Free Take-Home Naloxone at Emergency Departments

A Low-Burden, Hospital-Based Model for Direct Naloxone Dispensing

City of Richmond and Statewide, Virginia | VCU Medical Center
VIRGINIA Pop. 8.9M Statewide Launched 2025
Downtown Richmond, Virginia skyline at dusk seen from across the James River, with a railroad trestle in the foreground
Lead Agency
VCU Medical Center (Virginia Commonwealth University Health)
Location
City of Richmond and statewide, Virginia
Year Launched
2025 (built on a take-home naloxone program piloted at VCU Health beginning in 2022)
Opioid Settlement
100% (a $500,000 award from the Virginia Opioid Abatement Authority over two years)
People Served
54 emergency departments enrolled to date; more than 10,000 free naloxone kits sent to participating EDs
Service Type
Naloxone Distribution
54
Emergency Departments
Enrolled in Year 1
10K+
Free Naloxone Kits
Sent to emergency departments
63%
Lower Death Risk
After emergency department take-home naloxone

The Virginia Naloxone Project uses opioid settlement funds to buy naloxone for emergency departments, enabling clinicians to hand patients a take-home kit at discharge instead of a paper prescription that often goes unfilled. In its first year, it reached 54 emergency departments across the Commonwealth.


The Challenge They Were Addressing

Patients who come to an emergency department after an opioid overdose are among the most likely to overdose again. A study at VCU Health found that roughly 5 percent of patients who present to the ED for a nonfatal overdose die within a year of that visit. The emergency department is often the first and sometimes the only point of contact these patients have with the health system, which makes it one of the best places to put naloxone directly into their hands.

The standard practice was to send patients home with a paper prescription for naloxone. As the project team put it, that prescription rarely gets filled. Most state pharmacy rules also require specific storage, labeling, and dispensing steps, making it difficult to dispense naloxone directly to an at-risk patient before discharge. So the medicine that could prevent the next overdose rarely left the building with the person who needed it.

The reason hospitals had not solved this was money, not willingness. Payers do not reimburse take-home naloxone, so a health system that dispenses kits in the ED absorbs the cost of the medication and has no way to recover it. That single fact, described by the project lead as the primary barrier and the heaviest lift, kept most emergency departments from starting a program even when their clinicians wanted one.


What They Built

The Virginia Naloxone Project directly removes the cost barrier. It uses opioid settlement money to purchase naloxone and provides it free to any Virginia emergency department that enrolls. Once an ED is set up, a clinician can order a take-home kit in the electronic health record for any patient deemed at risk. A nurse retrieves the kit from the automated dispensing cabinet, labels it, counsels the patient on how to use it, and the patient walks out with naloxone in hand. Each kit holds two 4 mg intranasal naloxone spray devices and instructions for use.

The project began at VCU Health and Carilion Clinic and grew from there. With the settlement award in place, the team expanded to 54 additional emergency departments across the Commonwealth, working toward the goal of reaching every ED in Virginia. The team starts with the largest health systems first, because a single system can carry many sites at once: VCU runs seven emergency departments, Carilion ten, and Inova fourteen.

Enrollment is designed to be low-burden for the hospital. A participating ED receives free naloxone, a step-by-step implementation toolkit, technical assistance throughout setup, and monthly data reports on the number of kits it has dispensed. The toolkit is the part that carries most of the administrative weight. It walks a hospital pharmacist through the Virginia Board of Pharmacy rules, the statewide standing order, the labeling and recordkeeping requirements, and the steps to build the order set and stock the dispensing cabinet, so each site is not solving the legal questions on its own.

Reaching the systems where the team already had relationships was straightforward. The harder work is the long tail of roughly 40 remaining hospitals where the team does not yet have an agreement. That outreach runs on cold emails and a one-page summary that explains what the project is, that it comes at no cost to the hospital, and that a toolkit will guide the pharmacy team through setup.

Key Program Components

Free naloxone supplied by the project
Settlement funds buy the medication, and the project ships it to enrolled emergency departments at no cost, which removes the non-reimbursement barrier that kept hospitals from starting.
Direct dispensing at ED discharge
A clinician orders a take-home kit in the electronic health record for an at-risk patient; a nurse retrieves it from the automated dispensing cabinet, labels it, and counsels the patient, so the medicine leaves with the person instead of as an unfilled prescription.
Implementation toolkit for pharmacists
A Virginia-specific guide that walks the hospital pharmacy team through the standing order, Board of Pharmacy labeling and recordkeeping rules, EHR order-set build, and dispensing-cabinet setup step by step.
Technical assistance during setup
Project staff help each new site work through the legal and operational steps and answer questions as the ED stands up its program.
Monthly data reports
Each participating ED receives a monthly report on naloxone kits dispensed, giving the project and the hospital a running picture of distribution volume.
One-page outreach summary
A short explainer that the team emails to hospitals it does not yet know, stating what the project does, that participation is free, and that the toolkit handles the procedural detail.

