Naloxone Dispensing Entities affirm that they will:

  1. Report/Register with the appropriate program
    • Pharmacies: Report naloxone dispensing to the Illinois Prescription Monitoring Program
    • Opioid Overdose Education and Distribution Programs: Register with the Division of Alcoholism and Substance Abuse Drug Overdose Prevention Program
    • School personnel: Reporting and registration requirements can be found at this link: School Nursing
  2. Update registration as needed to reflect current data
  3. Contact IDPH should the entity no longer be able to provide naloxone (DPH.Opioids@illinois.gov).
  4. Participate in approved training and provide training for those individuals to whom you provide naloxone.
    Drug Overdose Prevention Program enrollees must be in compliance with the program's guidelines. Training materials may be found at this link: Drug Overdose Prevention Program.

    For school personnel all training resources and requirements will found at this link: School Nursing.
  5. Required information to access Opioid Overdose Reversal Agent Standing Order
    1. Entity type: *
    2. Entity Name: *
    3. Counties served: *
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    4. Address 1: *
    5. Address 2:
    6. City: *
    7. State: *
    8. Zip: *
    9. Website:
    10. Contact name (First, Last): *
    11. Phone (xxx-xxx-xxxx): *
    12. Email: *
    13. Fax: *
    14. Display on map (Yes/No): *
*Required