# US states by drug overdose deaths (12 months), April 2026

All 51 values come from Centers for Disease Control and Prevention for 2026-04, so the places are comparable.

- Indicator id: `drug_overdose_deaths_12m`
- Unit: count
- Definition: Drug overdose deaths that occurred in the area during the 12 months ending in the month shown. The value for March 2026 covers April 2025 through March 2026. Underlying cause of death coded X40 to X44, X60 to X64, X85 or Y10 to Y14 (ICD-10).
- Source: Centers for Disease Control and Prevention, VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending (https://data.cdc.gov/resource/xkb8-kh2a.json?%24order=%3Aid&%24limit=50000&%24where=indicator%3D%27Number+of+Drug+Overdose+Deaths%27+AND+period%3D%2712+month-ending%27)
- Retrieved: 2026-10-09
- Citation: Centers for Disease Control and Prevention (CDC). VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. https://data.cdc.gov/resource/xkb8-kh2a.json?%24order=%3Aid&%24limit=50000&%24where=indicator%3D%27Number+of+Drug+Overdose+Deaths%27+AND+period%3D%2712+month-ending%27. Retrieved 2026-10-09.
- Web page: https://invokely.ai/rankings/drug-overdose-deaths/us-states
- CSV: https://invokely.ai/download/rankings/drug-overdose-deaths/us-states.csv

| Rank | Place | count |
|---:|---|---:|
| 1 | California | 8,373 |
| 2 | Texas | 4,412 |
| 3 | Florida | 3,976 |
| 4 | New York | 3,566 |
| 5 | Arizona | 2,835 |
| 6 | Pennsylvania | 2,657 |
| 7 | Washington | 2,538 |
| 8 | Ohio | 2,315 |
| 9 | North Carolina | 2,045 |
| 10 | Tennessee | 2,000 |
| 11 | Illinois | 1,895 |
| 12 | Colorado | 1,845 |
| 13 | Michigan | 1,722 |
| 14 | Georgia | 1,526 |
| 15 | New Jersey | 1,494 |
| 16 | Massachusetts | 1,311 |
| 17 | Maryland | 1,308 |
| 18 | Indiana | 1,269 |
| 19 | Nevada | 1,213 |
| 20 | Missouri | 1,204 |
| 21 | South Carolina | 1,198 |
| 22 | Louisiana | 1,178 |
| 23 | New Mexico | 1,072 |
| 24 | Kentucky | 1,061 |
| 25 | Minnesota | 972 |
| 26 | Wisconsin | 946 |
| 27 | Virginia | 866 |
| 28 | Oklahoma | 798 |
| 29 | Alabama | 795 |
| 29 | Connecticut | 795 |
| 31 | Oregon | 704 |
| 32 | West Virginia | 641 |
| 33 | Utah | 630 |
| 34 | Kansas | 464 |
| 35 | Mississippi | 413 |
| 36 | Arkansas | 367 |
| 37 | Maine | 355 |
| 38 | Iowa | 345 |
| 39 | District of Columbia | 305 |
| 40 | Alaska | 297 |
| 41 | Hawaii | 296 |
| 42 | Idaho | 256 |
| 43 | Delaware | 255 |
| 44 | New Hampshire | 251 |
| 45 | Rhode Island | 186 |
| 46 | Montana | 172 |
| 47 | Nebraska | 166 |
| 48 | Vermont | 155 |
| 49 | North Dakota | 113 |
| 50 | South Dakota | 85 |
| 50 | Wyoming | 85 |