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Naloxone in Arkansas is available under a statewide standing order (Ark. Code 17-92-101(18)) that lets pharmacists order, dispense, and administer it, typically ready within 24 hours of a request. Arkansas has two separate, limited Good Samaritan laws: one protects anyone who administers naloxone in good faith, and a second gives immunity from possession charges to someone who calls 911 during an overdose, though that protection does not extend to people on probation. Fentanyl test strips became legal statewide on April 11, 2023, under the Fentanyl Enforcement and Accountability Act, which removed single-use fentanyl test strips from the paraphernalia definition. Formal statewide statutory authorization for syringe service programs specifically is harder to pin down; organizations providing syringes and naloxone operate around the state regardless.
The Central Arkansas Harm Reduction Project, based in Little Rock, runs a text hotline (501-438-9158) connecting people to safer-use supplies, safer-sex resources, and Medicaid enrollment help. Northwest Arkansas Harm Reduction, based in Fayetteville, partners with NEXT Distro to mail naloxone statewide. The Arkansas Department of Human Services has partnered with End Overdose and regional prevention providers on naloxone distribution, and the state reports it has reached what it calls full naloxone saturation relative to calculated need.
Because syringe program legality here is less settled than naloxone access, a group like Central Arkansas Harm Reduction is the better first call for anything beyond naloxone and test strips.
Last reviewed September 2026 by Penny Beach, PRS.
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Find agencies that offer these critical services
Safe syringe exchange programs that reduce disease transmission and provide a connection to care.
No Cost or low-cost naloxone (Narcan) distribution to reverse opioid overdoses.
Confidential testing for HIV and Hepatitis C with connections to treatment.
Basic wound care services to prevent infections and complications.
Fentanyl test strips and drug checking services to reduce overdose risk.
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Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use. It is also a movement for social justice built on a belief in, and respect for, the rights of people who use drugs.
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