Individual request

Where should we mail the naloxone?

Use this form for one or two boxes mailed to an Oregon address. You do not need insurance, ID, a prescription, or proof of need to request naloxone.

Ordering for an organization, agency, school, workplace, outreach program, or event? Use the bulk-ordering path instead.

Name for the mailing label Use the name that goes on the package. Choose a name your mail carrier can deliver.

Street address

Start typing and choose a suggested Oregon address, or enter the address manually.

Apartment, unit, or extra address line

City

State

ZIP code

Email for updates Optional. Leave blank if you do not want to be contacted about this request.

Quantity

Need more than two boxes? See bulk ordering options.

This service can only mail to Oregon addresses. If you are outside Oregon, the form will point you toward another resource.