Narcan Rescue Kit Registry (Free Public Service)

Narcan Rescue Kit Registry

This web site is designed to serve as an informative service. This web site allows Narcan Rescue Kit recipients to register their individual kit information for important manufacture communication WHILE protecting their individual identities.

THIS IS A FREE SERVICE FOR THE PUBLIC- Designed and Sponsored by Hayden’s Pharmacy

NARCAN, like any drug, needs to be closely monitored for its viability and integrity. This drug has an expiration date which renders the antidote inactive or less potent.

By completing the following information, we will contact you ONLY when:

The NARCAN has EXPIRED— We will offer a replacement kit and retraining.
The NARCAN has a RECALL or DEFECT. This is tracked via the drug lot number.

Partners enabling this service

Important Notice

NARCAN rescue kit recipients MUST be aware of this information that could alter the outcome. At no other point and time will consumers be contacted nor information provided be made public.

ADMINISTRATION OF DEFECTIVE OR EXPIRED PRODUCT HAS UNFAVORABLE RESULTS.

This web site is administered by Hayden’s Pharmacy as a

FREE CONFIDENTIAL PUBLIC SERVICE.

Please complete the following information:

Narcan Rescue Kit Registration

Please complete the following information:

Narcan Rescue Kit Reg

Recipient Last Name

Recipient First Name

Confirm Email

Phone (Text)

Confirm Phone (Text)

Pharmacy Location where Narcan Kit was obtained (if applicable)

Phone Number of Pharmacy where Narcan Kit was obtained (if applicable)

Training Session Date

Location Site

Drug Expiration Date

Lot Number on Narcan

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Agreement

I Agree

By using this service, you AGREE to future communications and important notifications concerning the Narcan Rescue Kits received. This information will remain confidential.

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Narcan Rescue Kit Replacement Request

Recipient Last Name

Recipient First Name

Confirm Email

Phone (Text)

Confirm Phone (Text)

If Narcan Kit was obtained from a pharmacy, please list the pharmacy name (if applicable)

Phone number of Pharmacy Location (if applicable)

Reasons for Replacement

Comments / Questions

Agreement

I Agree

By using this service, you AGREE to future communication and important directions concerning the Narcan Rescue Kits REPLACEMENT. This information will remain confidential.

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