Naloxone Usage Reporting Form
This form helps us understand how the naloxone we provide is being used in our community. All responses are completely anonymous.
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In addition to requesting a replacement kit from GO Health, naloxone is available for pickup today at all pharmacies in New York State without a prescription. If you have prescription coverage through your health insurance, the Naloxone Copay Assistance Program will cover your copay up to $40. No enrollment is needed.
You can also send a text to 716-225-5473 to have free naloxone mailed to you by our partners at the Erie County Department of Health.