Naloxone Standing Order and Portal
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. The mandates were for the following:
- Schools (Minnesota Statutes, section 121A.224, subdivision 1)
- Corrections (Minn. Stat. § 241.021, subd. 1)
- Law Enforcement (Minn. Stat. § 151.37, subd. 12)
- Site-based or group housing support settings (Minn. Stat. § 121A.224, subd. 12)
- Sober homes (Minn.Stat. § 254B.818, subd. 1)
The Minnesota Department of Health in partnership with Department of Human Services has developed the following web portal for the above mandated groups. The portal can be used by these groups to order nasal naloxone, also known as Narcan™.
How to order naloxone
Step 1: Sign up for the Standing Order and Condition Specific Protocol.
The Standing Order and Protocol allows an organization to obtain, distribute, and administer naloxone. See example Standing Naloxone standing Order and Protocol (PDF).
Go to the following page to sign up for a standing order. Use a shipping address for regular business hours, no PO boxes.
Register here: Naloxone Standing Order and Protocol Registration Form
Step 2: Sign up for the web portal to order naloxone.
After completing the standing order, go to the linked page below to create an account. Please use the same contact info and shipping address for your organization as you did for the standing order. PO Boxes are not eligible shipping addresses for this program.
You will be notified by MDH when your account is approved.
Step 3: Log in and order.
After your account is reviewed and approved, you can log in into the portal and request naloxone.
Once per week, MDH forwards orders to the supplier, Narcan Direct, which fulfills the orders.
After orders are forwarded to Narcan Direct, you will receive a confirmation email summarizing your order. This is not a bill. The State of Minnesota is providing this naloxone at no-cost to you or your organization.
Shipping and tracking information will be provided in a second email from Narcan Direct.
Please note: Once MDH forwards your orders to Narcan Direct, they are responsible for fulfilling your order. Questions about your shipment should be sent to Narcan Direct at 844-462-7226 or email@example.com.
Guidance for schools ordering naloxone
It is encouraged the school district office sign up for the standing order and condition specific protocol. All schools and staff within the district are included when the district office registers.
To simplify the distribution process and reduce waste, It is also encouraged the district places an order for all schools and buildings within their district at once. Naloxone can only be ordered by the case in this program, and each case contains 24 total doses of naloxone.
For more information for schools, please visit the Naloxone Administration in Schools Settings Toolkit.
For questions and technical assistance on the standing order or naloxone portal processes, contact firstname.lastname@example.org.
If schools or school nurses have questions about anything related to implementation of a naloxone program in their school (except for ordering the medication), please send inquiries to email@example.com.
Q: How much can an organization order?
A: Please order what is needed for your organization to satisfy the state mandate. Narcan can only be ordered by the case. Narcan comes in cases. 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.
Q: How much does it cost to order?
A: There is no cost. This is a program that provides free naloxone to the mandated groups in the State of Minnesota.
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. When an over-the-counter version becomes the continued need for a standing order will be explored.
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 mandated 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 firstname.lastname@example.org
- Southside Harm Reduction Services - Text 612-615-9725
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 mandated 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 email@example.com.
Q: My organization isn't a mandated 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 mandated groups.