Everything a Kentucky BLS ambulance must carry, sealed.
- Aspirin, acetaminophen, ibuprofen, oral glucose
- Nasal naloxone
- Albuterol and ipratropium nebules
- Epinephrine 1 mg/mL for IM anaphylaxis
- Pediatric acetaminophen suspension
Every boxa good save.
Emergency drugs, ready-to-use syringes and sealed, protocol-mapped kits for EMS agencies. Published prices. Restocking and DEA compliance handled. Built by people who ride the truck.
Physician-founded in Kentucky. Pilot agencies start early 2027; neighboring states follow.
The name
What a good save is.
good save (n., EMS) — A patient who would have died without what the crew did, and didn't. Not a transport, not a run: a cardiac arrest with a pulse back and the person awake; an airway secured before it closed; epinephrine in a child's leg before the swelling won; naloxone before the last breath. The drug was on the truck, in date, at the right concentration, and given in the minute it mattered.
The measure isn't a pulse in the ambulance. It's the patient walking out of the hospital and back to the people who love them.
Why now
The way agencies get drugs is changing under them.
- March 9, 2026The DEA's EMS agency registration rule took effect. Agencies now hold their own registrations, keep their own controlled-substance records and run their own biennial inventory.
- Hospitals are stepping backFederal drug-tracking requirements are pushing health systems out of drug-box exchange. In Maine and Virginia, whole regions are moving to agency-owned kits. Every one of those agencies needs a supplier, a kit and a records system.
- 2 to 7 timesWhat many Kentucky agencies pay a national EMS distributor for routine emergency drugs, compared with the best published prices for the same items.
What you get
Drugs at published prices. Kits that come back sealed.
One catalog for the drug bag, the supply closet and the paperwork. Order line by line, or put every ambulance on a managed kit and stop thinking about expiration dates.
Everyday drugs and IV fluids
Generics, fluids, prefilled syringes and saline flushes at prices you can see before you call. No tiers, no quote games.
Ready-to-use syringes
Push-dose pressors, pain and sedation drugs already at the concentration your protocol calls for, from an FDA-registered outsourcing facility. No more mixing in a moving truck.
Sealed, protocol-mapped kits
ALS base, RSI, pediatric and push-dose modules built to your state protocols. Open a kit, swap it for a sealed one. We log the lot and the date so you don't have to.
Supplies and private label
IV start kits, airway, dressings and trauma items, including our own line, on the same order as the drugs.
DEA compliance, done for you
Registration help, controlled-substance records, biennial inventory and disposal, so the 2026 rule is a checklist and not a second job.
Kentucky kits
Built to the state's list, not ours.
Every kit follows the KBEMS State EMS Protocols required medication list (effective April 30, 2025), so it passes the annual vehicle inspection as delivered. Your medical director adds or removes lines; we seal, log lot and expiration, and swap it when it's opened. Controlled substances stay in your own locked box under your DEA registration — never inside a swapped kit.
The ALS required list: the code drugs, the everyday drugs, and fluids.
- Epinephrine 1:10,000, amiodarone, atropine, adenosine, sodium bicarbonate
- D50 and D10, diphenhydramine, ondansetron vial and ODT, nitroglycerin
- Normal saline, lactated Ringer's, piggyback bags, 20 saline flushes
- Naloxone prefills, epinephrine 1 mg/mL, sterile water
- Fentanyl, morphine, midazolam: your stock, your lockbox, our records
The paramedic optional list, for services that carry it.
- Glucagon, methylprednisolone, ketorolac, magnesium sulfate
- Calcium chloride, tranexamic acid, lidocaine, metoprolol, diltiazem
- Famotidine, dexamethasone, droperidol, cefazolin
Airway and pressor drugs, with ready-to-use syringes that end mixing in the truck.
- Etomidate, rocuronium, succinylcholine
- Norepinephrine, phenylephrine
- Push-dose epinephrine and phenylephrine syringes from an FDA-registered outsourcing facility, invoiced by the maker
Pediatric concentrations and forms, sized to a length-based tape.
- Epinephrine 1:10,000 and 1 mg/mL, D10
- Ondansetron ODT, albuterol, diphenhydramine
- Nasal naloxone, acetaminophen suspension
Autonomous protocols, air, critical care, event medicine, fire first-response, police naloxone and trauma, school and office emergency kits. Send us the protocol and we'll build the kit to it.
Kit prices are pilot pricing for drug contents plus assembly and sealing, exclusive of controlled substances and STAQ syringes; confirmed at launch.
The flat-fee plan
One price per ambulance. Nothing on the truck ever expires.
Stop buying drugs by the vial. Pay one fixed annual price per truck, and we keep it stocked to your protocol, replace what your crews use, and rotate stock before it expires. Your drug budget becomes one line item you can put in front of the fiscal court in February.
