PCCD Statewide Naloxone Allocation Request Form |
Background & Information for Applicants
*Please read this form carefully as some information has been updated*
About PCCD's Naloxone for First Responders Program (NFRP)
Launched in 2017, the goal of the Naloxone for First Responders Program (NFRP) is to increase the availability of lifesaving medication for individuals at greatest risk of opioid overdose as well as the systems most likely to interact with these individuals. NFRP provides no-cost intranasal naloxone to priority first responder groups through a network of 48 County/Regional Central Coordinating Entities (CCEs). More information about NFRP, including a list of priority first responder groups and an interactive directory/map of County/Regional CCEs, is available on PCCD’s website.
In addition to these designated County/Regional CCEs, PCCD has also designated a state-level allocation of naloxone to supplement county/regional distribution efforts. The Statewide NFRP Allocation Request Form provides naloxone to eligible organizations looking to enhance their community-based distribution efforts, with a focus on reaching individuals with the greatest risk. These include, but are not limited to, the following populations:
Requests for naloxone through the NFRP's Statewide Naloxone Allocation must be made using this Statewide Naloxone Request Form. Applications from eligible organizations will be reviewed on a rolling basis and can take 15-20 days to review.
All requests are subject to approval by PCCD. Completion of this form does not guarantee that the product will be provided to the organization or in the amounts requested.
In addition to these designated County/Regional CCEs, PCCD has also designated a state-level allocation of naloxone to supplement county/regional distribution efforts. The Statewide NFRP Allocation Request Form provides naloxone to eligible organizations looking to enhance their community-based distribution efforts, with a focus on reaching individuals with the greatest risk. These include, but are not limited to, the following populations:
- Individuals who are currently using substances;
- Individuals using Syringe Service Programs (SSPs) and harm reduction services;
- Justice-involved individuals with SUD/OUD, including individuals leaving state prisons and county jails and people who are under supervision (e.g., probation, parole);
Individuals engaged in and/or leaving treatment or withdrawal management and those who are in recovery; and - Individuals who have experienced a nonfatal overdose.
Requests for naloxone through the NFRP's Statewide Naloxone Allocation must be made using this Statewide Naloxone Request Form. Applications from eligible organizations will be reviewed on a rolling basis and can take 15-20 days to review.
All requests are subject to approval by PCCD. Completion of this form does not guarantee that the product will be provided to the organization or in the amounts requested.