Community Naloxone Purchasing Program (CNPP)

The CNPP allows many eligible programs to purchase naloxone through the State Office of Pharmacy (SOPS).

Purpose

The goal of the CNPP is to increase distribution of free naloxone to community bystanders. CNPP-obtained naloxone is not to be billed to a patient’s insurance. For first responders such as EMS, CNPP-obtained naloxone is not to supplant the naloxone supply available for patient administration on overdose calls for service. Entities approved to be an affiliate program through CNPP will be eligible to purchase naloxone at the public interest price through SOPS. Interested entities may also apply for subsidies to cover the full cost of CNPP-obtained naloxone. All affiliate programs are expected to provide counseling on overdose prevention and training on overdose response to all persons who receive CNPP-obtained naloxone.

Program Requirements and Eligibility

  1. Application to the CNPP is open to the following entities:
    1. Any entity operating in Massachusetts authorized to dispense naloxone under the Standing Order for Community Dispensing of Naloxone (excluding municipal police or fire entities); OR 
    2. Emergency Medical Services operating in Massachusetts that are authorized to distribute leave-behind naloxone under the Massachusetts Pre-Hospital Statewide Treatment Protocols 2021.2, Section 6.13
  2. Affiliate programs must comply with all Massachusetts General Laws and regulations of the Department of Public Health in accordance with 105 CMR 700.00 
  1. Affiliate programs must establish written protocols and procedures to ensure that individuals receiving naloxone kits are properly trained. Training must meet minimum standards outlined at 105 CMR 700.00 
  1. Naloxone purchased through this mechanism must:  
    1. Be provided to all recipients at no cost; AND 
    2. Not be submitted to any recipient’s insurance for reimbursement; AND 
    3. Not be administered to an individual by affiliate program staff in the event of an overdose response, if the affiliate program is a hospital, hospital-affiliated clinic/department, or Emergency Medical Services agency.
  2. Affiliate programs must designate one staff member as the CNPP Coordinator. This person will be the main point of contact with MDPH and will take responsibility for required program activities and documentation, data tracking and reporting, and MCSR renewal. Programs must notify MDPH promptly of any program personnel changes in a timely manner.  
  3. Affiliate programs must provide MDPH with all locations where naloxone purchased through this mechanism is being delivered and stored. Programs must notify MDPH promptly of any location changes in a timely manner. 
  1. Affiliate programs must track and report data to MDPH. The frequency of reporting will be determined by the type of subsidy the affiliate program is awarded, which will be communicated by MDPH to the approved affiliate program. Reports to MDPH will include, but may not be limited to, the following metrics: 
    1. Number of naloxone doses distributed 
    2. Number of persons trained 
    3. Number of overdose reversals reported back to programs 
  2. Affiliate programs will be responsible for annual renewal of their MCSR for naloxone. MDPH will provide instructions on MCSR renewal to approved programs. 

Apply

To apply to become a CNPP affiliate program, please fill out the online application. For questions about applying for CNPP, please contact MaryKate Duska at marykate.duska@mass.gov.

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