Undesignated Stock Epinephrine and Albuterol
About the Program
The Virginia Department of Health (VDH) and the Virginia Department of Education (DOE) have implemented a policy so that every K-12 public school can procure undesignated stock of epinephrine auto-injectors, albuterol inhalers, and valved holding chambers (spacers). This policy is also available to private schools, though the requirements and acquisition process may differ. Private schools are encouraged to consult with their accrediting agency for guidance.
Epinephrine
The State Health Commissioner has issued an epinephrine standing order for K-12 public and private schools to use, which authorizes schools to possess and administer epinephrine to a student experiencing a life-threatening allergic reaction.
The following flow chart shows the process of ordering and purchasing epinephrine and includes links to the forms schools will need to be able to complete the process. Please note that any school that wishes to order epinephrine from VDH will need a memorandum of understanding (MOU).
→ Ordering and Purchasing Epinephrine for Public and Private Schools
Prices for Epinephrine are listed below:
Public Schools:
- Epinephrine 0.15mg/0.3mL (generic for Epipen Jr.) - $315 per item
- Epinephrine 0.3mg/0.3mL (generic for Epipen Adult) - $315 per item
Private Schools:
- Epinephrine 0.15mg/0.3mL (generic for Epipen Jr.) - $345 per item
- Epinephrine 0.3mg/0.3mL (generic for Epipen Adult) - $345 per item
Prices are inclusive of shipping costs. Pricing may be updated if VDH pricing changes. Public schools are eligible to receive reduced medication prices as a government entity. Private schools are not eligible to receive reduced medication prices.
For more information about obtaining epinephrine, please view our frequently asked questions document.
Albuterol
To receive albuterol, all K-12 schools must request a standing order.
- Public Schools (required to possess undesignated stock albuterol): Unless a public school has a contracted physician to sign the order locally, requests for a standing order should be submitted to VDH via the online form.
- Private Schools (optional to possess undesignated stock albuterol): Private schools should use a contracted physician to sign the order.
The following flow charts show the process of ordering albuterol and include links to the forms schools will need to be able to complete the process. Please note that any school that wishes to order albuterol from VDH will need a memorandum of understanding (MOU).
→ Ordering Albuterol and Supplies for Public Schools
→ Ordering Albuterol and Supplies for Private Schools
Prices for Albuterol are listed below:
Public Schools:
- Albuterol inhaler (90 mcg, 6.7 gm inhaler, 200 puffs per inhaler) - $25 per item
Private Schools:
- Albuterol inhaler (90 mcg, 6.7 gm inhaler, 200 puffs per inhaler) - $45 per item
Medical Supply Prices for Both Public and Private Schools:
- Valved holding chamber/spacer (LiteAir - Disposable (labeled for 1 week use for the same person), Dual Valved, Holding Chamber) - $17.50
- Valved holding chamber/spacer with small mask aerochamber (for smaller children) (Plastic, Reusable, Traditional, Antistatic Valved, Holding Chamber, Comfortseal mask built in) - $30
- Valved holding chamber/spacer with medium mask aerochamber (for smaller children) (Plastic, Reusable, Traditional, Antistatic Valved, Holding Chamber, Comfortseal mask built in) - $30
- Valved holding chamber/spacer with large mask aerochamber (for larger children/adults) (Plastic, Reusable, Traditional, Antistatic Valved, Holding Chamber, Comfortseal mask built in) - $30
Prices are inclusive of shipping costs. Pricing may be updated if VDH pricing changes. Public schools are eligible to receive reduced medication prices as a government entity. Private schools are not eligible to receive reduced medication prices.
For more information about ordering albuterol, please view our frequently asked questions document.
If your epinephrine or albuterol are expired, please return them to the pharmacy by completing the School Form to Return survey.
Naloxone
For more information about ordering naloxone, please visit this site.