NC State Health Director Standing Orders
All Standing orders signed by the North Carolina State Health Director were updated Jan. 17, 2025, to reflect the current acting State Health Director signature and NPI.
Hurricane Helene Standing Orders
Epinephrine Orders
Pharmacist Order:
Nursing Orders:
- SWSO for Nursing Administration of Epinephrine 16.5 to 33 lbs
- SWSO for Nursing Administration of Epinephrine 33 to 66 lbs
- SWSO for Nursing Administration of Epinephrine 66 lbs or more
House Bill 96 Medication Protocols - SL 2021-110
House Bill 96 Standing Orders - SL 2021-110 have now been rescinded
Protocols and Tools replacing the standing orders from Board of Pharmacy and Medical Board have been established for the below medications. Review these protocols and tools.
- Nicotine replacement therapy that is approved by the United States Food and Drug Administration
- Self-administered oral or transdermal contraceptives
- Prenatal vitamins
- Post-exposure prophylaxis medications for the prevention of human immunodeficiency virus (HIV)
- Glucagon for the treatment of severe hypoglycemia
COVID-19 Related Standing Orders
Important Update: COVID-19 Statewide Standing Orders Expired Dec. 31, 2024
The COVID-19 Statewide Standing Orders (SWSOs) authorized under North Carolina Session Law 2022-74, Sec. 9G.7.(a)-(e) (PDF) and extended under Session Law 2023-65, Sec. 9G.7 (PDF), expired Dec. 31, 2024. Read the memo (PDF).
Vaccines
Moderna Vaccines
- Moderna COVID-19 Vaccine for 6 Months-11 Years (Expired as of Dec. 31, 2024)
- Moderna COVID-19 Vaccine for 12 Years and Older (Expired as of Dec. 31, 2024)
Pfizer Vaccines
- Pfizer-BioNTech COVID-19 Vaccine for 6 Months-11 Years (Expired as of Dec. 31, 2024)
- Pfizer-BioNTech COVID-19 Vaccine for 12 Years and Older (Expired as of Dec. 31, 2024)
Novavax Vaccine
- Novavax COVID-19 Vaccine for 12 Years and Older (Expired as of Dec. 31, 2024)
Opioid Antagonist Standing Orders
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This page was last modified on 01/17/2025