Thank you for your interest in receiving opioid antagonist medication for your organization. Currently the Department of Health offers Narcan, a lifesaving medication which can be given by anyone to temporarily reverse an opioid overdose. In an effort to streamline the process of becoming a new site with our program, we have created this form to obtain the initial information needed for our team to begin the process.
Our team meets regularly to review requests, and we will be in touch within four weeks with next steps for your organization. If you have any questions, please
contact our team by clicking here.
This form is intended for organizations interested in receiving opioid antagonist medication for their organization. If you are an individual looking for Narcan for personal use, please visit healthvermont.gov/naloxone for a map of our public distribution sites and more information on responding to an opioid overdose situation.
If you already receive Narcan from the State, please do not fill out this form. Please reach out to the contact person for your program, or
contact our team by clicking here.