Indiana Naloxone Request and Report

Naloxone available through partnership with the State of Indiana

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Naloxone is a critical tool for individuals, families, first responders and communities to help reduce opioid overdose deaths. Due to the COVID-19 pandemic, local health departments registered with the Indiana State Department of Health as entities to dispense naloxone are experiencing limited access to resources. The State’s partnership with Overdose Lifeline, Inc. allows local health departments to devote their resources to the COVID-19 public health emergency. Read full Press Release from May 18, 2020.

In context of this grant, there are some distribution restrictions and a requirement to report use through an online form. We do our best to respond to all requests within 48 hours.

For naloxone box locations and distribution centers click here.

Are You a First Responder?

Visit our First Responder CE Course and Training page for information on training available for your community.

Our Indiana First Responder Naloxone Toolkit includes: 

Naloxone, Fentanyl and Xylazine Test Strips Request

Fill Out Request Form

Please note this service is for Indiana residents only. Requests for Naloxone outside of the state of Indiana are not able to be fulfilled.

1 Individuals: Requesting naloxone or fentanyl test strips (FTS) to carry on yourself, for a family member, or a friend or in the event you encounter a person overdosing (this does not include formal organizations)
*note we can only ship naloxone within Indiana

Naloxone Reporting

Fill Out Overdose Reversal Reporting Form

Overdose Reversal Reporting

The information provided through this form is solely viewed by ODL staff. The only information shared by Overdose Lifeline is the total number of overdose reversal reports that are submitted each month.

Fill Out Distributor Reporting Form

Distributor Reporting

Please specify the organization distributing the Naloxone.
Direct Distribution – Naloxone was provided directly to an individual.
Pass-through Distribution – Naloxone was provided to another organization for distribution to individuals.

NaloxBox

Fill Out NaloxBox Report

NaloxBox Report

Fill Out NaloxBox Inquiry

NaloxBox Inquiry

Interested in a Naloxbox? Please fill out the request form below.

Please note, this request does not guarantee a NaloxBox. If you need Naloxone, FTS, or Xylazine test strips, please fill out the Naloxone request form. If you have any questions regarding NaloxBoxes, please contact claire@overdoselifeline.org.

if you are not receiving emails to report your distribution data and you are a NaloxBox Monitor or Distributor, please contact claire@overdoselifeline.org or breanna@overdoselifeline.org

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