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Fifteen states allow schools to manage respiratory emergencies among multiple students using a single albuterol inhaler (stock inhaler) paired with a disposable holding chamber. To evaluate implementation barriers and facilitators, and satisfaction with a stock inhaler program across K-12 schools in Pima County, Arizona. All public, charter, private, and parochial schools were offered supplies, web-based training, and technical assistance at no cost. The RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework wa