🌿 RehabNest - Naloxone Locator Reference
rehabnest.rxtoolspro.com | Get naloxone before you need it. If overdose suspected: call 911, give naloxone, rescue breathe.
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Free ResourceHarm ReductionLife-Saving
Naloxone Locator
Naloxone (Narcan) reverses opioid overdoses within minutes. It's now available without a prescription at most pharmacies in the US, and free through hundreds of harm reduction programmes. Get it before you need it.
💉 Get naloxone today
Naloxone is safe, effective, and increasingly free. It has no effect if opioids aren't present. There is no reason not to have it. Everyone who knows someone who uses opioids should carry it.
Narcan nasal spray is over-the-counter at most major US pharmacies. Walk in, ask at the counter, and walk out with it. Most insurance covers it.
Fastest option
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Harm reduction programme, free
Hundreds of harm reduction organisations distribute naloxone for free with training and supplies. Many also provide fentanyl test strips and safer use equipment.
Often free + training
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By mail, free in many states
NEXT Distro ships free naloxone by mail in eligible states. No prescription, no cost, delivered to your door. Discrete packaging.
No pharmacy needed
🏪 Major pharmacies carrying naloxone OTC
All of the following carry Narcan nasal spray without a prescription. Ask at the pharmacy counter. Prices vary, insurance usually covers it. GoodRx can reduce out-of-pocket costs.
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CVS Pharmacy
Available OTC nationwide. Ask pharmacy counter. CVS Health also trains pharmacists in overdose response.
OTC nationwide
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Walgreens
Narcan available OTC. Many locations also carry generic naloxone at lower cost. Accepts most insurance.
OTC nationwide
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Walmart Pharmacy
OTC naloxone available. Often lower cost than other chains. Ask at pharmacy counter.
OTC nationwide
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Rite Aid
Available at most locations. Check availability at your local store.
Most locations
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Costco Pharmacy
Available to members and non-members (pharmacy is open to all). Often lower cost.
All members welcome
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Kroger / Fred Meyer / King Soopers
Kroger family pharmacies carry naloxone OTC at most locations nationwide.
OTC available
📦 Free by mail, no pharmacy needed
Several organisations ship free naloxone directly to your home in eligible states. No prescription, often no cost.
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NEXT Distro
Ships free naloxone by mail in eligible states. No prescription required. Visit nextdistro.org to check eligibility and request a kit.
NEXT Distro maintains a state-by-state guide to naloxone access laws, free distribution programmes, and pharmacy standing orders. An essential reference.
Sternal rub: knuckle on breastbone. No response = suspected overdose. Call 911 immediately or direct someone else to call.
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Position their head
Lay on their back. Tilt head back slightly to open the airway.
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Administer naloxone in one nostril
Place nozzle in one nostril. Press plunger firmly to release the full dose. One spray per nostril.
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Give rescue breaths
One breath every 5 seconds. Pinch nose, seal over mouth, watch chest rise. Continue until breathing resumes.
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No response in 2 to 3 minutes? Give second dose
Administer second spray in the other nostril. Continue rescue breathing.
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Recovery position, stay until help arrives
Once breathing resumes, place on their side (recovery position) to prevent choking. Stay with them. Naloxone wears off in 30-90 minutes. Don't let them use again.
If opioids were fentanyl: Multiple doses of naloxone may be needed. Fentanyl is much more potent than heroin. Keep administering doses every 2-3 minutes until breathing resumes or emergency services arrive. See the full guide in the Harm Reduction Guide.
Why you need naloxone now, not later
Most people think about getting naloxone after a crisis. That's backwards. Naloxone only works if you have it when you need it. And you typically don't know you need it until someone is already overdosing. The 5 minutes it takes to get to a pharmacy is 5 minutes that matters enormously during an opioid overdose.
The contamination of the drug supply with illicitly manufactured fentanyl means the risk of overdose now extends to people who use stimulants, people who use benzodiazepines, and people who take counterfeit pills. It's no longer an opioid-user-only risk. Anyone who uses any street drug, anyone who knows someone who does, and anyone working in settings where overdose might occur should have naloxone.
Tolerance and the highest-risk moment
The single highest-risk period for opioid overdose is immediately following a period of abstinence. This includes: discharge from detox, release from incarceration, completion of a treatment programme, or relapse after any period of sobriety. Tolerance resets during abstinence. A dose that was tolerated before abstinence can now be fatal. This is why naloxone is especially critical for people in early recovery and why the Relapse Prevention Plan should always include naloxone access in the crisis section.
Carrying naloxone doesn't enable drug use
This is the most common concern families raise. The research is clear: naloxone availability does not increase substance use. Multiple studies, including a 2015 systematic review published in JAMA Internal Medicine, found no association between naloxone availability and increased drug use. What it does do is prevent death. And a person who survives an overdose has an opportunity to enter or return to recovery. Use the Family Support Guide for more on navigating these conversations with loved ones in active addiction.
Recovery tip: Keep your naloxone somewhere you'll actually find it: your bag, your car's glove box, or the kitchen drawer. Tell the people closest to you where it is and how to use it. The point isn't to plan for your own overdose. It's to be prepared for anyone's, including people you love who aren't yet in recovery.
Frequently asked questions
No. Narcan nasal spray became fully over-the-counter (OTC) in the US in 2023. You can walk into any major pharmacy and purchase it without a prescription. Many states also have standing orders that allow pharmacists to dispense naloxone to anyone who requests it. Additionally, harm reduction programmes and mail-order services provide free naloxone without any prescription requirement.
OTC Narcan nasal spray typically costs $20-$50 for a 2-dose pack without insurance. Most insurance plans including Medicaid and Medicare Part D cover it with minimal or no copay. Generic naloxone nasal spray (Kloxxado, Narcan generic) is often cheaper. GoodRx can significantly reduce out-of-pocket cost at pharmacies. Free naloxone is widely available through harm reduction programmes and mail-order services for those who can't afford OTC pricing.
Naloxone nasal spray has a shelf life of approximately 18-24 months. Check the expiration date on your kit and replace it before it expires. Store at room temperature away from extreme heat or cold. Don't store in a hot car. Expired naloxone may still work but at reduced efficacy. Replace it as soon as you notice it's expired. Harm reduction programmes will often exchange expired kits.
Naloxone has no effect on people who don't have opioids in their system. It's not harmful to give it to someone who turns out to have had a different kind of overdose. If you suspect any overdose, the priority is always: call 911. If you suspect opioids may be involved (or the drug supply is unknown), administer naloxone. It won't hurt, and it might save their life.