Opioids - Standing Order for Naloxone

The standing order allows pharmacists in Wisconsin to provide naloxone without a direct prescription to individuals at risk of an opioid overdose, as well as their family and friends and anyone who may witness an opioid overdose.

Information About Naloxone

Naloxone is a medication that can reverse an opioid overdose. It can be given as an injection or as a nasal spray.

Naloxone does not reverse overdoses caused by non-opioid drugs. It will not cause harm if it is administered to someone who is not experiencing an overdose due to opioids. It cannot be abused and is not addictive.

Statewide Standing Order

The Statewide Standing Order for Naloxone is for pharmacies that are interested in dispensing naloxone using the statewide standing order signed by Dr. Jonathan Meiman.

Local Prescriber Standing Order

The Wisconsin Department of Health Services recognizes that some health care organizations may want to use their own prescriber to issue a local prescriber standing order for naloxone. For those that have the ability to use a local prescriber, please see the links to resources that might be helpful to implement a local prescriber standing order, including a template standing order (below).

Obtain the Template for Local Prescriber Standing Order for Naloxone, F-01802A (PDF)

Co-prescribing for Naloxone

Co-prescribing is a helpful way to protect patients on long-term opioid therapy or high doses of opioids. Health care providers have the option to co-prescribe naloxone for patients who are on medications or who have health conditions that put them at increased risk of overdose.​

Health care organizations that are interested in co-prescribing may use the patient and pharmacist education materials as needed. The insert about the AIDS Resource Center for Wisconsin does not apply to those health care organizations that are interested in co-prescribing. This insert may only be used as part of the Statewide and Local Prescriber Standing Orders for Naloxone.

Prescriber and Patient Education Materials

Pharmacist Tools

Patient Education Materials

Print-ready Materials

Below are links to the patient and pharmacist education materials related to the Wisconsin Standing Order for Naloxone, which can be printed by a professional printer and are intended for mass production. However, the materials are designed to be printed on 8.5” x 11” paper, in color or black and white. If printing from a copier/printer, please make sure to select the following before printing:

  1. Under Page Sizing and Handling, select “Flip on short edge."
  2. Under Orientation, select “Landscape."

Each of the patient and pharmacist education materials is also available in Spanish.

If you have requests for translation of materials or have questions about printing instructions, email dhsopioids@dhs.wisconsin.gov.

More information can be found at Pharmacy Society of Wisconsin Implementation Webinar and Q&A for Pharmacists.

Finding Pharmacies that Dispense Naloxone

As part of the Statewide Standing Order for Naloxone, the Department of Health Services is creating a list of the names and locations of participating pharmacies. All pharmacies that signed up and indicated they would like to have their information available to the public, who have indicated they would like their information available to be public will be added to this list.

Please note that this list may not reflect all the pharmacies that are actively dispensing naloxone, as some may not be ready to dispense or they are using their own standing order. To assist a customer, contact a nearby pharmacy to learn if they are actively dispensing naloxone.

If you are not interested in adding your pharmacy name to the list at this time, please send an email to dhsopioids@dhs.wisconsin.gov.

Last Revised: August 22, 2017