U.S. Opioid Prescribing Rate Maps
The data in the maps show the geographic distribution in the United States, at both state and county levels, of retail opioid prescriptions dispensed per 100 persons per year from 2006–2017. a,b,c
Data are displayed within two types of interactive maps that show the estimated rate of opioid prescriptions per 100 U.S. residents. The state maps portray the rates per year for each of the 50 states and the District of Columbia. The county maps portray these rates for 87.6% to 94.0% of U.S. counties for a given year from 2006-2017.d
Rates are classified by the Jenkse natural breaks classification method into 4 groups using the 12-year range of data to determine the class breaks. Hover over a county or state to reveal its prescription rate or view the corresponding data table for additional information.
- After a steady increase in the overall national opioid prescribing rate starting in 2006, the total number of prescriptions dispensed peaked in 2012 at more than 255 million and a prescribing rate of 81.3 prescriptions per 100 persons.
- The overall national opioid prescribing rate declined from 2012 to 2017, and in 2017, the prescribing rate had fallen to the lowest it had been in more than 10 years at 58.7 prescriptions per 100 persons (total of more than 191 million total opioid prescriptions).
- However, in 2017, prescribing rates continue to remain very high in certain areas across the country.
- In 16% of U.S. counties, enough opioid prescriptions were dispensed for every person to have one.
- While the overall opioid prescribing rate in 2017 was 58.7 prescriptions per 100 people, some counties had rates that were seven times higher than that.
- Prescribing rates for opioids vary widely across different states and counties. Emerging hotspot areas are identified by the darker colors on the maps.
Table 1. Total number and rate of opioid prescriptions dispensed, United States, 2006–2016
|Year||Total Number of
Per 100 Persons
Table 2. Total number and percentage of counties with available opioid prescribing data, United States, 2006–2016
|Year||Number of Counties
|Number of Counties
(with Available Data)
|Percentage of Counties
(with Available Data)
Sources and Footnotes
- Source for all prescribing data: IQVIA Transactional Data Warehouse (TDW) 2006–2017. IQVIA TDW is based on a sample of approximately 50,000 retail (non-hospital) pharmacies, which dispense nearly 90% of all retail prescriptions in the United States. For this database, a prescription is an initial or refill prescription dispensed at a retail pharmacy in the sample and paid for by commercial insurance, Medicaid, Medicare, or cash or its equivalent. This database does not include mail order pharmacy data.
- For the calculation of prescribing rates, numerators are the total number of opioid prescriptions dispensed in a given year, state, or county, as appropriate. Annual resident population denominator estimates were obtained from the U.S. Census Bureau.
- Opioid prescriptions, including buprenorphine, codeine, fentanyl, hydrocodone, hydromorphone, methadone, morphine, oxycodone, oxymorphone, propoxyphene, tapentadol, and tramadol, were identified using the National Drug Code. Cough and cold formulations containing opioids and buprenorphine products typically used to treat opioid use disorder were not included. In addition, methadone dispensed through methadone maintenance treatment programs is not included in the IQVIA TDW data.
- Table 2 ndisplays the percentage of counties in the United States that have opioid prescribing rates available for a given year. A lack of available data may indicate that the county had no retail pharmacies, the county had no retail pharmacies sampled, or the prescription volume was erroneously attributed to an adjacent, more populous county according to the sampling rules used.
- Jenks, George F. 1967. “The Data Model Concept in Statistical Mapping,” International Yearbook of Cartography 7: 186–190.
NOTE: These maps display the number of opioid prescriptions per 100 residents, by state and county, from 2006 to 2017. These maps are distinct from the July 2017 issue of CDC Vital Signs, which featured different facets of opioid prescribing from 2006 to 2015, including the amounts of opioids prescribed (morphine milligram equivalents per capita), prescription dosages, and days’ supply, as well as county-level factors associated with increased amounts of opioids prescribed. For more information, visit: https://www.cdc.gov/vitalsigns/opioids/index.html.