Who You Need at the Table

Required Partners
Role
VCU Medical Center (Lead Agency)
Founded and runs the project, purchases and ships naloxone, maintains the toolkit, provides technical assistance, and leads statewide enrollment.
Virginia Opioid Abatement Authority
Awarded the $500,000 in settlement funds that pay for the naloxone, the supply that makes the program possible.
Enrolling emergency departments and hospital systems
Build the EHR order set, stock the dispensing cabinet, dispense kits at discharge, and report distribution data. Early systems included VCU, Carilion, and Inova.
Hospital pharmacy teams
Implement the take-home kit process in line with Board of Pharmacy rules; the toolkit is written for them.
Helpful Partners
Role
Virginia Hospital and Healthcare Association (VHHA)
Lends statewide legitimacy and helps the project reach hospital systems and the right contacts.
Virginia College of Emergency Physicians (VACEP)
Connects the project to emergency physicians across the state and supports outreach and credibility.
The Naloxone Project (national nonprofit)
Provides the model, public toolkits, and technical expertise; VNP was its first chapter outside Colorado.

What made a willing partner essential vs. optional?

The required partners are those that supply, pay for, and dispense the medication. The Opioid Abatement Authority funds naloxone; The Naloxone Project buys and ships it; and each enrolling emergency department and its pharmacy team does the work of standing up the program and getting kits into patients' hands. Without any one of those, there is no program.

The helpful partners open doors. The Virginia Hospital and Healthcare Association and the Virginia College of Emergency Physicians lent the project legitimacy and access to systems and physicians it would not have reached on its own. The Naloxone Project, the national nonprofit that started in Colorado and counts Virginia as its first sibling chapter, provides the underlying model and public toolkits that a new state or a single hospital can adopt and adapt.


Budget Breakdown

$500K
Total Project Budget
Over two years
100%
Opioid Settlement Funding
$500,000 from the Virginia Opioid Abatement Authority
$75K
Minimum Viable Budget
For a county or single hospital starting small
Operations Budget
Housed within VCU Medical Center, clinical dispensing runs through existing ED and pharmacy operations at each site.
Primary Funding Source
Virginia Opioid Abatement Authority (opioid settlement funds)
Additional Funding
None; the project is 100% opioid settlement funded
Budget Category
Amount
Notes
Medication (Naloxone)
The majority of the budget
The majority of the award buys naloxone kits shipped free to enrolled EDs. The project lead estimates the funded naloxone supply is about 90 percent of what makes the program work.
Personnel/Staffing
Limited
Project coordination, outreach, and technical assistance are handled by a small VCU-based team alongside existing roles, rather than by a large, dedicated payroll.
Treatment/Clinical Services
Included in hospital operations
Dispensing, counseling, and any treatment referrals are provided by existing ED clinicians and pharmacy staff at each site and are not charged to the award.
Technology/Data Systems
Minimal
Each ED builds the naloxone order set inside its own electronic health record; the project compiles monthly distribution reports.
Training & Capacity Building
Included in toolkit and TA
Hospital teams are trained through the implementation toolkit and project technical assistance rather than a separate training line.
Supplies/Equipment
Included with kits
Each kit contains two 4 mg intranasal naloxone devices and use instructions; dispensing-cabinet stocking handled at the site.
Outreach Materials
Small allocation
A one-page summary and toolkit distribution support enrollment of new hospitals.
Admin/Indirect
Standard VCU rate
VCU Medical Center applies standard indirect allocation as the lead agency.

What is the minimum viable budget to replicate this?

The medication is the budget. Because take-home naloxone is not reimbursed, the money has to cover the kits themselves; that is the spend that turns a willing hospital into an active one. A county or single hospital starting small does not need a large staff or new technology. With roughly $75,000, it could buy a real supply of naloxone, lean on the publicly available toolkit from The Naloxone Project for the legal and procedural steps, and run dispensing through the ED clinicians and pharmacists already on shift. The floor is a funded naloxone supply plus one ED willing to build the order set and dispense at discharge.


What Worked and Why

Specific decisions or design features that drove success

Buying the naloxone and giving it away free was the decision that made everything else possible. Hospitals were not refusing on principle; they were refusing because they would incur an unreimbursed cost. Offer them free naloxone, and the main reason to say no disappears. The project lead called the free medication the activation energy for the program and estimated it accounts for about 90 percent of what makes the work succeed.

Starting with the largest health systems gave the project scale quickly. One system enrollment can bring many emergency departments online at once, since VCU runs seven EDs, Carilion ten, and Inova fourteen. Beginning where the relationships already existed, let the team build volume and a track record before turning to the harder, one-at-a-time outreach.

