NEXT Distro
NEXT Distro is a 501(c)(3) nonprofit operating a mail-based harm reduction platform that distributes free naloxone, sterile syringes, and fentanyl test strips to people who use drugs across 34+ U.S. states via a network of 30+ affiliate harm reduction programs and state health department partnerships.
- Company typePrivate
- Founded2017
- HeadquartersNew York, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
What NEXT Distro does
NEXT Distro operates an online and mail-based harm reduction service designed to reduce opioid overdose deaths, prevent injection-related disease transmission, and serve people who use drugs who face barriers to in-person syringe exchange programs. The organization is a program of Next Harm Reduction, Inc., a 501(c)(3) nonprofit (EIN 83-1333112) headquartered at 22 West 27th Street, 5th Floor, New York, NY, founded in 2017. NEXT Distro's core technology is a mail-based ordering and distribution platform that consolidates enrollment, training (video plus quiz), and backend data management, routing requests through a network of 30+ state and local harm reduction affiliate programs that pack and ship supplies. Core products include Naloxone by Mail (available as Narcan nasal spray and intramuscular naloxone formulations), a Syringe Access Program distributing sterile syringes, sharps containers, alcohol pads, and condoms, and Fentanyl Test Strips by Mail — all provided free of charge to end recipients.
NEXT Distro serves individuals who use drugs, community overdose responders (friends and family), and the general public (advocates and donors), with a primary focus on populations constrained by geography, stigma, criminalization concerns, or lack of local harm reduction infrastructure. The go-to-market combines a direct-to-consumer web enrollment model with a channel-partner motion in which state health departments (California, Michigan, North Dakota, Wisconsin, Ohio, and the NYC Health Department) fund the program and contract NEXT to provide backend platform administration, technical assistance, and program oversight. Revenue is sourced from individual donations (Venmo, PayPal, CashApp, Amazon wish list), foundation grants covering syringe program start-up costs and capacity expansion, and small per-program fees paid by state health departments for backend administration and technical assistance. As of the input data, NEXT Distro operates mail-based naloxone distribution in 34+ states and syringe access programs in 5 states, with a stated 50-state expansion strategy.
NEXT Distro firmographics
Firmographics- Name
- NEXT Distro
- Legal name
- Next Harm Reduction, Inc.
- Website
- https://nextdistro.org
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- NEXT Distro is a 501(c)(3) nonprofit operating a mail-based harm reduction platform that distributes free naloxone, sterile syringes, and fentanyl test strips to people who use drugs across 34+ U.S. states via a network of 30+ affiliate harm reduction programs and state health department partnerships.
- Ownership category
- akta.pro rank
NEXT Distro industry classification
Industry- Product category
- Harm Reduction Services
- NAICS
- Business Support Services (5614)
- akta.pro primary industry
- Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO)
- akta.pro secondary industry
- Substance Use Disorder Prevention & Recovery Services (BPAGACAE)
Keywords
Where NEXT Distro is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
NEXT Distro business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Supply Chain, Personnel, Technology or R&D, Marketing or Sales
Revenue model
- Individual Donations: NEXT Distro accepts one-time and recurring tax-deductible donations from individuals via Venmo, PayPal, CashApp, and Amazon wish list. Donations fund essential costs including shipping supplies, program supplies, and postage.
- Foundation and Grant Funding: NEXT Distro receives support from foundations to cover start-up costs related to building syringe access programs and to support expansion across states, services, and program capacity.
- Government Contracts / Program Fees: State health departments pay NEXT a small fee to set up and administer mail-based harm reduction ordering/backend data pathways, distribution systems, and technical assistance. Funding models include directing grants to in-state harm reduction programs for staff while funding NEXT for backend administration and technical assistance.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | One-time (per request) | Free harm reduction supplies for people who use drugs |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
NEXT Distro product offering
Product offeringCore offering
NEXT Distro is an online and mail-based harm reduction service operated by Next Harm Reduction, a 501(c)(3) nonprofit. The organization distributes naloxone (Narcan nasal spray and intramuscular naloxone), sterile syringes, fentanyl test strips, sharps containers, alcohol pads, and other harm reduction supplies by mail to people who use drugs and community overdose responders across 34+ U.S. states. NEXT also provides a backend ordering platform, technical assistance, and program administration to state health departments and partner harm reduction organizations that pack and ship supplies to end recipients.
