Find Harm Reduction Agencies

How to Access: No Cost naloxone (Narcan) nasal spray kits available during regular business hours, no healthcare professional required. For syringe exchange, IDEA Orlando (Orange County's Infectious Disease Elimination Act program) operates separately at 4122 Metric Drive, Winter Park.

How to Access: No Cost naloxone (Narcan) nasal spray kits available during regular business hours, no healthcare professional required. For syringe exchange, IDEA Orlando (Orange County's Infectious Disease Elimination Act program) operates separately at 4122 Metric Drive, Winter Park.

How to Access: "Overdose prevention and response supplies, including naloxone and fentanyl testing strips." Thu 12-4pm.

How to Access: Note: this listing appears to duplicate 'Detroit Recovery Project'.

How to Access: Impact Exchange public health vending machine network. Launched by Trac-B Exchange in 2017 - the first-in-the-nation public health vending machine program. Requires a no-cost vending card (ID needed to register); dispenses syringes, naloxone, pregnancy tests, safe sex kits, hygiene/first-aid kits, and sharps containers. A 2022 study found 41 fewer opioid overdose fatalities than predicted in Clark County the year after naloxone was added to the machines. Hosted by the Division of Child & Family Services - Elko.

How to Access: Dose of Hope - call to confirm current harm reduction services.

How to Access: No Cost HIV and syphilis testing; naloxone and fentanyl test strip vending machines installed at 5 Omaha locations via county partnership. Syringe exchange is illegal in Nebraska under state drug paraphernalia law.

How to Access: Dubuque Harm Reduction, part of the Iowa Harm Reduction Coalition's mobile outreach serving Dubuque County.