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Epinephrine Auto-Injectors (aka EpiPens) - Member Alert AB 1266 - Jun 2019

Anaphylaxis is a potentially life-threatening hypersensitivity to a substance. The reaction can occur within seconds or minutes of encountering an allergic trigger, including but not limited to an insect sting, food allergy, drug reaction (e.g., antibiotics, aspirin and non-steroidal inflammatory drugs), and exercise.

California Education Code (EC) Section 49414, as amended by Senate Bill 1266, effective January 1, 2015, requires school districts to provide emergency epinephrine auto-injectors to school nurses or trained personnel who have volunteered, and provides that school nurses or trained personnel who have volunteered may use epinephrine auto-injectors to provide emergency medical aid to persons suffering or reasonably believed to be suffering from an anaphylactic reaction.


Due to a lack of available stock from Mylan Pharmaceuticals, the expiration dates have been extended on the Epi Pens below.  Please refer to the attached notice with new expiration dates.  Refer to Member Alert - June 2019 for further details.    

  • Epinephrine Injection, USP Auto-Injectors 0.3 mg 
    • NDC 49502-102-02 appears on the box 
    • NDC 49502-102-01 appears on the individual device within the box
  • EpiPen® (epinephrine injection, USP) 0.3 mg Auto-Injectors 
    • NDC 49502-500-02 appears on the box 
    • NDC 49502-500-01 appears on the individual device within the box
Provide Epinephrine Auto-Injector Pens:

All schools must stock at least one (1) epinephrine auto-injector pen and one (1) epinephrine auto-injector pen junior at each school.

  1. Please review the expiration dates of existing stock and properly dispose of expired injectors in a Sharps Bio Hazard refuse container at that site.
  2. Annual orders or replenishment orders, at no cost to the district, can be placed at EpiPen 4 Schools or by contacting Jennifer McCain at
  3. NOTE:  You can order additional supplies for athletics, field trips or first aid kits as needed from the EpiPen 4 Schools program at a discounted cost. 
EC Section 49414(d) allows each public and private elementary and secondary school in the state to designate one or more school personnel on a voluntary basis to receive initial and annual refresher training, based on the minimum training for epinephrine administration standards developed by the SSPI, regarding the storage and emergency use of an epinephrine auto-injector from the school nurse or other qualified person designated by an authorizing physician and surgeon.

EC Section 49414(f) states that a school district, county office of education, or charter school shall distribute a notice at least once per school year to all staff that contains the following information:

  1. A description of the volunteer request stating that the request is for volunteers to be trained to administer an epinephrine auto-injector to a person if the person is suffering, or reasonably believed to be suffering, from anaphylaxis, as specified in subdivision (b).
  2. A description of the training that the volunteer will receive pursuant to subdivision (d).
Printable Epinephrine Auto-injectors in Schools Flyer (pdf)
Epinephrine Auto-Injectors in Schools - Additional Resources