Putting the administrative weight into a toolkit kept the lift light for each hospital. The heaviest non-cost work is meeting the Board of Pharmacy labeling and recordkeeping rules and building the order set. The Virginia-specific toolkit walks a pharmacist through those steps, so a new site is not interpreting regulations alone, and clinicians can focus on the patient in front of them.

Once the cost barrier is gone, clinician buy-in comes easily. The team expected pushback and skepticism and saw very little. Physicians and pharmacists generally see dispensing naloxone as plainly good for their patients, so many moved quickly within their own organizations to get a program running, even though they knew it meant some extra setup work.

“When you offer a health system free naloxone, that is the activation energy to get the program started. The funding that lets us provide naloxone is about 90 percent of what makes this successful.”
Dr. Brandon Wills, Virginia Naloxone Project, VCU Medical Center

Early outcomes and data

  • 54 emergency departments were enrolled across Virginia in the first year, to reach every ED in the Commonwealth, leaving fewer than 50 to recruit.

  • More than 10,000 free naloxone kits sent to participating emergency departments.

  • Early systems, VCU, Carilion, UVA and Inova, together account for many of the enrolled sites, since each operates between seven and fourteen EDs.

  • A peer-reviewed VCU Health study found a 48 percent lower risk of a subsequent ED overdose and a 63 percent lower risk of death within six months among overdose patients after the ED take-home naloxone program started.

  • In that study, death within six months fell from 5.6 percent before the program to 2.0 percent after among patients who first presented with an opioid overdose.

  • Each enrolled ED receives a monthly report on the number of naloxone kits dispensed.


Replication Guide
How to Replicate This Model
Minimum viable version
A county or single hospital can run a scaled version of this model with three things: a funded supply of naloxone, one emergency department willing to dispense it at discharge, and a toolkit to handle the legal and procedural steps. The medication money is the part that cannot be skipped because the entire point is to cover costs the payer will not. Everything around it can flex.
First three steps
1
Secure money to buy the naloxone itself This is the step that opens the rest. Because take-home naloxone is not reimbursed, a hospital will hesitate to provide it until the medication is paid for. Opioid settlement funds are a natural fit; line up a supply of kits before approaching any ED.
2
Call The Naloxone Project and use its toolkit The national nonprofit, which began in Colorado, offers public toolkits and technical expertise to new states and individual hospitals. Start from its materials rather than building the legal and procedural framework from scratch, then adapt the toolkit to your own state's pharmacy rules.
3
Enroll your largest or most willing emergency department first Begin where you have a relationship or where a multi-site system can bring several EDs online at once. Help that site build the EHR order set, stock the dispensing cabinet, and train staff, then use its early data to recruit the next hospitals.
Common Pitfalls
Trying to launch without funding the medication The cost of naloxone is the barrier, not the clinician's willingness. A program that asks hospitals to absorb an unreimbursed expense will stall; secure the naloxone supply first.
Underestimating the cold outreach effort Reaching hospitals where you have no contacts is slow work. Plan for sustained outreach, a clear one-page explainer, and help from state hospital and physician associations to find the right people.
Leaving each site to interpret pharmacy rules alone Labeling, recordkeeping, and the standing order are the heaviest non-cost lifts. A shared, state-specific toolkit keeps every new ED from re-solving the same legal questions.
Assuming uniform uptake across hospitals Some systems move fast, and others go quiet. Track enrollment and dispensing by site and focus outreach where a champion is ready to push the program forward internally.
Relying only on paper prescriptions Sending patients home with a prescription rather than a kit merely recreates the original problem, since those prescriptions are rarely filled. The kit has to leave with the patient.

Lessons Learned

  • Pay for the medicine, and the rest will follow. The team learned that the one move that changes everything is removing the cost. Once the naloxone is free, hospitals that had hesitated for years are willing to do the setup work, because the clinical case was never the obstacle.

  • Start where the relationships already are. Enrolling large systems the team already knew, and where one system means many EDs, built scale and credibility quickly. The cold-contact hospitals can come once there is a track record to point to.

  • Expect less resistance than you fear. The team braced for skepticism about credentials and motives and met very little. Most clinicians saw dispensing naloxone as plainly good for patients and moved quickly once the cost was addressed.

  • Put the hard rules into a toolkit once. Writing the Board of Pharmacy and standing-order requirements into a single step-by-step guide spared every new site from having to interpret the regulations on its own and made the program an easy lift.

  • Plan the long tail of outreach early. Reaching the last 40 or so hospitals where the team has no contact is the slow part of going statewide. Budgeting time and a clear pitch for that outreach from the start would have smoothed the path.

“People have bought into it so quickly and pushed the go button within their organization, saying this is extra work, but it is worth it, and it will help our patients.”
Dr. Brandon Wills, Virginia Naloxone Project, VCU Medical Center

Primary Contact
Dr. Brandon Wills
Virginia Naloxone Project, VCU Medical Center
ED Enrollment Contact
Ryan Tsipis, The Naloxone Project
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