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Montana lets prescribers issue naloxone directly, by standing order, or through a collaborative practice agreement to anyone at risk of overdose or a friend, family member, or other person in a position to help. A 2023 law, House Bill 437, authorized the distribution of both naloxone and fentanyl test strips together. Montana's Good Samaritan law protects anyone who voluntarily responds to a suspected overdose, amending several separate criminal provisions, including drug possession, paraphernalia possession, and protective order violations, so that responding does not trigger any of them.
The Montana Public Health Institute (MTPHI) coordinates naloxone distribution through formal agreements with Tribal organizations, county health departments, and safe syringe programs around the state, and meets regularly with the state's Addictive and Mental Disorders Division to stay aligned with the broader response. Open Aid Alliance, based in Missoula, is Montana's affiliate partner for NEXT Distro's mail-order naloxone program and provides harm reduction services directly in the community. The state has also prioritized naloxone vending machines at drop-in centers and homeless-serving sites specifically to reach people who are already coming through those doors for other reasons.
Given Montana's size and rural geography, MTPHI's network of Tribal and county partners is generally the most reliable way to find what is actually available in a specific part of the state.
Last reviewed September 2026 by Penny Beach, PRS.
Recently added agencies in Montana
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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.
Find harm reduction agencies in your state. See the national overview
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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