Code Ana's Stock Epinephrine Prescription Access Program
Finding a prescriber should not be a barrier to saving lives, and it's our mission to help you leap above this hurdle.
Stock epinephrine is epinephrine prescribed to an entity, such as a school or restaurant, to be used during an allergy emergency. Epinephrine is a prescription medication. This means you must have a signed prescription (by a healthcare professional who is licensed to prescribe medications in your state) to obtain the medication.
This program gets you access to that paper prescription. We can also help you source epinephrine, i.e. we can help you obtain the medication. Schools can use the EpiPens4Schools program to obtain FREE epipens. Non-school entities typically have to pay for the medication.
Code Ana has training for how to use epinephrine. Our training is online and provides a two-year certification. We also are delighted to partner with the Allison Rose Foundation, which provides in-person training for entities requesting stock epinephrine.
Complete Parts 1 and 2 to Request a Prescription
Part 1: Enroll in the program.
To receive your entity's stock epinephrine prescription, please complete the form below.
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Part 2: Request the prescription.
You will complete either Part 2a or Part 2b.
Part 2a: Most entities will complete this "Epi Rx Request Form."
This form is for the following:
- Non-school entities (like restaurants and childcare programs)
- K-12 schools in US states EXCEPT Alabama, Louisiana, Mississippi, Ohio, or Oklahoma (these states skip to Part 2b)
Epi Rx Request Form
Use this form to request a prescription for stock epinephrine. Not sure which device to request? Here is a list of the currently available devices.
Devices available for 66 pounds and up:
AuviQ 0.3 mg, EpiPen 0.3 mg, neffy 2 mg
Devices available for 33-66 pounds:
AuviQ 0.15 mg, EpiPen 0.15 mg, neffy 1 mg
Device available for 17.5-33 pounds:
AuviQ 0.1 mg
Part 2b: K-12 Schools in Alabama, Louisiana, Mississippi, Ohio, and Oklahoma
If you are a K-12 school in Alabama, Louisiana, Mississippi, Ohio, or Oklahoma, then complete the form below.
Your completed form will be shared with our team for Dr. Hoyt's signature, after which you will receive your signed prescription to submit to EpiPen4Schools (see link below Adobe webform).
Trouble viewing it on your phone? Turn your device landscape.
Upon review and approval, you will receive your prescriber-signed forms via email. You'll then submit those forms to EpiPen4Schools.
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 forms above and reach out to us with any questions at the following email: info@codeana.org.
