The Overdose Response Program

The Overdose Response Program is part of the Department of Health and Mental Hygiene’s strategy to reduce overdose deaths.
​​​​The Department of Health and Mental Hygiene (DHMH) launched Maryland’s Overdose Response Program (ORP) in March 2014 to provide training ​in overdose response and certify individuals— people who use drugs, their family members and friends; treatment program and transitional housing staff; and law enforcement officers—most able to assist someone at risk of dying from an opioid overdose when emergency medical services are not immediately available.​

Naloxone (Narcan®), is a life-saving medication that can quickly restore the breathing of a person who has overdosed on heroin or prescription opioid pain medication like oxycodone, hydrocodone, morphine, fentanyl or methadone. Naloxone is also known as Narcan, which is a brand name.
Naloxone comes in 2 formulations for public use: muscle injection and intranasal, or through the nose.


You, or someone you know, may be at risk for an opioid overdose. Using prescription opioids such as oxycodone, morphine, or drugs such as heroin and fentanyl can lead to an overdose. With naloxone on hand, you will be equipped to respond and prevent death from an overdose.
Individuals who attend training will receive a certificate allowing them to access naloxone. With a certificate, you can get naloxone from any provider or at a pharmacy without a prescription.


DHMH authorizes private or public entities to conduct educational training programs and certify trainees. Entities such as local health departments, community organizations, public safety organizations, substance use disorder treatment programs and other health care providers are eligible to apply for approval as authorized training entities under the ORP. You can look up a training program near you using the ORP Registry or find an upcoming training on the calendar.


A licensed physician or advance practice nurse, or pharmacist must either directly conduct, or supervise employees or volunteers who conduct, an authorized entity's educational training program.  Under the law, physicians and advance practice nurses may also prescribe naloxone to certificate holders and may dispense naloxone according to authorized entity protocols. This can also be delegated to employees or volunteers of the Overdose Response Program. Anyone who works for the Overdose Response Program can conduct the training.


   Naloxone Training and Dispensing Statistics​​ 

         As of March 21, 2017

Individuals Trained Under the ORP*  
3/3/14 – 6/3​0/14


7/1/14 – 6/30/15


7/1/15 – 6/30/16


7/1/16 – 6/30/17


Gra​nd Total*


Doses of Naloxone  Dispensed under the ORP* 

3/3/14 – 6/30/14


7/1/14 – 6/30/15


 7/1/15 – 6/30/16


7/1/16 – 6/30/17


Gra​nd Total*​​


Naloxone Reported under the ORP**

3/3/14 – 6/30/14


7/1/14 – 6/30/15


7/1/16 – 6/30/17


7/1/16 – 6/30/17


Gra​n​d Total*​



* Training and dispensing statistics are maintained by authorized training entities and reported to DHMH on a monthly basis. 
* Naloxone administration information is voluntarily reported by certificate holders to the Maryland Poison Center or to an authorized training entity and subsequently provided to DHMH on a monthly basis. ​ ​​