Naloxone Distribution Project Data
Since the Naloxone Distribution Project (NDP) began in October 2018, the NDP has distributed more than 8,300,000 kits of naloxone, which have been used to reverse more than 424,300 overdoses.
Figures for the Naloxone Distribution Project
Source: California Overdose Surveillance Dashboard. Prepared by California Department of Public Health (CDPH) – Substance and Addiction Prevention Branch (SAPB). Accessed December 29, 2025. https://skylab.cdph.ca.gov/ODdash/
Data - Opioid Overdoses per 100,000 Residents, 2024
- Alameda: 16.152
- Alpine: 0, not applicable
- Amador: 3.522
- Butte: 29.402
- Calaveras: 14.815
- Colusa: 15.952
- Contra Costa: 11.215
- Del Norte: 45.788
- El Dorado: 13.508
- Fresno: 13.203
- Glenn: 16.677
- Humboldt: 30.795
- Imperial: 12.71
- Inyo: 0, not applicable
- Kern: 24.138
- Kings: 11.898
- Lake: 27.78
- Lassen: 26.63
- Los Angeles: 11.383
- Madera: 8.562
- Marin: 12.018
- Mariposa: 20.02
- Mendocino: 28.482
- Merced: 10.858
- Modoc: 12.102
- Mono: 0, not applicable
- Monterey: 15.825
- Napa: 8.97
- Nevada: 19.63
- Orange: 13.727
- Placer: 8.732
- Plumas: 16.708
- Riverside: 15.358
- Sacramento: 15.312
- San Benito: 14.445
- San Bernardino: 13.475
- San Diego: 13.585
- San Francisco: 41.005
- San Joaquin: 16.31
- San Luis Obispo: 13.336
- San Mateo: 7.598
- Santa Barbara: 9.56
- Santa Clara: 6.52
- Santa Cruz: 28.852
- Shasta: 31.13
- Sierra: 42.958
- Siskiyou: 11.033
- Solano: 13.312
- Sonoma: 16.505
- Stanislaus: 22.663
- Sutter: 17.872
- Tehama: 30.242
- Trinity: 17.678
- Tulare: 10.195
- Tuolumne: 47.508
- Ventura: 17.258
- Yolo: 13.93
- Yuba: 19.53
Source: CDPH Center for Health Statistics and Informatics Vital Statistics – Multiple Cause of Death or California Comprehensive Death Files; accessed December 2025. State of California, Department of Finance, E-2. California County Population Estimates and Components of Change by Year — July 1, 2020-2025, December 2025. Naloxone kits as of April 6, 2026.
Data - Approved Naloxone Kits per 100,000 Residents, 2018-2025
- Alameda: 24,619.1
- Alpine: 124,528.3
- Amador: 58,856.6
- Butte: 35,992.3
- Calaveras: 14,852.8
- Colusa: 9,865.8
- Contra Costa: 10,573.8
- Del Norte: 82,470.1
- El Dorado: 15,464
- Fresno: 16,992.2
- Glenn: 16,434.4
- Humboldt: 96,423.1
- Imperial: 28,638.5
- Inyo: 96,834.4
- Kern: 34,908.4
- Kings: 38,656.6
- Lake: 89,049.9
- Lassen: 76,926.9
- Los Angeles: 21,010.6
- Madera: 33,501.4
- Marin: 39,594.0
- Mariposa: 8,287.7
- Mendocino: 74,101.9
- Merced: 10,377.1
- Modoc: 27,989.2
- Mono: 46,356.4
- Monterey: 50,252.8
- Napa: 19,431.8
- Nevada: 53,422.3
- Orange: 15,518.8
- Placer: 8,649.3
- Plumas: 36,888.3
- Riverside: 14,559.1
- Sacramento: 35,088.1
- San Benito: 16,913.8
- San Bernadino: 7,473.0
- San Diego: 16,955.2
- San Francisco: 69,873.4
- San Joaquin: 9,388.0
- San Luis Obispo: 37,463.4
- San Mateo: 6,444.5
- Santa Barbara: 16,493.4
- Santa Clara: 10,674.8
- Santa Cruz: 56,701.6
- Shasta: 29,811.6
- Sierra: 49,824.3
- Siskiyou: 40,001.9
- Solano: 20,855.6
- Sonoma: 30,269.3
- Stanislaus: 22,331.6
- Sutter: 17,445
- Tehama: 19,276.4
- Trinity: 17,005.1
- Tulare: 4,418.0
- Tuolumne: 84,708.0
- Ventura: 12,374.3
- Yolo: 13,622.0
- Yuba: 39,222.1
Approved applications as of April 6, 2026.
