General Information

How to obtain naloxone in Virginia:

  • Commissioner's Standing order
    • Talk to your pharmacist. Naloxone is available under the State Health Commissioner's standing order.  In essence, the standing order serves as a prescription written for the general public, rather than specifically for an individual.  It is up to each individual pharmacy to decide whether to dispense naloxone under the statewide standing order. It is advisable to contact your pharmacy prior to visiting.
  • Talk to your doctor or healthcare provider.
  • Contact your Local Health District or Community Services Board. Many local health districts and community services boards dispense NARCAN® Nasal Spray kits at REVIVE! training events, during walk-in clinic hours and at other community events. Check with your local health department or community services board to determine how and when you may be able to obtain a NARCAN® Nasal Spray kit at no cost.

Naloxone (NARCAN®):
Frequently Asked Questions (FAQ) - English
Frequently Asked Questions (FAQ) - Spanish
Naloxone Flowchart for Public Schools

Learn more about opioid addiction in Virginia here.

VDH NARCAN® Distribution Opportunities

Virginia Department of Health (VDH) and the Virginia Department of Behavioral Health and Developmental Services share the common goal of increasing access to naloxone. Community services boards, law enforcement agencies, fire service organizationslicensed emergency medical services (EMS) agencies, and public schools are eligible to obtain NARCAN® Nasal Spray at no-cost through the forms below.

NARCAN® Application

Please use this form if your organization would like to request Narcan through the Virginia Department of Health for the first time or if your organization's agreement with VDH has expired.


Please use this form to place an order if your organization currently has a fully-executed agreement with the Virginia Department of Health for provision of Narcan.

NARCAN® Return

Please use this form if you have expired or unused Narcan Kits that you would like to return to the Virginia Department of Health.

NARCAN® Reports

Please use this tool to report required NARCAN® Activity Tracker metrics (this includes the report for monthly NARCAN® dispensed/administered at your location and the annual NARCAN® inventory report).


  • Local health departments should follow the internal guidance for ordering naloxone located on the Community Health Services Naloxone page. Independent health departments should use the forms above.