North Carolina residents who meet certain requirements will be able to gain access to COVID-19 vaccinations without having to get a prescription from a health care provider, according to a press release from Democratic Gov. Josh Stein’s office.
North Carolina Department of Health and Human Services (NCDHHS) Chief Medical Officer and State Health Director Dr. Larry Greenblatt has been directed to issue standing orders allowing seniors 65 years or older, or adults over 18 years who have at least one high-risk condition, to get a vaccine at a pharmacy.
“Health care providers and pharmacists recommend vaccination as a safe and effective tool to protect yourself and your community from COVID-19,” Stein said in a statement. “This action ensures that North Carolinians most at risk who want protection from COVID-19 can get it as we enter the cold and flu season.”
Health and Human Services Secretary Dev Sangvai said requiring a visit to a health care provider is an administrative barrier for patients, providers, and pharmacies.
“Vaccinations against seasonal respiratory viruses, including flu, RSV, and COVID are especially important and the right choice for those at higher risk of severe viral respiratory disease,” Sangvai said.
Qualifying high-risk conditions include obesity, asthma, diabetes, physical inactivity, depression, former or current smoking, and pregnancy, among others.
In 2024, North Carolina had more than 120,000 emergency department visits for COVID-like illnesses that resulted in more than 21,600 hospitalizations, according to Stein’s office. The latest round of COVID-19 vaccinations was approved by the Food and Drug Administration in late August.
Prior to Stein’s directive, state law required pharmacies in North Carolina to only administer the vaccine with a prescription for those over 18 years. With the standing orders in place, access will now be increased — NCDHHS data shows 70% of vaccines administered last year were given in pharmacies.
Parents seeking vaccinations for their children from ages 6 months to 17 years are still required to consult their physician.
President of the North Carolina Academy of Family Physicians Dr. Mark McNeill said vaccines are the most effective public health tool to prevent the spread of contagious illnesses, including COVID-19.
“The NCAFP supports the Governor’s efforts to ensure safe and appropriate access to COVID-19 vaccines, be it from a physician or a pharmacist,” McNeill said. “We must all work together to protect our communities against the spread of COVID-19 infection.”


