WHY NALOXONE NEAR ME?

Naloxone is a highly effective medication for reversing opioid overdoses. There are multiple sources of naloxone in each county, including no-cost sources and pharmacies, but people often do not know where to find it. The goal of this website is to inform the public about what sources of naloxone are available in their county. For counties with lower availability, the scorecard can be used to help inform decisions about what sources could be enhanced or added to improve naloxone availability.

2023 COUNTY NALOXONE AVAILABILITY SCORE DASHBOARD

Browse the North Carolina County explorer and download the county profiles.

VIEW DASHBOARD

About the Study

Data for this study reflect known sources of naloxone from 2023. This study was supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under Award Number R01MD018085. The entire project was funded with Federal money. The content on the website is solely the responsibility of the study team and does not necessarily represent the official views of the National Institutes of Health 

We would like to acknowledge our Naloxone Advisory Board for their invaluable guidance and feedback as well as the 31 individuals who participated in the modified Delphi process. We would also like to acknowledge Carolina Demography for website and scorecard development.  We would also like to acknowledge Caroline Shubel for logo development.

About the Naloxone Availability Score

Sources of data for the score include Medicaid claims data, private insurance claims data, secret shopper studies of community pharmacies, and a survey of programs that distribute no-cost naloxone. A total of 31 naloxone distribution experts in NC engaged in a 2-stage modified Delphi process to reach consensus on which naloxone sources to include in the score as well as the weighting of those sources. A geographically, organizationally, and racially diverse Community Advisory Board then met to make minor adjustments to the final weighting algorithm.

The highest score a county can receive is 100, which would mean that all 14 naloxone sources included in the Naloxone Availability Score are present in that county. Sources that have higher weights were deemed to be more impactful for increasing naloxone availability.

RESOURCES

Naloxone locator resources

https://naloxonesaves-nc.org

Publications from the naloxone availability study

  • Carpenter, D. M., Marley, G. T., Annis, I. E., Delamater, P., & Egan, K. L. (2025). Over-the-counter naloxone availability at North Carolina community pharmacies: A secret shopper study. Drug and Alcohol Dependence, 267, 112545. https://www.sciencedirect.com/science/article/pii/S0376871624014704
  • Marley, G. T., Annis, I. E., Egan, K. L., Delamater, P., & Carpenter, D. M. (2024, July). Naloxone availability and cost after transition to an over-the-counter product. In JAMA Health Forum (Vol. 5, No. 7, pp. e241920-e241920). https://jamanetwork.com/journals/jama-health-forum/fullarticle/2821582
  • Marley, G., Annis, I.E., Ostrach, B., Egan, K., Delamater, P.L., Bell, R., Dasgupta, N. and Carpenter, D.M. (2024). Naloxone accessibility by standing order in North Carolina community pharmacies. Journal of the American Pharmacists Association, 64(3), p.102021. https://www.sciencedirect.com/science/article/pii/S1544319124000232
  • Marley G, Shubel C, Thorpe CT, et al. Examining geographic disparities in access to no-cost naloxone in North Carolina: A cross-sectional survey of naloxone distribution programs. J Rural Health. 2025; 41:e70069. https://doi.org/10.1111/jrh.70069