North Carolina

Allocation of Funds

North Carolina is participating in the national settlement and funds are split 15/85 (see MOA):

15% – State dollars Sent to the State and held in the Opioid Abatement Reserve until appropriated by the General Assembly.

85% – Local dollars Sent directly to localities (allocation percentages are listed in the MOA, Exhibit G)

    • 5% of this was set aside as an incentive fund… Local Governments would be eligible to receive a portion of the incentive fund if every municipality in the Local Government’s county with population of at least 30,000 executed the MOA (fully achieved October 1, 2021).

Localities may choose to spend their funds on “High Impact Opioid Abatement Strategies” (Option A), choose among a broader list of permissible uses after engaging in a collaborative strategic planning process (Option B), or both. Each county is required to hold at least one annual public meeting in which all municipalities within the county are invited to receive input on how to use its settlement funds and encourage collaboration between local governments.

Check out CORE-NC, the state’s opioid settlement resource hub which includes dashboards showing how local governments plan to spend opioid settlement funds, how they actually spend opioid settlement funds (annual financial reports), and the positive impact these investments are having (annual impact reports). This information is based on official reports from county authorities to CORE-NC – check out AOR’s database for additional details and sometimes more timely information.

Some NC counties were also blessed with access to a couple of incentives from private funders:

  • Dogwood Health Trust awarded opioid-related planning grants to support collaborative projects between counties, municipalities, or tribal nations and 501(c)3 organizations and other community partners in western NC.
  • Vital Strategies awarded matching funds to counties using settlement funds for naloxone distribution and syringe services.

Also of note, 4 North Carolina leaders have been selected for the Opioid Solutions Leadership Network, a national cohort of county officials and leaders pursuing effective implementation of opioid settlement funds. This Network is managed by the National Association of Counties in partnership with Vital Strategies with the goal to equip county decision makers with tools and evidence-based solutions to address substance use disorder in their communities.

  • Lisa Harrison, Granville and Vance Counties Health Director
  • Danny Scalise II, Burke County Public Health Director
  • Captain Selenamarie Suber, Pasquotank County, Program Coordinator/Captain, Community Partnership Paramedicine Program
  • Hon. Gloria Whisenhunt, Forsyth County Commissioner

Show Me The Money

Distributor & Janssen Settlement: $750 million
McKinsey & Company:
$18.9 million
Mallinckrodt: $10.8 million
Rite Aid:
1/3 of $10.5 million for Durham County
Teva, Allergan, CVS, and Walgreens:
$521 million
$89 million
Publicis: $11 million
Purdue: $100 million (Settlement contingent on Supreme Court hearing)

Also see the NC Payment Schedule Dashboard.

Also see the Global Settlement Tracker.

Community Advocate Guide

Christine Minhee, J.D. of and Vital Strategies released comprehensive guides on opioid settlement funds for all 50 states and the District of Columbia! Each guide contains essential information on total funding, legal mechanism(s) governing the process, and funding allocations in each state.

Check out the North Carolina Guide for more in depth information about the state’s plan for managing and allocating funds (info is current as of 6/5/23)