The Opioid Ledger
Ledger / States / NC
State Ledger · NC

North Carolina

The Tar Heel State
Cumulative interest earned on unspent balance
$16.8M
FY21-22 through FY24-25, 114 counties
Figure 01

Interest earned by fiscal year

Figure 02

Spent vs. sitting

Spent on abatement
$66.7M
Sitting unspent
$223.3M
Transparency

How the Ledger got this.

County-level aggregation across all 114 NC counties; state-share figures reported separately.

Cite this page

Citation

APA
The Opioid Ledger. (2026). North Carolina opioid settlement ledger. https://opioidledger.org/state/north-carolina
Chicago
The Opioid Ledger. "North Carolina Opioid Settlement Ledger." 2026. https://opioidledger.org/state/north-carolina.
MLA
"North Carolina Opioid Settlement Ledger." The Opioid Ledger, 2026, opioidledger.org/state/north-carolina.
Compare

Other state ledgers

SC
South Carolina
Deployed24.5%
Interest$1.3M
TN
Tennessee
Deployed23.3%
Interest$7.7M
TX
Texas
Deployed23.0%
Interest$17.4M
OH
Ohio
Deployed26.0%
Interest$10.4M
CA
California
Deployed23.6%
Interest$686K
MT
Montana
Deployed21.3%
Interest$244K