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 November 2025, at 9,091. Wyoming had the lowest, at 82. The median was 1,017 and the figure for the United States was 71,017. Source: Centers for Disease Control and Prevention.

Highest9,091California
Lowest82Wyoming
Median1,01751 states
United States71,017History

All states, November 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,091 count9,091TexasTexas: 4,440 count4,440FloridaFlorida: 4,052 count4,052New YorkNew York: 3,759 count3,759WashingtonWashington: 3,061 count3,061ArizonaArizona: 2,974 count2,974PennsylvaniaPennsylvania: 2,877 count2,877North CarolinaNorth Carolina: 2,462 count2,462OhioOhio: 2,451 count2,451TennesseeTennessee: 2,171 count2,171IllinoisIllinois: 1,984 count1,984ColoradoColorado: 1,807 count1,807MichiganMichigan: 1,719 count1,719GeorgiaGeorgia: 1,684 count1,684New JerseyNew Jersey: 1,629 count1,629IndianaIndiana: 1,426 count1,426MarylandMaryland: 1,391 count1,391South CarolinaSouth Carolina: 1,354 count1,354VirginiaVirginia: 1,310 count1,310MassachusettsMassachusetts: 1,298 count1,298MissouriMissouri: 1,259 count1,259NevadaNevada: 1,246 count1,246KentuckyKentucky: 1,208 count1,208LouisianaLouisiana: 1,195 count1,195OregonOregon: 1,174 count1,174MinnesotaMinnesota: 1,017 count1,017WisconsinWisconsin: 981 count981New MexicoNew Mexico: 942 count942OklahomaOklahoma: 889 count889AlabamaAlabama: 883 count883ConnecticutConnecticut: 879 count879UtahUtah: 687 count687West VirginiaWest Virginia: 685 count685KansasKansas: 547 count547MississippiMississippi: 453 count453IowaIowa: 389 count389MaineMaine: 378 count378ArkansasArkansas: 377 count377District of ColumbiaDistrict of Columbia: 343 count343DelawareDelaware: 336 count336AlaskaAlaska: 326 count326HawaiiHawaii: 326 count326IdahoIdaho: 290 count290New HampshireNew Hampshire: 269 count269Rhode IslandRhode Island: 231 count231MontanaMontana: 178 count178NebraskaNebraska: 147 count147VermontVermont: 140 count140North DakotaNorth Dakota: 131 count131South DakotaSouth Dakota: 89 count89WyomingWyoming: 82 count82
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesNovember 2025
count		Change on November 2024
1California Provisional9,091-8.2%
2Texas Provisional4,440-12.9%
3Florida Provisional4,052-25%
4New York Provisional3,759-22.1%
5Washington Provisional3,061-3.9%
6Arizona Provisional2,974+20.7%
7Pennsylvania Provisional2,877-16.7%
8North Carolina Provisional2,462-10.1%
9Ohio Provisional2,451-24.7%
10Tennessee Provisional2,171-17.6%
11Illinois Provisional1,984-24.1%
12Colorado Provisional1,807+10.6%
13Michigan Provisional1,719-15.5%
14Georgia Provisional1,684-17.3%
15New Jersey Provisional1,629-18.1%
16Indiana Provisional1,426-18.1%
17Maryland Provisional1,391-24.2%
18South Carolina Provisional1,354-11.4%
19Virginia Provisional1,310-17.8%
20Massachusetts Provisional1,298-23.6%
21Missouri Provisional1,259-17%
22Nevada Provisional1,246-15.2%
23Kentucky Provisional1,208-24.3%
24Louisiana Provisional1,195-24.9%
25Oregon Provisional1,174-25.1%
26Minnesota Provisional1,017-0.8%
27Wisconsin Provisional981-18.4%
28New Mexico Provisional942+19.2%
29Oklahoma Provisional889-13.2%
30Alabama Provisional883-27.4%
31Connecticut Provisional879-13.1%
32Utah Provisional687-2.3%
33West Virginia Provisional685-22.8%
34Kansas Provisional547-0.9%
35Mississippi Provisional453-11.7%
36Iowa Provisional389-7.4%
37Maine Provisional378-21.7%
38Arkansas Provisional377-3.1%
39District of Columbia Provisional343-21%
40Delaware Provisional336-5.1%
41Alaska Provisional326-12.8%
41Hawaii Provisional3260%
43Idaho Provisional290-11.3%
44New Hampshire Provisional269-6.9%
45Rhode Island Provisional231-33.2%
46Montana Provisional178+2.3%
47Nebraska Provisional147-2.6%
48Vermont Provisional140-36.7%
49North Dakota Provisional131+10.1%
50South Dakota Provisional89+1.1%
51Wyoming Provisional82-25.5%

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 9,091 in November 2025, according to Centers for Disease Control and Prevention.

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

Wyoming, with 82 in November 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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