Product overview
NEXT Distro is a mail-based harm reduction platform that distributes naloxone (Narcan), sterile syringes, fentanyl test strips, and other harm reduction supplies directly to people who use drugs. The service operates through a network of state-specific web pages and enrollment forms, coordinating with local harm reduction affiliates for last-mile delivery. Key products include Naloxone by Mail (available as Narcan nasal spray and intramuscular naloxone formulations), a Syringe Access Program, and Fentanyl Test Strips by Mail. The platform also provides educational video resources and state-specific information pages covering local harm reduction resources, pharmacy access points, Good Samaritan laws, and crisis support services across all U.S. states and territories.
Differentiator
Problem solved
Functional benefit
Products and services
- Naloxone by Mail Mail-based naloxone distribution program that ships naloxone (Narcan nasal spray and intramuscular naloxone) directly to eligible individuals who use drugs or who are likely to be present at an opioid overdose, particularly in U.S. states with limited harm reduction infrastructure. Recipients complete an online enrollment form including a training video and quiz before supplies are mailed in discreet packaging. Available in 34+ states.
- Syringe Access Program Mail-based syringe access service that ships sterile syringes, naloxone, sharps containers, alcohol pads, fentanyl test strips, condoms, and other harm reduction supplies to individuals who use drugs and cannot access in-person syringe exchange programs. Currently operating in 5 states with state health department authorization under 21 U.S.C. 863(f)(1).
- Fentanyl Test Strips by Mail Free fentanyl test strips distributed by mail to help people who use drugs test their drug supplies for the presence of fentanyl and its analogs, reducing overdose risk. Distributed as part of NEXT Distro's mail-based harm reduction programs.
Quantifiable outcome
- Overdose deaths decreased approximately 28% in NYC from 2023 to 2024, with fentanyl detected in 73% of overdose deaths. NEXT contributed to this outcome through its mail-based naloxone program with the NYC Health Department.
- +1 more outcomes
Companies that use NEXT Distro
Customer profileNamed customers5 records
Segments3 records
Ideal customer profiles4 records
NEXT Distro technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
NEXT Distro partnerships and signals
Strategic signalPartnerships
21 partnerships are on record, tiered core and minor.
- Gwayakobimaadiziwin / Bad River Harm ReductioncoreBad River Harm Reduction Project (Gwayakobimaadiziwin) is NEXT Distro's partner in Wisconsin for mail-based naloxone and syringe access distribution. Bad River team members pack and ship all supplies (sterile syringes, naloxone, sharps containers, alcohol pads, fentanyl test strips, condoms) from Odanah, WI. They also partner with NEXT to offer free naloxone by mail to Wisconsin residents.
- NYC Health Department (Overdose Education and Naloxone Distribution Unit)coreNEXT Distro partners with the NYC Health Department to provide free naloxone kits by mail to NYC residents. The NYC Health Department collects mailing information through its own secure form and processes orders within 7-10 business days, with delivery within 1-2 weeks. All information is stored securely and accessible only to OENDU members.
- SOL Collective (Philadelphia)coreSOL Collective is a volunteer collective of people who use drugs, individuals in recovery, healthcare providers, and other Philadelphians committed to combatting the Overdose Crisis. NEXT Distro partners with SOL Collective to mail naloxone and fentanyl test strips to Philadelphia residents in discreet packaging from a nondescript PO Box.
- Grand Forks Health Department (North Dakota)coreNEXT Distro partners with the Grand Forks Health Department to provide mail-based naloxone services for North Dakota residents. The program mails naloxone in plain bubble mailers to qualifying individuals who complete a training video and quiz.
- The Chris Atwood Foundation (Virginia)coreNEXT Distro partners with The Chris Atwood Foundation, Virginia's harm reduction affiliate, to mail intramuscular naloxone to Virginia residents. The Chris Atwood Foundation handles fulfillment and shipping from Virginia.
- Hellbender Harm Reduction (Tennessee)coreNEXT Distro partners with Hellbender Harm Reduction to offer mail-based naloxone services for Tennessee residents. Hellbender Harm Reduction handles packing and shipping naloxone nasal spray and fentanyl test strips to qualifying Tennessee residents.
