Medication Aide

This course is designed to prepare non-licensed personnel with the skills required by the North Carolina Board of Nursing to practice as a Medication Aide in long-term care/skilled nursing facilities within the state of North Carolina.

Educational Pathway:
Nurse Aide I > Medication Aide > Nurse Aide II > RN-ADN > RN-BSN > MSN

  1.  Course Content  
  2.  Earnings  
  3.  Costs  
  4.  Admission Requirements  
  5.  FAQ's  
Course Content

Course topics include: safe and accurate administration of medications via the following routes: oral, eye, ear, nasal, topical, inhalant, nebulizer, vaginal, and rectal. Students are not taught: IM, IV, subcutaneous injections or administration of meds via G-tubes. Upon successful course completion, students are eligible to sit for the state examination in order to become listed on the North Carolina Division of Health Service Regulation Medication Aide Registry. 
Estimated Hourly Earnings

According to the Bureau of Labor Statistics website (,current state hourly wage range is $11.64 – $16.88.

Employment Opportunities:
  • Hospitals                                                                      
  • Home Care Agencies
  • Specialty Hospitals
  • Hospice
  • Nursing Homes
  • Physician’s Offices

Registration fee
Textbooks* $14.14
*May be purchased in College Bookstore
Admission Requirements
  • High School Diploma or High School Credential
  • Must be 18 years of age
  • Current listing with the Division of Health Service Regulation as a Nurse Aide I with no substantiated findings of abuse, neglect, or misappropriation of property.
  • Proof of completion of a minimum 75-hour, state approved Nurse Aide I course
Additional Requirements:
  • Social Security card – name must match government issued photo ID
  • Government issued photo ID – name must match Social Security card
I am currently listed as a Nurse Aide in North Carolina.  Why should I take the Medication Aide course?

  • When hiring, facilities give preference to nurse aides who also have their medication aide certification.
  • Some facilities pay $1 to $3 per hour more for those with medication aide certification.
  • For future nurses, the course helps instill confidence while performing medication administration
Is a state competency test required upon course completion?

Yes, competency testing is provided through Pearson Vue at
How can I become listed on the registry as a Medication Aide?

  • Be currently listed on the North Carolina Nurse Aide I registry with no substantiated findings of abuse, neglect or misappropriation of property AND 
  • Complete a state approved Medication Aide course of a minimum 24 hours AND
  • Successfully pass the state administered competency examination
If listed on the NC Registry as a Medication Aide, can I work in an adult care home?

If listed on the NC Registry as a Medication Aide, can I administer injections?

Does North Carolina list Medication Aides by reciprocity, endorsement, or transfer from other states?

No, to be listed on the N.C. Medication Aide Registry, an out-of-state medication aide must pass a minimum 24-hour N.C. Board of Nursing-approved medication aide training program and pass the state medication aide exam.
Where can I get information regarding Medication Aide competency testing?
  • Visit the Pearson Vue website at  
  • Exam scheduling procedures are provided in the Candidate Handbook.
  • Application process and additional information may be found on the website or by calling the following  numbers:
    • Exam Application Processing Questions: (888) 204-6207
    • Exam Reservation/Cancellation: (800) 274-7176
When I complete the training and become listed, how can I renew?

Through qualified, documented work experience consisting of 8 hours within the previous two years, for pay, under a registered nurse or qualified supervisor.
What happens if I do not renew within the required 24-month period?

A new training program and competency exam is required to become re-listed.