Schools — stock epinephrine
Required[REQUIRED]Minimum of two per school, secure but unlocked.
North Carolina stock epinephrine law
North Carolina does not issue a statewide standing order. You'll need a prescriber to sign one.
Last checked 2026-08-14. Every row below links to its own source.
Statewide standing order
No[NO]
Each school obtains a non-patient-specific prescription from a LOCAL health department physician, PA, or NP. The state health director's epinephrine standing orders have expired.
How to get it in North Carolina
Two documents: a prescription in your organization's name, and a standing order saying when trained staff may use it.
- Everyone
- North Carolina does not issue a statewide standing order, so a prescriber signs yours. Any physician can, and in most states a nurse practitioner or PA can too.
Free medication, if you are a K-12 school
North Carolina permits nasal spray for undesignated stock use, so neffyinSchools applies here as well as EPIPEN4SCHOOLS. See both programs.
Then the devices
Buy standard auto-injectors through your usual pharmacy or medical supplier, which is what most organizations do.
Every status for North Carolina
Nasal spray allowed for stock use
Yes[YES]Now 'epinephrine delivery systems... including nasal sprays'. Note this rode on S.L. 2025-60, not HB 397, which stalled in the Senate.
Childcare
Permitted[PERMITTED]Day care facilities named as authorized entities.
Other public places
Permitted[PERMITTED]Recreation camps, colleges, day care, youth sports leagues, amusement parks, restaurants, workplaces, sports arenas.
Pending legislation
HB 397
Use of Epinephrine Nasal Spray. Largely mooted — the substance was enacted via S.L. 2025-60.
Passed House 113-0; stalled in Senate Rules
Something out of date?
We keep this current because it's hard to find in one place. Report an update and we'll check it.
This page is a starting point, not legal advice.
Laws change frequently and we may not have caught the latest amendment in North Carolina. Confirm with your state department of health or education, your district's counsel, or your medical director before relying on it.
Report an update
If something here is wrong or out of date, tell us. We'd rather hear it from you than have a school nurse act on a stale row.
Source: allergyrescuekit.com/free-epinephrine/nc · verified 2026-08-14