North Carolina Opioid Settlement

North Carolina participated in a national lawsuit, against pharmaceutical companies, due to the role they played in creating and fueling the opioid epidemic. States and counties were targeted by pharmaceutical companies, marketing preBottle with Pillsscription opioids, which caused wide-spread opioid use disorders, overdoses, and deaths that impacted communities, nationwide. From this litigation, a $56 billion dollar agreement was reached. As of December 2023, North Carolina has been awarded $1,375,354,409 billion dollars. Onslow County’s portion of the Opioid Settlement is $19,131,941 million dollars. This money will be paid out over an 18-year period from 2022 to 2038.

The State has made every effort to ensure transparency and oversight for the use of these funds. All counties receiving Opioid Settlement Funds must adopt the North Carolina Memorandum of Agreement. On September 20, 2021, the Onslow County Board of Commissioners approved to participate in the Opioid Settlement and adopt Resolution 21-019, the North Carolina Memorandum of Agreement (MOA). The MOA between the State and local government directs how Opioid Settlement Funds are distributed and used within North Carolina.

To make the best use of funds awarded, Onslow County Government created a multidisciplinary task force. From August 2022 through October 2022, Onslow County Government, along with multiple community partners and stakeholders, reviewed data to develop an accurate picture of the available services for substance use disorder that exist within our community. They identified gaps in the service continuum, needs within our community, and prioritized strategies and services for the Board of Commissioners to consider funding with Opioid Settlement Funds. This task force continues to meet on a quarterly basis and provides input and feedback which helps guide the use of Opioid Settlement Funds in Onslow County.

If you would like to submit any comments, concerns, or suggestions regarding the National Opioid Settlement Funds, email them to