Skip to main content

In North Carolina, state law allows community organizations to distribute naloxone (see NC General Statute 90-12.7(c1)). Consult the NC Naloxone Distribution Toolkit to learn more about creating a naloxone distribution program, including obtaining a standing order.

July 2023 update:

Session Law 2023-65 was recently signed into law. This law amends the naloxone law to provide protection for the prescribing, dispensing, distribution, and administration of over the counter (OTC) naloxone, just as there has been protection for prescription naloxone. This is necessary due to the FDA’s approval of an OTC formulation of naloxone that will be coming out in 2023. This change is effective immediately.

About the Naloxone Distribution Toolkit

North Carolina has been a national leader in community distribution of naloxone- most notably through the work of syringe services programs and other community partners. North Carolina has also been the first state to have an EMS naloxone leave-behind program, whereby EMS personnel give persons who decline transport to the hospital after an overdose a free naloxone kit.

This toolkit intends to help organizations understand the laws and logistics implicated in naloxone distribution in an effort to further promote community distribution of naloxone in North Carolina.

Webinars on Expanding Naloxone Access in North Carolina 

February 2024: The Injury and Violence Prevention Branch hosted a webinar in partnership with the NC Association of County Commissioners (NCACC) focused on naloxone distribution as an strategy for counties investing their opioid settlement funds. This webinar has a particular focus on procurement of naloxone and can be found here.

December 2020: Injury-Free NC hosted a webinar on expanding naloxone access in North Carolina. View the webinar recording here to learn more about the fundamentals of naloxone distribution, examples of community-based distribution, partnerships to expand naloxone distribution such as working with local law enforcement, and options for purchasing naloxone.