FDA Approves Narcan To Be Sold Over The Counter This week, the FDA approved selling Narcan — the leading nasal spray version of naloxone — without the prescription, making it the first opioid treatment drug sold available over the counter.Celebrating a huge move in increasing access to the life-saving drug, advocates have long-sought to make Narcan more widely available. Related | Chi Ossé and Keith Powers Want Narcan Kits in Every BarWith the power to reverse overdoses from heroin, fentanyl and oxycodone when correctly administered, Narcan has been instrumental in harm reduction and death prevention. Fatal overdose rates reached the highest total in two decades in 2021 with nearly 2,700 drug related overdose deaths across the city and more than 100,000 deaths a year nationwide. Distributed primarily to people most likely to be around overdoses, advocates have equipped and trained drug users and their relatives on how to administer Naloxone. Police and first responders have also been equipped with the drug. In New York City, activists have worked to equip bars and restaurants with Narcan kits and training as part of the Narcan Behind Every Bar program, codified into law this year by Councilman Ossé’s Intro 56 bill.With prescription restrictions removed, Narcan could become more widely accessible and administered. “While Narcan provides a practical solution to a pervasive problem, making it available over the counter demonstrates our humanity," Chuck Ingoglia, president and CEO for the National Council for Mental Wellbeing, said in a statement Wednesday. "Narcan represents a second chance. By giving people a second chance, we also give them an opportunity to enter treatment, if they so choose."Here’s everything you’ll need to know:How will the NARCAN over-the-counter work?Narcan will be available in pharmacies over-the-counter by late summer, according to Emergent BioSolutions. Other brands of naloxone and injectable forms will not be available for the time being but could be soon, with the FDA now requiring manufacturers of generic naloxone to submit applications to switch their drugs to be sold over the counter. Emergent BioSolutions has not yet announced the price of the drug, which can cost around $130 to $140 for a kit that includes two doses, as opposed to generic brands which can cost between $20 and $40 per dose.FDA Commissioner Robert Califf urged Emergent to make the drug available “at an affordable price.” Narcan's over-the-counter status could also affect insurance coverage for the previously prescribed drug. In New York, the multi-step nasal spray costs about $85 and the single step $150 for uninsured patients. Does the FDA’s OTC ruling make Naloxone more accessible? The ruling would make Narcan more widely-attainable and could open the door for places without pharmacies, like convenience stores, supermarkets and online retailers to stock and sell the drug, making it more widely accessible to people not actively seeking services or in recovery.It also removes barriers for people concerned about getting naloxone at pharmacies because it will alert their insurers. Removing the prescription can also help ease the stigma for people picking up the drug. How can you get Narcan in New York?Not all pharmacies currently carry Narcan. In New York State, pharmacies can dispense naloxone with non-patient specific prescriptions, meaning you do not need to have your own prescription to obtain naloxone. In New York City, there is no age limit to obtain naloxone, but pharmacists may refuse to give it to people under age 16. They may also ask to see an ID for record-keeping, but ID is not required to obtain naloxone. Pharmacists should provide a short training and written instructions on administering the easy-to-use drug. The New York State Department of Health also offers training sessions and videos on best practices on harm reduction. Photo via Getty/ UCG https://www.papermag.com/fda-otc-narcan-2659709746.html








