Schools — stock epinephrine
Permitted[PERMITTED]Supply sized to enrollment.
Washington stock epinephrine law
Washington issues a statewide standing order for schools.
Last checked 2026-08-14. Every row below links to its own source.
Statewide standing order
Yes[YES]
Signed by the State Health Officer. Covers school districts and nonpublic schools, nurses and trained designated personnel. No expiration; reviewed annually.
DOH 348-1049 under RCW 43.70.827
How to get it in Washington
Two documents: a prescription in your organization's name, and a standing order saying when trained staff may use it.
- If you are a school
- the Washington standing order covers you. Register with the health department instead of finding your own prescriber.
- If you are a childcare program
- the Washington standing order does not cover you, so you will need your own prescriber to sign one.
- If you are a camp, gym, restaurant or workplace
- the Washington standing order does not cover you, so you will need your own prescriber to sign one.
Free medication, if you are a K-12 school
Washington permits nasal spray for undesignated stock use, so neffyinSchools applies here as well as EPIPEN4SCHOOLS. See both programs.
Then the devices
Buy standard auto-injectors through your usual pharmacy or medical supplier, which is what most organizations do.
Every status for Washington
Nasal spray allowed for stock use
Yes[YES]The state standing order expressly authorizes neffy 1 mg and 2 mg for age 4+. Note the NON-school entity law, RCW 70.54.440, still says 'autoinjector' — whether a Washington camp or restaurant may stock nasal spray is unresolved.
Childcare
Unconfirmed[UNCONFIRMED]Other public places
Permitted[PERMITTED]Restaurants, recreation camps, youth sports leagues, amusement parks, colleges, universities, sports arenas — list is non-exclusive.
This page is a starting point, not legal advice.
Laws change frequently and we may not have caught the latest amendment in Washington. Confirm with your state department of health or education, your district's counsel, or your medical director before relying on it.
Report an update
If something here is wrong or out of date, tell us. We'd rather hear it from you than have a school nurse act on a stale row.
Source: allergyrescuekit.com/free-epinephrine/wa · verified 2026-08-14