- OKHRA / Oklahoma Harm Reduction Alliance (Oklahoma)coreNEXT Distro partners with OKHRA (Oklahoma Harm Reduction Alliance) to provide free mail-based naloxone to Oklahoma residents. OKHRA handles fulfillment and shipping of intramuscular naloxone to qualifying individuals.
- Project RED (Oregon)coreNEXT Distro partners with Project RED to offer free naloxone by mail to Oregon residents. Project RED handles packing and shipping supplies from Portland, OR, to qualifying individuals.
- Prevention Point Pittsburgh (Pennsylvania)coreNEXT Distro partners with Prevention Point Pittsburgh for mail-based naloxone services for Pennsylvania residents (outside of Philadelphia). Prevention Point Pittsburgh packs and ships naloxone in plain bubble mailers to qualifying individuals. Prevention Point Pittsburgh also provides technical assistance for Pennsylvania Overdose Prevention Program (POPP) issues.
- Harm Reduction Ohio / Ohio Department of Health Project DAWNcoreNEXT Distro partners with Harm Reduction Ohio in collaboration with the Ohio Department of Health's Project DAWN (Deaths Avoided With Naloxone) program to offer naloxone and fentanyl/xylazine test strips by mail to Ohio residents at no cost. Harm Reduction Ohio handles fulfillment.
- North Carolina Harm Reduction CoalitioncoreNEXT Distro partners with the North Carolina Harm Reduction Coalition (NCHRC) to provide mail-based naloxone services for North Carolina residents. NCHRC handles packing and shipping naloxone to qualifying individuals.
- People's Harm Reduction Alliance (Washington State)corePeople's Harm Reduction Alliance (PHRA) partners with NEXT Distro to offer Washington State residents free Narcan nasal spray by mail. PHRA handles fulfillment and distribution.
- New York State (Statewide — Outside NYC)coreNEXT Distro provides mail-based naloxone services for New York State residents outside of New York City, operating directly in partnership with state-level resources. NYC is handled separately through the NYC Health Department partnership.
- National Survivors UnionminorThe National Survivors Union is a national drug users union mobilizing against the war on drugs. NEXT Distro links to National Survivors Union resources across multiple state pages as part of its resource network.
- DUO WisconsinminorDUO Wisconsin is a drug user union with weekly Zoom meetings for people who use(d) drugs to advocate for their rights, safety, and dignity. NEXT Distro links to DUO Wisconsin as a resource on its Wisconsin state page.
- PULSE (Wisconsin Drug User Union)minorPULSE is a burgeoning drug user union in Wisconsin that holds recurring meetings via Zoom. NEXT Distro links to PULSE as a resource on its Wisconsin state page.
- University of VermontminorThe University of Vermont offers residents of Vermont free nasal naloxone spray (Narcan) after completing a short online training course. NEXT Distro links to this resource on its Vermont state page. NOTE: This program is not affiliated with NEXT Distro.
- Emily's Hope (South Dakota)minorEmily's Hope has installed public naloxone distribution boxes in strategic locations throughout South Dakota and partners with the State of South Dakota to add 35 additional boxes. NEXT Distro links to Emily's Hope as a resource on its South Dakota state page.
- State Health Departments (Multiple States)coreState health departments (including California, Michigan, North Dakota, Wisconsin, Ohio, and others) fund and formally approve mail-based harm reduction services via NEXT Distro. They pay NEXT a fee for backend administration, operational support, and technical assistance for establishing distribution pathways.
- California Harm Reduction Programs (In-State Partners)coreIn California, NEXT sub-contracts with an in-state pre-existing harm reduction program. Two staff members from the California program carry out strategy and mailings, with all operations supervised by NEXT.
- Michigan Harm Reduction ProgramscoreIn Michigan, funding is directed to both an in-state syringe access provider (for staff) and to NEXT (for backend administration, supervision, and technical assistance). Postage and supplies are funded through NEXT but can be administered various ways.