Managed formulary, per ambulance
ALS truck shown. BLS trucks, RSI and pediatric modules priced separately.
$400/mo
about $4,800 a year, billed annually or monthly
What's included
- Sealed KY ALS Core and BLS kits plus the Enhanced module, stocked to par
- Every drug crews use, replaced at the next swap, no per-item invoices
- Rotation before expiration, guaranteed: no expired drug on your truck
- Lot and expiration records for each kit, ready for inspection
- Restock within 24 hours of a swap request
- Usage and spend report each quarter
How it stays fair
- Price set from your protocol and call volume; adjusted next year if usage runs more than 15% above or below plan
- Multi-year pricing available with a fixed annual escalator
- Shortage protection: substitution or pass-through only while a drug is on FDA's shortage list
- Controlled substances stay yours, bought under your DEA registration; we manage the records if you want us to
- Cancel at year end; unused sealed stock returns to us
Typical ALS truck today: about $6,300 in drugs plus expired stock thrown away. Send us an invoice and we'll show you your number.
Price my trucks
BLS truck
from $75/mo
KY BLS Kit stocked, replaced and rotated.
RSI add-on
about $65/mo
Airway and pressor module with ready-to-use syringes.
Pediatric add-on
included
Pediatric module comes with every ALS plan.
Pilot pricing for Kentucky agencies starting early 2027. Final pricing is quoted per agency from its protocol and call volume.
The math, one ambulance
What a year of drugs costs, and what it should.
$6,300
Estimated annual drug spend per ALS ambulance at typical distributor pricing
$2,300
The same 40 drugs at GoodSave target prices
$3,960
Saved per ambulance, per year, on drugs alone. About 63 percent.
Estimates. Usage rates come from national EMS data scaled to an ALS unit running about 2,500 calls a year, plus required stock. Your invoice will give the real number; that's why we ask for it.
Restocking
Three steps, none of them yours.
Open the kit, run the call
The seal breaks, the crew works. Nobody counts anything at 3 a.m.
Swap it for a sealed one
Back at the station, the opened kit goes in the return bin and a sealed one goes on the truck.
We scan, restock and rotate
The seal and remaining contents are scanned. That generates the restock order, and anything near its date is pulled before it expires on you.
Kentucky EMS Drug Price Index
Know what a fair price is before you sign anything.
A free, public benchmark of what Kentucky agencies actually pay for the most-used EMS drugs, built from public bid awards and agency records. Use it to check your next quote from anyone, including us.
Get notified when it's live| Line | Typical quote | Best public price |
|---|---|---|
| Ondansetron 4 mg vial | $2.92 | $0.33 |
| Naloxone 2 mg prefill | $36.00 | $10.50 |
| Saline flush 10 mL | $1.65 | $0.30 |
| Amiodarone 150 mg | $8.00 | $1.35 |
| Epinephrine 1:10,000 prefill | $21.90 | $10.13 |
Who it's for
Built for ambulances. Useful to everyone who stocks a drug.
County, fire-district and private EMS
The core customer. Drugs, supplies, kits and the subscription, on quotes and purchase orders, no bid required.
Agencies losing their hospital drug box
A turnkey replacement: kits in, exchange program out, DEA registration handled.
Fire departments and first responders
BLS kits, naloxone and bleeding control on the same account as the county service.
Police and sheriffs
Nasal naloxone and officer trauma kits, priced for opioid-settlement budgets.
Schools
Stock epinephrine, naloxone and bleeding-control kits on a subscription that keeps them in date.
Urgent care, dental and medical offices
Emergency drug kits with automatic replacement, plus everyday injectables and supplies.
Recognition
Tell us about your good save.
Every crew has one. The arrest that walked out. The kid with the peanut. The overdose who called back a year later to say thanks.
Tell us what happened and what it took — no patient names, no dates or details that could identify anyone — and we'll mail a GoodSave patch to every member of the crew you name. With your permission, we'll feature the save here, credited to your agency.
This program isn't live yet. We're taking stories starting with the Kentucky pilot in early 2027. Check back then.
Thank you. We'll be in touch about the patches, and about featuring the save if you said yes.
From the founder
Why a doctor started a supply company.
"I've run an EMS service for years, and every year I watched the drug invoice go up for the same forty vials. The prices weren't a mystery; they were just never published. So we priced every line ourselves, found the gap, and decided the best way to close it was to sell the drugs, in a sealed kit, at a price we'd put on a website."Brian Adkins, MD, emergency physician and founder, GoodSave Medical. Lexington, Kentucky.
Free savings check
Send your last drug invoice. Get your number back.
We'll price every line against our targets and the public benchmark and send you a one-page comparison. No obligation, and we don't share your invoice with anyone.
Pilot agencies in Kentucky get first access in early 2027. If you'd rather talk first, say so in the note.
Thanks. We'll reply within one business day with where to send the invoice.