Data / Rankings / Drug overdose deaths, 12 months ending / US states

US states by drug overdose deaths (12 months)

California had the highest drug overdose deaths (12 months) of 51 states in October 2025, at 9,099. Wyoming had the lowest, at 79. The median was 1,017 and the figure for the United States was 71,384. Source: Centers for Disease Control and Prevention.

Highest9,099California
Lowest79Wyoming
Median1,01751 states
United States71,384History

All states, October 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,099 count9,099TexasTexas: 4,379 count4,379FloridaFlorida: 4,072 count4,072New YorkNew York: 3,778 count3,778WashingtonWashington: 3,157 count3,157ArizonaArizona: 2,981 count2,981PennsylvaniaPennsylvania: 2,922 count2,922OhioOhio: 2,471 count2,471North CarolinaNorth Carolina: 2,469 count2,469TennesseeTennessee: 2,180 count2,180IllinoisIllinois: 2,022 count2,022ColoradoColorado: 1,799 count1,799MichiganMichigan: 1,722 count1,722GeorgiaGeorgia: 1,680 count1,680New JerseyNew Jersey: 1,627 count1,627IndianaIndiana: 1,466 count1,466MarylandMaryland: 1,399 count1,399South CarolinaSouth Carolina: 1,349 count1,349VirginiaVirginia: 1,324 count1,324MassachusettsMassachusetts: 1,318 count1,318MissouriMissouri: 1,285 count1,285OregonOregon: 1,265 count1,265KentuckyKentucky: 1,240 count1,240NevadaNevada: 1,238 count1,238LouisianaLouisiana: 1,208 count1,208MinnesotaMinnesota: 1,017 count1,017WisconsinWisconsin: 976 count976New MexicoNew Mexico: 914 count914AlabamaAlabama: 901 count901OklahomaOklahoma: 899 count899ConnecticutConnecticut: 875 count875UtahUtah: 673 count673West VirginiaWest Virginia: 672 count672KansasKansas: 551 count551MississippiMississippi: 464 count464IowaIowa: 402 count402MaineMaine: 385 count385ArkansasArkansas: 376 count376DelawareDelaware: 341 count341District of ColumbiaDistrict of Columbia: 331 count331AlaskaAlaska: 329 count329HawaiiHawaii: 315 count315IdahoIdaho: 285 count285New HampshireNew Hampshire: 261 count261Rhode IslandRhode Island: 223 count223MontanaMontana: 176 count176NebraskaNebraska: 141 count141VermontVermont: 133 count133North DakotaNorth Dakota: 132 count132South DakotaSouth Dakota: 83 count83WyomingWyoming: 79 count79
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesOctober 2025
count		Change on October 2024
1California Provisional9,099-9.9%
2Texas Provisional4,379-15.7%
3Florida Provisional4,072-27.2%
4New York Provisional3,778-24.5%
5Washington Provisional3,157-0.6%
6Arizona Provisional2,981+22.3%
7Pennsylvania Provisional2,922-17.7%
8Ohio Provisional2,471-27.1%
9North Carolina Provisional2,469-10%
10Tennessee Provisional2,180-20.9%
11Illinois Provisional2,022-25.4%
12Colorado Provisional1,799+7%
13Michigan Provisional1,722-17.9%
14Georgia Provisional1,680-20.6%
15New Jersey Provisional1,627-20.6%
16Indiana Provisional1,466-17.7%
17Maryland Provisional1,399-27.4%
18South Carolina Provisional1,349-13%
19Virginia Provisional1,324-20.1%
20Massachusetts Provisional1,318-25%
21Missouri Provisional1,285-17.5%
22Oregon Provisional1,265-19.7%
23Kentucky Provisional1,240-24.2%
24Nevada Provisional1,238-17.2%
25Louisiana Provisional1,208-26.8%
26Minnesota Provisional1,017-4.1%
27Wisconsin Provisional976-22.4%
28New Mexico Provisional914+12.4%
29Alabama Provisional901-28.7%
30Oklahoma Provisional899-15%
31Connecticut Provisional875-17.3%
32Utah Provisional673-8.4%
33West Virginia Provisional672-28.3%
34Kansas Provisional551+0.2%
35Mississippi Provisional464-13.6%
36Iowa Provisional402-4.3%
37Maine Provisional385-21.7%
38Arkansas Provisional376-6%
39Delaware Provisional341-7.1%
40District of Columbia Provisional331-28.7%
41Alaska Provisional329-12.7%
42Hawaii Provisional315-4.5%
43Idaho Provisional285-17.4%
44New Hampshire Provisional261-12.1%
45Rhode Island Provisional223-40.4%
46Montana Provisional176+0.6%
47Nebraska Provisional141-4.1%
48Vermont Provisional133-40.1%
49North Dakota Provisional132+10.9%
50South Dakota Provisional83-4.6%
51Wyoming Provisional79-30.7%

Other periods

About this ranking

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).

United States: CDC National Vital Statistics System provisional counts, as reported, not the predicted counts CDC also publishes. Recent months are incomplete and usually rise as death records arrive; periods without final data are marked provisional. Deaths are counted where they occurred. The national figure covers the 50 states and DC. CDC publishes New York City separately; the New York State value is the sum of New York City and the rest of the state. Consecutive months overlap by 11 months, so they must not be added together.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. Equal values share a rank.

How to cite

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.

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Questions

Which state has the highest drug overdose deaths (12 months)?

California, with 9,099 in October 2025, according to Centers for Disease Control and Prevention.

Which state has the lowest drug overdose deaths (12 months)?

Wyoming, with 79 in October 2025.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. Retrieved 2026-10-09.

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