In a significant move to enhance healthcare access, the North Carolina Department of Health and Human Services has issued Standing Orders under the guidance of State Health Director Dr. Larry Greenblatt. This development empowers pharmacists in retail settings to conduct and treat influenza tests, beginning October 1, 2025. This initiative is a direct outcome of the enactment of House Bill 67.
Early diagnosis and treatment with antiviral medications are crucial for individuals at high risk of flu complications. Starting treatment shortly after the onset of symptoms can prevent the escalation of flu severity. It is advised to promptly consult a healthcare provider or pharmacist if influenza symptoms appear, as timely antiviral treatment is vital for those with severe illness or high-risk conditions.
The standing orders permit pharmacists to assess individuals aged five and older exhibiting flu symptoms, perform point-of-care influenza testing, and initiate treatment when necessary. It is important to note that flu tests can sometimes miss infections, and individuals with severe or prolonged symptoms are encouraged to seek further medical care. Additionally, pharmacists are authorized to provide preventive treatment to high-risk individuals exposed to the flu within the past 48 hours.
“This action reduces barriers for people who are feeling sick or have been exposed to someone with the influenza virus,” stated NC Health and Human Services Secretary Dev Sangvai. “Being able to get tested and immediately treated at a pharmacy increases access for people who do not have a regular provider and will help make communities healthier during the respiratory virus season.”
Beyond immediate treatment, pharmacists will educate patients on self-care practices, ways to prevent flu spread, and when to seek additional medical attention. They will also share visit details with the patient’s primary care provider to ensure coordinated care, and assist those without a doctor in finding one.
There may be fees associated with the testing and medications, and while some insurance plans may cover these costs immediately, broader coverage is expected to develop. Patients are advised to confirm with their pharmacy about the availability of testing and treatment services and whether an appointment is required.
For individuals preferring to visit their usual healthcare provider or a nearby clinic, the standing order does not alter existing procedures, and they should verify if an appointment is necessary for testing and treatment. With pharmacies widely available across the state, this measure improves access for those lacking a regular healthcare provider or local clinic.
Flu vaccinations are recommended annually for everyone six months and older, ideally administered in September or October, before the peak of the respiratory virus season in winter. Vaccination remains the most effective method to prevent severe illness, hospitalization, and death due to the flu.
Vaccinations are particularly crucial for those at elevated risk, such as individuals aged 65 and older, young children under five, pregnant women, those with weakened immune systems, and individuals with specific health conditions like asthma, diabetes, heart disease, and obesity. Vaccines and treatments for RSV and COVID-19 are also available. Flu vaccines are generally accessible at minimal or no cost and are covered by NC Medicaid, most private insurers, and the federal Vaccines for Children Program.
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