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Second wave of opioid settlements brings an additional $521 million to North Carolina

This second wave of settlements provides North Carolina with an additional $521 dollars million over 15 years.
Courtesy of NC Opioid Settlement Dashboard
This second wave of settlements provides North Carolina with an additional $521 dollars million over 15 years.

The opioid crisis has shattered communities in Western North Carolina. Now some federal funding may help local communities as they try to address the fallout. In June, a settlement agreement required companies like Teva, Walmart and CVS to pay out more than $17 billion for their role in the crisis. That funding will almost double the amount already promised to counties from an earlier settlement with Johnson & Johnson, McKesson, Cardinal Health, and AmerisourceBergen.

Russ Harris runs the Southwestern Commission, a local council of governments organization over the seven westernmost counties. Doubling the settlement money means the counties will now receive close to $40 million.

"I think everyone has local priorities so there might now be very much very much funding left out of that first pot of $20 million over 18 years to address larger regional issues. So I think it really just gives us more flexibility," Harris said.

This second wave of settlements provides North Carolina with an additional $521 million over 15 years.

National investigations and litigation against the pharmaceutical industry over the opioid crisis has led to more than $56 billion in funding so far. North Carolina’s share of that is $1.5 billion.

The settlements also require restrictions on business for the companies.

  • Teva will not be allowed to do any opioid marketing and put systems in place to prevent drug misuse.
  • Allergan is required to stop selling opioids for the next 10 years.
  • CVS and Walgreens will require their pharmacies to monitor, report, and share data about suspicious activity related to opioid prescriptions.
  • A final agreement with Walmart is still in process.  

“With 11 North Carolinians dying of an overdose everyday on average, we are at a moment of crisis. These agreements my office achieved with these drug manufacturers and pharmacies will save lives,” NC Attorney General Josh Stein said in a press release. “We are requiring these companies to pay for desperately-needed treatment in our communities and to change the way they operate to prevent other people from getting addicted in the future.”

Lilly Knoepp is Senior Regional Reporter for Blue Ridge Public Radio. She has served as BPR’s first fulltime reporter covering Western North Carolina since 2018. She is from Franklin, NC. She returns to WNC after serving as the assistant editor of Women@Forbes and digital producer of the Forbes podcast network. She holds a master’s degree in international journalism from the City University of New York and earned a double major from UNC-Chapel Hill in religious studies and political science.