Opioid Abatement Commission urges DC to switch to cheaper naloxone alternatives

May 30, 2025 | Committee on Health, Committees, Legislative, District of Columbia


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Opioid Abatement Commission urges DC to switch to cheaper naloxone alternatives
A significant opportunity to enhance the District of Columbia's opioid response emerged during a recent budget oversight hearing led by Chairperson Christina Henderson. The focus was on the city's naloxone distribution program, which has been hailed as one of the best in the nation.

Justin Palmer, the Chairman of the Opioid Abatement Advisory Commission, highlighted the potential for cost savings by transitioning from the current Narcan branded naloxone to a newly approved generic version. Currently, the city pays $33 per dose for Narcan, which includes two nasal plungers. However, a generic alternative is set to hit the market at a reduced cost of $27 per unit, offering a 20% savings while maintaining the same effectiveness.

Palmer emphasized the importance of this shift, noting that the generic naloxone has a 36-month shelf life, aligning with the needs of the program. He pointed out that the current provider, Emergent, has faced scrutiny in the pharmaceutical industry, suggesting that moving to a more cost-effective option could free up funds for other critical health initiatives.

As the city prepares to enter the third year of its naloxone contract, the discussion underscores a proactive approach to managing resources in the fight against opioid overdoses. The anticipated transition to the generic version could not only save taxpayer dollars but also enhance the overall efficiency of the District's health response. The committee is expected to explore this proposal further, with the potential for significant implications for public health funding in the coming years.

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