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

What is an Overdose Response Program?

MDH authorizes government agencies and community-based organizations as Overdose Response Programs (ORPs), allowing them to provide overdose education and dispense naloxone through partnerships with prescribers.

If you’re interested in becoming authorized to dispense naloxone, keep reading!

Ten Steps to Dispensing Nalo​​xone at Your Organization​​

  1. ​Confirm your organization’s eligibility. Are you located in Maryland and any of the following?
    1. ​​Nonprofit organization
    2. Government Agency
    3. MOUD (Medication for Opioid Use Disorder) Provider
  2. Find a nurse practitioner or doctor with prescribing authority to serve as your Licensed Health Care Provider (LHCP).
  3. Download our templates and fill them out. Your LHCP will need to sign forms i and ii. Contact with any questions.
    1. ​​ Naloxone Standing Order: allows individuals without prescribing privileges to dispense naloxone under the LHCP’s license.
    2. Licensed Health Care Provider 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. Start an ORP application and upload forms i, ii, and iii to the application. Submit the application. Wait for an email from with ORP authorization, your certificate, and more information on steps 5-10.
  5. Schedule a new ORP Orientation.
  6. Set up your naloxone ship point.
    • CHRS Operations & Compliance Division will email you to confirm contact information and operating hours.
  7. Place an order for naloxone and fentanyl test strips (FTS). Gather other naloxone kit supplies (bags, face shields, gloves, etc.).
  8. Put naloxone kits together, label them, then dispense them!
    • Note: You will collect information on the kit recipient with the Trainee Registration Form provided by CHRS (available in English and Spanish).
  9. Submit ORP Training Reports to CHRS on a monthly basis.
    • Note: Keeping distribution data organized throughout the month makes reporting easy. One-on-one trainings can be batched into one monthly entry for all trainings of that particular setting type. See our ORP Reporting Guidance for more details.
  10. Complete naloxone use reports​ when clients tell you they’ve used their naloxone.​​

​Freque​ntly-Asked Questions​​

​Ce​​​nter f​​or Harm Reduction Services Pa​ge​​s​​​