How to Become an Overdose Response Program (ORP)​​​

​​What is an Overdose Response Progr​​am?

MDH authorizes government agencies and community-based organizations as Overdose Response Programs (ORPs)​, allowing them to provide overdose education and dispense naloxone, also known as Narcan, through partnerships with prescribers. If you’re interested i​n​​​ becoming authorized to dispense naloxone, keep reading!​

Five Steps to Dispense Nalo​​xone at Your Organization​​

​​​Contact ​[email protected] with any questions.

  1. Start an ORP Application. Save the link to your entry so that you can continue working on it later.​
  2. Find a nurse practitioner or doctor with prescribing authority to serve as your Licensed Health Care Provider (LHCP). Your LHCP signs documents i and ii below.
  3. Prepare supporting documents.
    1. ​​Stand​ing Or​der: allows individuals without prescribing privileges to dispense naloxone under the LHCP’s license.
    2. LHCP Agreement: a commitment from your LHCP to provide naloxone and provide oversight.​
    3. Dispensing Protocol: outlines how naloxone will be distributed at your organization.
    4. Required only to ship naloxone to a residential address:
      1. 501(c)(3) documentation
      2. MMCAP waiver
  4. Attach supporting documents to your ORP application (step 1) and submit the application. MDH will reach out with any questions. Once your application is approved, you will receive an email from [email protected] with your ORP certificate attached.
  5. MDH will email you to set up a ship point and attend an online ORP orientation. You must do both before naloxone can be ordered.
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Thank you for your willingness to save a life!​​​​​

​Freque​ntly-Asked Questions​​

Last updated April 12, 2026. Page contact: [email protected]