Data - NDP Applications by Type of Organization
- Clinics and FQHCs: 984
- Community Organizations: 2,440
- County Health Agency: 1,513
- EDs and Hospitals: 1,283
- Fire and EMS: 1,095
- Harm Reduction: 1,513
- Law Enforcement: 3,268
- Local City Agency: 159
- Other: 148
- Schools and Colleges: 3,368
- Substance Use Recovery Facility: 1,548
- Tribal: 376
- Unhoused Services: 1,176
Total naloxone kits (intramuscular naloxone and nasal naloxone) approved as of April 6, 2026.
Data - Naloxone Kits Approved by Formulation
- Intramuscular (IM) Naloxone: 663,000
- Nasal Naloxone Spray: 7,659,324
Total naloxone kits (intramuscular naloxone and nasal naloxone) approved as of April 6, 2026.
Data - Naloxone Kits by Type of Organization
- Clinics and FQHCs: 398,284
- Community Organizations: 888,068
- County Health Agency: 1,348,668
- EDs and Hospitals: 538,216
- Fire and EMS: 168,124
- Harm Reduction: 2,362,780
- Law Enforcement: 1,084,872
- Local City Agency: 43,176
- Other: 22,572
- Schools and Colleges: 469,272
- Substance Use Recovery Facility: 384,000
- Tribal: 153,240
- Unhoused Services: 461,052
Total naloxone kits (intramuscular naloxone and nasal naloxone) approved as of April 6, 2026.
Data - Naloxone Kits by Law Enforcement & Criminal Justice Organizations
- CDCR: 559,704
- City Police: 158,232
- Jail: 77,316
- Other Law Enforcement: 43,176
- Probation: 56,484
- Sheriff: 158,076
- Transit Police: 23,100
- University Police: 8,784
Total naloxone kits (intramuscular naloxone and nasal naloxone) approved as of April 6, 2026.
Data - Naloxone Kits Approved by Community Organization
- Community Coalitions: 340,372
- Libraries: 23,808
- Other Community Organizations: 402,220
- Religious: 116,880
- Veteran: 4,788
Total naloxone kits (intramuscular naloxone and nasal naloxone) approved as of April 6, 2026.
Data - Naloxone Kits by Fire, EMS, and First Responders
- Disaster Relief: 1,140
- Emergency Medical Services: 50,112
- Fire Authorities: 89,368
- First Responders: 26,160
- Other First Responders: 1,344
Reported reversals as of April 6, 2026.
Data - Reported Naloxone Reversals by Type of Organization
- Clinics and FQHCs: 14,699
- Community Organizations: 18,471
- County Health Agency: 84,540
- EDs and Hospitals: 11,874
- Fire and EMS: 18,014
- Harm Reduction: 228,093
- Law Enforcement: 21,693
- Other: 2,750
- Substance Use Recovery Facility: 4,702
- Tribal: 2,832
- Unhoused Services: 16,648
Approved applications as of April 6, 2026.
Data - Fentanyl Test Strip Applications by Type of Organization
- Clinics and FQHCs: 257
- Community Organizations: 826
- County Health Agency: 276
- EDs and Hospitals: 253
- Fire and EMS: 85
- Harm Reduction: 265
- Law Enforcement: 140
- Local City Agency: 38
- Other: 33
- Schools and Colleges: 609
- Substance Use Recovery Facility: 395
- Tribal: 101
- Unhoused Services: 312
Fentanyl Test Strips approved as of April 6, 2026.
Data - Fentanyl Test Strip Units Approved by Type of Organization
- Clinics and FQHCs: 597,500
- Community Organizations: 1,423,000
- County Health Agency: 727,000
- EDs and Hospitals: 379,000
- Fire and EMS: 106,500
- Harm Reduction: 971,500
- Law Enforcement: 135,500
- Local City Agency: 68,000
- Other: 34,000
- Schools and Colleges: 702,600
- Substance Use Recovery Facility: 638,500
- Tribal: 168,000
- Unhoused Services: 586,500