Washington State Naloxone Order Form
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  • Washington State Naloxone Order Form

  • Naloxone is a medication that reverses an opioid overdose. Naloxone is commonly called Narcan.


    Naloxone is free at pharmacies for people with Medicaid/Washington Apple Health insurance. Learn how to use health insurance to get naloxone at pharmacies in WA.


    People in Washington State can order free naloxone by filling out this form. This mail order program is for people who can't get naloxone in their community.

    We only accept ONE order per person a month. This mail order program is intended for individuals. This program is not for schools, businesses, organizations, or institutions.

    Click Next to place your order.

  • We do not accept orders from schools, institutions, organizations, or agencies.

    To apply for naloxone for your organization, please complete DOH's Naloxone Program Application.
    Tribes, Tribal organizations, and Urban Indian Organizations can request naloxone using DOH's Tribal Naloxone Request Form.
    To request training for your organization, please visit The People's Harm Reduction Alliance.

  • We do not accept orders from schools, institutions, organizations, or agencies.

    To apply for naloxone for your organization, please complete DOH's Naloxone Program Application.
    Tribes, Tribal organizations, and Urban Indian Organizations can request naloxone using DOH's Tribal Naloxone Request Form.
    To request training for your organization, please visit The People's Harm Reduction Alliance.

  • Optional Questions

    Any information you give us is confidential. That means we do not share your personal information. We do not save your name, address, or personal information after mailing your order.
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