Dr. Larry Greenblatt, North Carolina Health Director, will rescind the statewide standing order effective October 13. Beginning on that date, pharmacies and pharmacists must revert to the protocols previously used to administer COVID-19 vaccines in the state. Please refer to the North Carolina Board of Pharmacy's guidance regarding CDC/ACIP recommendations and state law governing pharmacy-based COVID-19 vaccine administration. 

Also in North Carolina, the Department of Health and Human Services (NCDHHS) remain committed to transparency, collaboration and fiscal responsibility in administration of the state's Medicaid program. Fee schedules impacted by rate reductions were released October 1, but are subject to change if additional appropriations are made available.  

NC Medicaid provider reimbursement rate reductions are being implemented by the Division of Health Benefits (DHB) to maintain the NC Medicaid program within the current funding allocated to the Medicaid program by the North Carolina General Assembly (NCGA).  

For more information, please see:  

• Medicaid Provider Bulletin article NC Medicaid Rate Reductions – Effective October 1, 2025  

• Oct. 1, 2025, Rate Reduction Questions and Answers  

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.