Naloxone Request - FR-CARA

First Responders - Comprehensive Addiction & Recovery Act


In 2023, the Kentucky Department for Public Health (KDPH) was awarded the First Responders- Comprehensive Addiction and Recovery Act (FR-CARA) Grant by The Substance Abuse and Mental Health Services Administration (SAMHSA). The goal of the
FR-CARA Grant in Kentucky is to expand naloxone training and dispensing to first responders throughout rural counties and to increase awareness for ongoing harm reduction activities and personal safety measures for opioid exposures. KDPH is partnering with the Kentucky Pharmacists Association through the Kentucky Pharmacy Education and Research Foundation to distribute naloxone to first responder agencies.  The project period for the FR-CARA Grant is from 09/30/2023- 09/29/2027.


Currently, the FR-CARA Grant applies to the following types of agencies:
  • Correctional Facilities (Detention Centers, Jails, Prisons, etc.)
  • Emergency Management Agencies
  • Emergency Medical Services (EMS)
  • Fire Departments (Career & Volunteer)
  • Law Enforcement Agencies (Constable, Fish and Wildlife, Police, Sheriff, State Police, etc.)  
  • Park Ranger Services
  • Quick Response Teams
  • Search and Rescue Teams 
  • Public Safety Offices (College, K-12 Schools, Universities)


The FR-CARA Grant applies to the following counties in Kentucky:
Adair Clay Henderson Lewis Morgan Rowan
Bath Elliot Henry Lincoln Muhlenberg Scott
 Bell Estill Jackson Livingston Nelson Simpson
Bourbon  Fleming Jessamine Logan Nicholas Taylor
 Boyd Floyd Johnson Magoffin Owsley Washington
 Boyle Franklin Knott Marion Pendleton Wayne
 Bracken Gallatin Knox Martin Perry Whitley
 Breathitt Garrard Laurel Mason Pike Wolfe
 Breckenridge Grant Lawrence McCreary Powell
Carroll Greenup Lee Menifee Pulaski
Carter Harlan Leslie Mercer Robertson
Clark Harrison Letcher Montgomery Rockcastle


To receive Naloxone Nasal Spray through the FR-CARA grant, all first responders from requesting agencies must be trained to administer the drug.  Training focuses on how opioids and naloxone work, relative risks of fentanyl exposure, risk factors for opioid overdose, how to recognize/respond to an opioid overdose including how to administer and to properly store naloxone. An instructor-led class offering first responder training credits is available through online KY TRAIN or by live zoom from the Kentucky Pharmacists Association. Training can be requested by submitting the Naloxone Request Form in the section below.


First responder agencies can request naloxone and training by utilizing the following process:

  • Step 1: Click the following link  to access the Naloxone Request Form.

  • Step 2: Fill out the Naloxone Request Form completely and be sure to indicate if training is being requested for staff.
  • Step 3: KDPH personnel will review and approve the request and forward to KPhA for distribution

  • Step 4: Approved naloxone requests will be shipped to the requesting agency or partnering LHD, if required.


Agencies that receive naloxone through the FR-CARA Grant must adhere to reporting requirements to support the program's goals, objectives, and continued funding. Agencies will report Naloxone usage/distribution by following agency-specific protocols AND by completing the Naloxone Data Collection Form using the following link or by emailing a written report to