Prescription Drug Expenses Tax Deduction.

This North Carolina bill allows taxpayers to deduct up to $5,000 of unreimbursed costs for prescribed medications and pharmacy fees from their state income tax. The deduction applies to expenses not covered by tax-advantaged accounts like Flexible Spending or Health Savings Accounts and prevents double-dipping if a federal deduction is already claimed for the same year. Effective for tax years starting on or after January 1, 2026, the measure directly affects individuals paying out-of-pocket for prescription drugs who itemize their state taxes.