FFS Naloxone | Department of Human Services | Commonwealth of Pennsylvania
Source: https://www.pa.gov/agencies/dhs/resources/pharmacy-services/ffs-naloxone
Archived: 2026-04-23 17:35
FFS Naloxone | Department of Human Services | Commonwealth of Pennsylvania
Pharmacy Services
Fee-for-Service Billing Information for Naloxone
Naloxone Standing Order
Naloxone is a medication that can reverse an overdose that is caused by an opioid drug (i.e., prescription pain medication, heroin, or illicit fentanyl). Please visit the
PA Department of Health website
for more information.
Read the Naloxone Standing Order
Generic Naloxone
Fee-For-Service (FFS) covers generic naloxone without prior authorization. Claims for naloxone should be submitted via standard billing processes.
Nasal Atomization Device
FFS will make payment for the nasal atomization device used to administer naloxone intranasally. Providers may submit pharmacy claims for the nasal atomization device using NDC 06011-2313-06.
Pharmacies will need to contact each MCO individually to obtain information about their billing procedures.
Pharmacy Services
Fee-for-Service Billing Information for Naloxone
Naloxone Standing Order
Naloxone is a medication that can reverse an overdose that is caused by an opioid drug (i.e., prescription pain medication, heroin, or illicit fentanyl). Please visit the
PA Department of Health website
for more information.
Read the Naloxone Standing Order
Generic Naloxone
Fee-For-Service (FFS) covers generic naloxone without prior authorization. Claims for naloxone should be submitted via standard billing processes.
Nasal Atomization Device
FFS will make payment for the nasal atomization device used to administer naloxone intranasally. Providers may submit pharmacy claims for the nasal atomization device using NDC 06011-2313-06.
Pharmacies will need to contact each MCO individually to obtain information about their billing procedures.