Naloxone Dispensing Rate Maps

Key points

  • The overall national rate of pharmacy dispensed naloxone increased slightly from 2019 to 2022 but remained relatively low, with a rate of 0.5 naloxone prescriptions dispensed per 100 persons in 2022 (a total of more than 1.6 million naloxone prescriptions).
  • Naloxone dispensing rates varied widely across the country.
  • States with the highest naloxone dispensing rates per 100 persons in 2022 include: Arkansas (1.7), New Mexico (1.4), Rhode Island (1.1), the District of Columbia (1.1), and Kentucky (1.1).
  • States with the lowest naloxone dispensing rates per 100 persons in 2022 include: Texas (0.2), New Hampshire (0.2), South Dakota (0.2), and Georgia (0.2).

Naloxone data

Naloxone and other opioid overdose reversal agents are life-saving medications.12 The data in the maps show the geographic distribution in the United States of retail pharmacy dispensed naloxone prescriptions per 100 persons per year from 2019–2022.34

Data are displayed as maps that portray the estimated rate of naloxone prescriptions per 100 persons per year for each of the 50 states and the District of Columbia.A Click on a state to reveal its naloxone dispensing rate or view the corresponding data table for additional information.

Note: Data updated October 2023, rates are subject to change with future data updates.

  1. These data do not include naloxone sold over the counter.
  1. Lifesaving Naloxone (
  2. Information about Naloxone and Nalmefene | FDA
  3. Source for all dispensing data: IQVIA Xponent 2019–2022. IQVIA Xponent is based on a sample of approximately 56,500 retail (non-hospital) pharmacies, which dispense nearly 93% of all retail prescriptions in the United States. For this database, a prescription is a new or refilled prescription dispensed at a retail pharmacy in the sample and paid for by commercial insurance, Medicaid, Medicare, cash or its equivalent, and other third-party coverage. This database does not include mail-order prescriptions. Geographic location is based on the location of the prescriber. Methadone dispensed through methadone treatment programs is not included in the IQVIA Xponent data.
  4. For the calculation of dispensing rates, numerators are the projected total number of naloxone prescriptions dispensed annually at the state, county, or national level. Annual resident population denominators were obtained from the U.S. Census Bureau.