Statewide Standing Order for Pharmacy Naloxone Dispensing

On December 14, 2015, Dr. Howard Haft, DHMH Deputy Secretary for Public Health Services, issued a statewide standing order allowing all Maryland-licensed pharmacists to dispense naloxone without a prescription to individuals trained and certified under the ORP. Certificate holders need only present their certificate at participating pharmacies to receive naloxone. For more information on dispensing under the standing order, see “Statewide Naloxone Standing Order: Guidance for Pharmacists,” below.

NOTE: Certificate holders are still responsible for payment through their insurance, cash or other means.

 Statewide Standing Order Resources 


1.    DHMH Press Release: Statewide Naloxone Standing Order

2. Dr. Howard Haft Statewide Naloxone Standing Order– This is the official standing order document. Pharmacies may request a faxed copy by sending an email to dhmh.naloxone@maryland.gov.  NOTE: the standing order was faxed to all pharmacies that have a current Maryland State Controlled Dangerous Substance registration on December 14, 2015.

3.    Statewide Naloxone Standing Order: Guidance for Pharmacists This document provides detailed guidance and instructions for pharmacists when dispensing under the standing order.

4.    Intranasal Naloxone Overdose Response Brochure– A brochure created by the Maryland Overdose Response Program  that includes steps for responding to an opioid overdose with intranasal naloxone  (2mg/2ml pre-filled syringe with nasal atomizer).

5. Pharmacies Stocking Naloxone (updated 12/19/2016) – The pharmacies on this list have been identified as currently stocking naloxone by the pharmacies’ corporate offices. Those who have been trained under the Overdose Response Program may present their certificate at a participating pharmacy to get naloxone without a prescription under the statewide standing order. Individuals should ask to speak to a pharmacist about naloxone. This list is updated bi-annually.

6.    Maryland Medicaid Pharmacy Program Durable Medical Equipment (DME) Authorized Pharmacies – A list of pharmacies authorized by Maryland Medicaid to be reimbursed for dispensing DME. The nasal atomizer (MAD 300) used with the naloxone 2mg/2ml pre-filled syringe for intranasal administration is considered DME. 

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