NIGP 26912: Autonomic Drugs

NIGP 26912 Autonomic Drugs, an Item code, encompasses naloxone, direct-to-manufacturer prescription programs, and related pharmaceutical products procured by state health agencies, county health departments, and local public-safety entities to support community health initiatives, emergency response, and pharmacy benefit management. Recent state and local solicitations show demand for naloxone supply contracts, therapeutic pharmacy programs that bypass traditional pharmacy benefit managers and group purchasing organizations, and substance-abuse treatment services that integrate pharmacological and counseling components. Issuing bodies include county health departments and offices (Seminole County, Florida), state health and human services commissions (Texas HHS Commission), and county district attorney offices managing offender diversion and treatment programs. The work ranges from straightforward naloxone procurement with quarterly delivery schedules to complex vendor-capability assessments for direct-to-manufacturer prescription fulfillment models and integrated offender treatment programs combining drug-and-alcohol awareness education with certified counselor-led substance abuse treatment.

Solicitation activity appears concentrated in Florida and Texas, with recent examples including Seminole County's IFB for 1,900 units of naloxone and 800 safe drug deactivation systems annually (posted June 30, 2026, due July 26, 2026) and the Texas HHS Commission's Request for Information on Therapeutic Pharmacy Initiative direct-to-manufacturer prescriptions (posted April 3, 2026). The County of Orange (California) Office of the District Attorney posted an RFP for Deferred Entry of Judgment and Offender Treatment Programs Training Services (posted March 28, 2026) that included substance abuse treatment delivery. Vendors pursuing this code should expect requirements for drug-free workplace certification, E-Verify compliance, appropriate professional licenses and certifications for clinical staff, and insurance coverage including commercial general liability and workers' compensation. Set-aside programs such as Local Small Business and Disabled Veteran Business Enterprise certifications are available in some jurisdictions and can receive preference-scoring adjustments.