Iowa Attorney General Tom Miller announced today the final approval of the $26 billion opioid agreement with the nation’s three major pharmaceutical distributors – Cardinal, McKesson and AmerisourceBergen and Johnson & Johnson. Following successful state sign-on and subdivision sign-on periods, the defendants will start releasing funds to a national administrator on April 2. Money will start flowing to state and local governments in the second quarter of 2022. In Iowa, all 99 counties, as well as 43 cities, have signed on to the agreement. As a result, Iowa will receive its full share of the settlement. Over the course of 18 years, the state expects to receive $174 million, which will be split evenly between the state and local governments to abate the opioid crisis in Iowa. “The opioid crisis never should have happened,” Miller said in a press release. “While we can’t change the past, we can look toward a future where those responsible for this tragic situation are held accountable. That is what this settlement does. The funds from this agreement will go a long way toward addressing Iowa’s opioid crisis and provide help to those who need it.” The agreement marks the culmination of three years of negotiations to resolve more than 4,000 claims of state and local governments across the country. It is the second-largest multistate agreement in U.S. history, second only to the Tobacco Master Settlement Agreement. Fifty-two states and territories have signed on to the agreement, as well as thousands of local governments across the country.