Scale indicators2 records
Recent moves5 records
Expansion highlights5 records
NEXT Distro competitors and assessment
Company assessmentDirect peers
- Drug Policy Alliance: National advocacy organization promoting drug policy reform, harm reduction, and decriminalization. Operates in the same policy and funding ecosystem as NEXT Distro and shares the same beneficiary population (people who use drugs).
- National Harm Reduction Coalition: National nonprofit providing harm reduction resources, advocacy, and capacity-building for syringe access programs — directly comparable to NEXT Distro's mission and constituency, with overlapping focus on mail-based and in-person supply distribution.
- Prevention Point Pittsburgh: Pittsburgh-based harm reduction nonprofit providing syringe exchange, naloxone distribution, and mail-based services. Already a NEXT Distro channel partner, it represents the local affiliate model NEXT is built on.
- VOCAL-NY: New York-based harm reduction and drug policy advocacy organization serving people who use drugs. Operates in NEXT's home state and competes for similar government contracts and foundation funding.
- Atlanta Harm Reduction Coalition: Georgia-based harm reduction nonprofit providing syringe exchange, naloxone distribution, and outreach. Comparable regional peer serving similar demographics with overlapping program offerings.
- Chicago Recovery Alliance: Long-running Chicago harm reduction organization providing syringe access, naloxone, and drug checking services. Comparable to NEXT in mission and direct service delivery model, though primarily in-person.
- North Carolina Harm Reduction Coalition: Statewide harm reduction nonprofit operating syringe exchange and mail-based naloxone distribution. Currently a NEXT Distro channel partner, illustrating the local affiliate ecosystem NEXT aggregates.
- Remedy Alliance / For The People: National nonprofit distributing harm reduction supplies (including naloxone and test strips) to syringe access programs across the U.S. Operates a centralized distribution model paralleling NEXT's platform approach, but serves programs rather than individuals directly.
- Bad River Harm Reduction: Wisconsin-based Indigenous-led harm reduction program that operates as a NEXT Distro channel partner, packing and shipping supplies to WI residents. Represents the small, local fulfillment partner archetype NEXT depends on.
Broad incumbents
- AIDS United: National nonprofit addressing HIV/AIDS through harm reduction, syringe access, and policy. Operates a wider portfolio of public health programs but shares NEXT's HIV/HCV prevention mission among people who inject drugs.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
NEXT Distro social profiles
Digital presenceNEXT Distro financial estimates
Financial estimateRevenue estimate
Valuation estimate
NEXT Distro leadership team
Management profileNumber of profiles
NEXT Distro funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
NEXT Distro M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about NEXT Distro
What does NEXT Distro do?
NEXT Distro is an online and mail-based harm reduction service operated by Next Harm Reduction, a 501(c)(3) nonprofit. The organization distributes naloxone (Narcan nasal spray and intramuscular naloxone), sterile syringes, fentanyl test strips, sharps containers, alcohol pads, and other harm reduction supplies by mail to people who use drugs and community overdose responders across 34+ U.S. states. NEXT also provides a backend ordering platform, technical assistance, and program administration to state health departments and partner harm reduction organizations that pack and ship supplies to end recipients.
Is NEXT Distro a public or private company?
NEXT Distro is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was NEXT Distro founded?
NEXT Distro was founded in 2017. It employs 11 to 50 people.
Where is NEXT Distro based?
NEXT Distro is headquartered in New York, United States, in the North America region.
How does NEXT Distro make money?
Three revenue lines are on record. Individual Donations are the primary driver. The others are foundation and Grant Funding and government Contracts / Program Fees.
Who are NEXT Distro's main competitors?
Direct peers on record are Drug Policy Alliance, National Harm Reduction Coalition, Prevention Point Pittsburgh, VOCAL-NY, Atlanta Harm Reduction Coalition, Chicago Recovery Alliance, North Carolina Harm Reduction Coalition, Remedy Alliance / For The People and Bad River Harm Reduction. AIDS United is listed as a broad incumbent.
Does NEXT Distro have an API?
No public API is recorded for NEXT Distro.
What industry is NEXT Distro in?
NEXT Distro's product category is Harm Reduction Services. Its primary akta.pro industry code is BPAGAEAO, Substance Use Recovery & Harm Reduction Support Services, with a secondary code of BPAGACAE, Substance Use Disorder Prevention & Recovery Services. Its NAICS code is 5614.