While increases in naloxone distribution are positive, pharmacies are only one stream of access, says Kimberly Sue, the medical director for the non-profit, the Harm Reduction Coalition—and one with many barriers to entry. “Community organizations work with the health department to hand out naloxone for free to people who need it, who are using drugs, and their friends and family,” she says. “That is really where we put most of our efforts. Getting it from a pharmacy is what I would call a high threshold access point.” Procuring naloxone might require navigating insurance, stigma, lack of pharmacist education, and the cost, she says. Over half of the naloxone prescriptions people picked up at pharmacies in the CDC dataset had an out-of-pocket cost, most of which were somewhere between $0.01 and $50.