Tennessee K-12 schools now have greater flexibility in how they respond to severe allergic reactions, thanks to a new state law that officially took effect on Wednesday, July 1.

The legislation expands previous rules, allowing both public and private schools to stock and administer any physician-prescribed form of epinephrine. Previously, schools were restricted to keeping epinephrine auto-injectors, such as EpiPens, on hand.

With the law’s implementation, schools can now utilize epinephrine nasal sprays alongside traditional auto-injectors. This opens the door for schools to adopt neffy, the only U.S. Food and Drug Administration (FDA)-approved nasal spray alternative to traditional injections.

Beyond eliminating the anxiety and logistical challenges of using needles in an emergency, the nasal spray offers a significant financial advantage. It boasts a shelf life of 24 to 30 months (depending on the dosage), compared to the roughly 12-month shelf life of standard auto-injectors. State lawmakers noted that this longevity could substantially lower replacement costs for school districts over time.

“School nurses routinely respond to allergic reactions and other medical emergencies throughout the school year, underscoring the need for readily available emergency medications in schools.” — Tennessee Department of Education, 2024-25 School Health Services Annual Report

To assist with the transition, schools can tap into a new supply initiative called the “neffyinSchools Program.” Under this program, eligible public and private K-12 schools can receive up to four total doses (two two-packs) of the nasal spray completely free of charge.

Individual schools and campuses will also have the option to purchase additional doses to accommodate larger student enrollments or specific campus needs.