.gov.

Requirements for Participating Pharmacies

To dispense naloxone under the standing order, you must:

If you have any questions, email pharmacynaloxone@health.nyc.gov.

Dispensing

Standing order prescriber information:

Prescriber: Dave A. Chokshi, MD, MSc
NPI: 1376771766
Address: 42-09 28th Street, Long Island City, NY 11101
License: Access the standing order.

Dispense two doses of naloxone and necessary devices for administration. Two naloxone products are currently authorized under the standing order:

  • Single-step Narcan® Nasal Spray. NDC 69547-353-02
  • Multi-step intramuscular naloxone vial and syringe. NDC 0409-1215-01 or NDC 67457-292-02

Reporting

The following records must be maintained by the pharmacy:

  • Name of the recipient
  • Name of the pharmacist
  • Date on which naloxone is dispensed
  • Number of naloxone units dispensed at each interaction.
    • 1 unit=2 doses naloxone, regardless of formulation

Quarterly dispensing reports must be submitted to the NYC Department of Health with the total number of units dispensed for each naloxone formulation/product.

  • You will be emailed a report reminder with a link for submitting your report by the following dates:
    • April 15 for reporting period January 1 - March 31
    • July 15 for reporting period April 1 - June 30
    • October 15 for reporting period July 1 - September 30
    • January 15 for reporting period October 1 - December 31
  • If your pharmacy is unable to submit reports online, email pharmacynaloxone@health.nyc.gov to discuss an alternative way to submit reports.

Billing

Many insurance plans cover naloxone. Consider insurance coverage and patient preference when dispensing.

The Naloxone Co-payment Assistance Program (N-CAP) is a State program that covers up to $40 of a patient’s co-pay for naloxone if they have prescription coverage. To bill under N-CAP, the pharmacy must be enrolled in the New York State AIDS Drug Assistance Program (ADAP).

Patients who cannot afford naloxone and are not eligible to use N-CAP can contact NYC Well for a referral to a free naloxone dispenser.

Additional Resources

More Information