Bradley Stein @bradleydstein.bsky.social · Sep 16 States averaged a total of ~400 OTC units per million residents. By comparison, pharmacies and community programs each distributed more than 15 times as many units/million over a similar period. OTC sales were higher in some states but still fell far short of pharmacy and community distribution.
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High cost (average price nearly $45) may have limited OTC demand. But the bottom line is that while OTC approval increased naloxone availability, most people still get naloxone from pharmacies (often using insurance) or community programs