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NC Opioid Settlement
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Office Hours Monday – Friday, 8:00 a.m. – 5:00 p.m.
Location 201 Government Circle, Greenville, NC 27834
Phone 252-902-2324 | Fax 252-413-1411
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Advancing Prevention, Reducing Harm and Saving Lives
In July 2021, a bipartisan coalition of state attorneys general announced the National Opioid Settlement, a $26 billion agreement holding pharmaceutical manufacturers and distributors accountable for their role in the opioid epidemic. North Carolina joined the settlement to bring critical resources to the state. Over the next 18 years, funding will be distributed to support opioid prevention, treatment and harm reduction efforts.
This settlement provides a once-in-a-generation opportunity to strengthen communities and build a healthier future. By focusing on evidence-based strategies, Pitt County can work to reduce harm and create lasting change for those impacted by substance use.
High-Impact, Approved Strategies Under Option A
According to the National Settlement Agreement, opioid settlement money can be used to create, grow, or maintain programs and services related to the approved focus strategies.
| Strategy | Description |
|---|---|
| 1. Collaborative Strategic Planning | Support collaborative strategic planning to address opioid misuse, addiction, overdose, or related issues, including staff support or facilitation services. |
| 2. Evidence-Based Addiction Treatment | Support evidence-based addiction treatment consistent with the American Society of Addiction Medicine's national practice guidelines, including Medication-Assisted Treatment (MAT), through local clinics and programs connected to the justice system. |
| 3. Recovery Support Services | Provide peer support, care coordinators and other services to help people stay in recovery and connect with housing, healthcare, resources or other supports needed to improve health and well-being. |
| 4. Recovery Housing | Support safe, stable housing for people in recovery, including help with rent, utilities, or funding recovery housing programs that provide housing to individuals receiving Medication-Assisted Treatment for opioid use disorder. |
| 5. Employment Support | Fund programs offering employment support services to people in treatment or recovery, or people who use drugs, such as job training and skills, placement, interview coaching or resume review. |
| 6. Early Intervention | Fund programs, services, or training to encourage early identification and intervention for children who may be struggling with problematic drug use or mental health conditions. Training programs may target parents, family members, caregivers, teachers, school staff, peers, neighbors, healthcare providers, Human Services or others in contact with youth. |
| 7. Naloxone (Narcan) Distribution | Support programs or organizations that distribute naloxone to people at risk of overdose, and programs or organizations involved in community distribution of naloxone. |
| 8. Post-Overdose Response Teams | Support programs that connect people who have experienced a drug overdose to addiction treatment, recovery support, harm reduction services or primary healthcare needed to improve health and well-being. |
| 9. Syringe Service Programs | Support Syringe Service Programs operated by governmental or non-governmental organizations authorized by Section 90-113.27 of the General Statutes. These programs provide syringes, naloxone, harm reduction supplies, syringe disposal, and connections to prevention, treatment or other services. |
| 10. Criminal Justice Diversion | Support pre-arrest or post-arrest diversion programs, or pre-trial service programs, that connect individuals involved, or at risk of involvement, in the criminal justice system to addiction treatment, recovery support, harm reduction services, primary healthcare, prevention, or other needed supports. |
| 11. Addiction Treatment for Incarcerated Persons & Reentry Support | Support evidence-based addiction treatment, including Medication-Assisted Treatment with at least one FDA-approved opioid agonist, for people who are incarcerated in jail or prison. |
| 12. Reentry Programs | Support programs that connect incarcerated people to addiction treatment, recovery support, harm reduction services or primary healthcare needed upon release from jail or prison. |
Community Voices for Recovery and Prevention
Community members have opportunities to share input on how opioid settlement funds are used through the review committee process and community meetings. The committee ensures that people with lived experience of addiction and recovery are included in decision-making, and that funding priorities focus on the populations most impacted by the opioid crisis. Residents can get involved by attending public meetings and completing the survey below.
Complete this brief survey about your preferences for the distribution of opioid settlement funds. Your input will help identify community needs and highlight existing strengths.
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Reflector Article | Opioid Funds Expected to Impact Crisis
Posted to Opioid Settlement on July 1, 2025
Data discussed at the first in a series of forums. Read on... -
Public Input | Open Meetings
Posted to Opioid Settlement on July 1, 2025
Open meetings to decide what the money from the National Opioid Settlement will be used for. Read on... -
NC DOJ Announcement | $7.4 Billion Settlement
Posted to Opioid Settlement on July 1, 2025
Attorney General announced a landmark settlement with Purdue and the Sackler. Read on...
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