Indiana Naloxone Request and Report

Naloxone available through new partnership with the State of Indiana


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.

Naloxone & Fentanyl 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)

2 Organization/Agency: Requesting naloxone or fentanyl test strips (FTS) as an organization to provide to staff, law enforcement officers, or would like to provide naloxone to the public in your community. Please choose Organization/Agency if you are requesting on behalf of a ‘work type’ scenario.
*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.


Fill Out NaloxBox Report

NaloxBox Report

Fill Out NaloxBox Request

NaloxBox Request

Interested in Hosting a Naloxbox? Please fill out the form below:

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