National Opioid Settlement

Opioid Pills

Stay up to date!

If you are interested in receiving regular updates about Wake County’s opioid settlement funds, you can sign up for the newsletter

If you have questions about the Settlement Spending Plan or feedback about needs in our community, please reach out to

Medication Assisted Treatment-Wake County Detention Centers RFP

The Wake County Manager’s Office and Sheriff’s Office are seeking a provider to offer MAT within Wake County Detention Centers. These medications (buprenorphine, methadone, and naltrexone) should be provided both to individuals already in established care with an Opioid Treatment Program (OTP) in the community, as well as individuals identified with an opioid use disorder (OUD).

This program will expand existing offerings and make these services available to more individuals with OUD in Wake County. The provider will be responsible for offering screening, intake assessment, induction, regular dosing, counseling, care coordination, and re-entry support.

24-055 - Medication Assisted Treatment - Wake County Detention Centers

Deadline to apply: Tuesday, July 16, by 2 p.m.


In July 2021, a bipartisan coalition of state attorneys general announced the National Opioid Settlement – a historic $26 billion agreement that will help bring desperately needed help to communities harmed by the opioid epidemic. The state of North Carolina and all 100 counties, including Wake County, joined the agreement. 

On April 15, the Wake County Board of Commissioners approved the Wake County Opioid Settlement Funding Plan for Fiscal Year 2025, which will put $7.5 million for use through June 2025 to achieve improvements in key strategy areas with a focus on youth, historically marginalized populations and residents involved in the justice system. It’s part of a plan that will invest approximately $65.6 million into fighting the opioid epidemic over the next 18 years. You can stay up to date with the overall funding amounts by visiting the Core NC Dashboard

Wake County Opioid Settlement Funding Plan for Fiscal Year 2025

Learn more about Wake County's plan 

Learn more about the National Opioid Settlement Fund here and here

If you or someone you know is struggling with opioid addiction, please seek help by visiting or calling Alliance Health at 800-510-9132.

Community Meeting - March 15

Wake County Opioid Settlement Community Meeting

On Friday, March 15, Wake County hosted a community meeting to discuss how National Opioid Settlement funding can be used in our community. Attendees heard updates about the funds, existing and upcoming work planned, and how partners can apply for funding.

You can watch the first half of the meeting here. All of the presenters slides can found here

Opioid Settlement Community Meeting Video


Wake County Opioid Settlement Funding Plan

More than 250 people participated in the three-hour meeting on Aug. 2. Following the meeting, an online survey was opened to the public until close of business on Aug. 5. Respondents were asked to prioritize eligible strategies.

A planning team, led by the Wake County Manager’s Office staff with assistance from knowledgeable stakeholders, developed a draft plan that reflects this public input. It was presented to the county's Health and Human Services Committee on Aug. 22. 

On Sept. 6, the Wake County Board of Commissioners approved the Wake County Opioid Settlement Funding Plan.

Marketing Toolkit

These social media graphics and flyer were used to help promote the meeting.

Get the Toolkit

Previous Community Meetings

Nov. 29, 2023 – Youth Community Meeting

Wake County and the North Carolina Attorney General’s Office held a community meeting on Tuesday, Nov. 29, 2023, to discuss how National Opioid Settlement funding can be used to help youth in our community. Speakers included North Carolina Attorney General Josh Stein and former Wake County Board of Commissioners Chair Sig Hutchinson.

This meeting continued the conversation on how the county can best use its funds to tackle the crisis and focus on the opportunities available to protect and support our youth.

Aug. 2, 2023 – Community Meeting

On Tuesday, Aug. 2, 2023, Wake County hosted a community meeting at the Wake County Commons Building and online to receive community input on the use of these funds. Video of the meeting is below.