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Harm Reduction and Syringe Services Program (SSP)

San Francisco VA Health Care System's Harm Reduction and Syringe Services Program offers services to Veterans at San Francisco VA Medical Center and its 9 VA clinics located in downtown San Francisco, Oakland, San Bruno, Santa Rosa, Ukiah, Clearlake, and Eureka. Our clinical pharmacist practitioner-led program aims to end drug-related stigma and discrimination in health care, prevent the spread of drug-related infections and overdose deaths, and increase connections to services.

Harm Reduction Education and Supplies

We offer harm reduction education and supplies through:

  • Clinician and Veteran self-referrals
  • Virtual and in-person outreach
  • Prescription and non-prescription harm reduction supplies
  • Mail-based and in-clinic distribution


Harm reduction supplies we offer include:

  • Free naloxone kits – prescription required, contact us to get connected!
  • Fentanyl and xylazine (AKA Tranq) test strips
  • Safer injection supplies (e.g., sterile syringes, sharps containers, alcohol swabs, tourniquets, cookers, filters, ascorbic acid, sterile water)
  • Safer sex supplies (e.g., condoms, XL condoms, lubricant, spermicidal gel)
  • Wound care supplies (e.g., gloves, bandages, antibiotic ointment)
  • Hygiene supplies (e.g., hand sanitizer, soap, washcloth tablets, deodorant, lotion, toothpaste, toothbrush, mouthwash, lip balm)
  • Safer smoking, snorting, and rectal use supplies


Service Linkage

We help connect Veterans to services, including:

  • Hepatitis testing, vaccines, and treatment
  • HIV testing, PrEP, and PEP
  • Therapy and medications for substance use, such as buprenorphine for opioid use disorder and nicotine replacement therapy
  • LGBTQ services
  • HUD-VASH services
  • Community-based resources, including resources for civilians

Harm Reduction Vending Machines

We also offer harm reduction supplies free to Veterans through vending machines located at the main medical center and 7 community-based outpatient clinics:

San Francisco VA Medical Center


4150 Clement Street
San Francisco, CA 94121-1545

One vending machine is in building 203, ground floor, mental health lobby. Another is in building 1, Opioid Treatment Program (OTP) Clinic.

San Francisco VA Downtown Clinic


401 3rd Street, Community Resource & Referral Center (CRRC)
San Francisco, CA 94107-1214

The vending machine is in the front lobby.

Oakland VA Clinic


2221 Martin Luther King Jr. Way
Oakland, CA 94612-1318

The vending machine is on the second floor in the hallway nook between the waiting room and the pharmacy.

Oakland VA Behavioral Health (21st St) Clinic


525 21st Street
Oakland, CA 94612-1605

The vending machine is in the front lobby.

South Santa Rosa Clinic


2285 Challenger Way
Santa Rosa, CA 95407-5418

The vending machine is in the ground floor mental health lobby.

Ukiah VA Clinic


630 Kings Court
Ukiah, CA 95482-5003

The vending machine is in the medical/primary care building in the alcove behind the security guard desk.

Clearlake VA Clinic


15145 Lakeshore Drive
Clearlake, CA 95422-8106

The vending machine is in the front lobby.

Eureka VA Clinic


930 West Harris Street
Eureka, CA 95503-3927

The vending machine is in the front lobby.

Locations at Bay Area Veterans housing facilities

In addition, six harm reduction vending machines are in Bay Area Veterans housing facilities:

Stanford Hotel


250 Kearny Street
San Francisco, CA 94108

The vending machine is in the front lobby.

Veterans Commons


150 Otis Street
San Francisco, CA 94103

The vending machine is in the front lobby next to the residential elevators.

Veterans Academy


1030 Girard Road
San Francisco, CA 94129

The vending machine is in the community room.

Edwin M Lee Apartments


1150 3rd Street
San Francisco, CA 94158

The vending machine is in the parking garage.

Maceo May Apartments


55 Cravath Street
San Francisco, CA 94130

The vending machine is next to the bike room.

Colma Veterans Village


1680 Mission Road
Colma, CA 94014

The vending machine is in the community room.



For more information:


Tessa Rife-Pennington

Tessa Rife-Pennington PharmD, BCGP

Harm Reduction Coordinator; Clinical Pharmacist Practitioner; Volunteer Assistant Clinical Professor, UCSF School of Pharmacy

VA San Francisco health care



Harm Reduction Program SFVAHCS