Narcan® Request Form

Utilizing grant funding from the Pennsylvania Commission on Crime and Delinquency (PCCD), the Montgomery County Department of Public Safety distributes Narcan® (naloxone) nasal spray for use in response to opioid overdoses. First responders and other pre-approved organizations can receive Narcan® through this grant. 

To request a supply of Narcan®, approved organizations can click on the link below or use the QR code. After the Department of Public Safety approves or rejects the request, the requestor will receive an email.

Request Narcan® Here

Narcan Nasal Spray
QRCode for Montgomery County DPS - Narcan Request Form

Organizations not previously approved can contact the Department of Public Safety at (610) 631-6500 on weekdays between 8:00 AM and 4:00 PM to be considered for this program.

This request form is for organizations only. If you are an individual interested in receiving Narcan®, please visit or contact the Montgomery County Office of Public Health.

For training on how to properly administer Narcan®, visit