Stock Epinephrine Access Program

Please sign the agreement below. 

It may ask you to confirm your email (in your inbox) before it accepts your submission.

(On your phone? Turn it landscape to see the Adobe form below.)

The Fine Print

Although we do not dispense medications, we are committed to helping schools and non-schools entities obtain stock epinephrine and other life-saving medications. Please complete the form above and reach out to us with any questions: epi-request@codeana.org.