The mission of KPhA is to advocate and advance the pharmacy profession to improve the health of Kentuckians.

Naloxone Request - FR-CARA

First Responders - Comprehensive Addiction & Recovery Act


In 2019, 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 NARCAN® (naloxone) Nasal Spray training and dispensing for first responders throughout rural Appalachian counties and to increase awareness for ongoing harm reduction activities and personal safety measures for opioid exposures. To effectively implement this program, KDPH has formed partnerships with the Kentucky Pharmacists Association (KPhA), Kentucky Fire Commission, Kentucky Board of Emergency Medical Services (KBEMS) and local health departments (LHD). The project period for the FR-CARA Grant is from 09/30/2019- 09/29/2023.


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)
NOTE: Additional agencies may be eligible in the future as the program evolves over the next three years.


The FR-CARA Grant applies to the following 39 counties in Kentucky:
Bath Floyd Letcher Nicholas Wayne
Bell Harlan Lewis Owsley Whitley
Boyd Jackson Lincoln Perry Wolfe
Breathitt Johnson Magoffin Pike  
Clark Knott Martin Powell  
Clay Laurel McCreary Pulaski  
Elliott Lawrence Menifee Robertson  
Estill Lee Montgomery Rockcastle  
Fleming Leslie Morgan Rowan  


To receive NARCAN® Nasal Spray through FR-CARA, all first responders from requesting agencies must be trained to administer the drug.  Training focuses on recognizing/responding to an overdose, basic tenets of addiction, opioid exposures, roles of treatment, and harm reduction programs.  An instructor led class offering first responder training credits is available through the Kentucky Fire Commission and online through KBEMS.  Training can be requested by submitting the NARCAN® Request Form in the section below.


First responder agencies can request NARCAN® by utilizing the following process:

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

  • Step 2: Fill out the FR-CARA NARCAN® Request Form completely and be sure to indicate if training is being requested.
  • Step 3: KDPH personnel will review the request and forward to KPhA for dispensing.

  • Step 4: Approved requests will be shipped to the requesting agency.


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