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 March 2026, at 8,595. Wyoming had the lowest, at 88. The median was 983 and the figure for the United States was 67,104. Source: Centers for Disease Control and Prevention.

Highest8,595California
Lowest88Wyoming
Median98351 states
United States67,104History

All states, March 2026

CSVChart (SVG)

CaliforniaCalifornia: 8,595 count8,595TexasTexas: 4,424 count4,424FloridaFlorida: 3,983 count3,983New YorkNew York: 3,644 count3,644ArizonaArizona: 2,871 count2,871PennsylvaniaPennsylvania: 2,742 count2,742WashingtonWashington: 2,627 count2,627OhioOhio: 2,336 count2,336North CarolinaNorth Carolina: 2,184 count2,184TennesseeTennessee: 2,032 count2,032IllinoisIllinois: 1,892 count1,892ColoradoColorado: 1,844 count1,844MichiganMichigan: 1,739 count1,739GeorgiaGeorgia: 1,571 count1,571New JerseyNew Jersey: 1,524 count1,524MassachusettsMassachusetts: 1,318 count1,318IndianaIndiana: 1,317 count1,317MarylandMaryland: 1,307 count1,307South CarolinaSouth Carolina: 1,248 count1,248NevadaNevada: 1,222 count1,222MissouriMissouri: 1,209 count1,209LouisianaLouisiana: 1,188 count1,188KentuckyKentucky: 1,087 count1,087New MexicoNew Mexico: 1,052 count1,052MinnesotaMinnesota: 990 count990VirginiaVirginia: 983 count983WisconsinWisconsin: 955 count955OklahomaOklahoma: 844 count844AlabamaAlabama: 820 count820OregonOregon: 817 count817ConnecticutConnecticut: 801 count801West VirginiaWest Virginia: 658 count658UtahUtah: 640 count640KansasKansas: 478 count478MississippiMississippi: 412 count412MaineMaine: 362 count362ArkansasArkansas: 355 count355IowaIowa: 341 count341District of ColumbiaDistrict of Columbia: 325 count325HawaiiHawaii: 301 count301AlaskaAlaska: 298 count298DelawareDelaware: 279 count279IdahoIdaho: 271 count271New HampshireNew Hampshire: 254 count254Rhode IslandRhode Island: 187 count187MontanaMontana: 177 count177NebraskaNebraska: 157 count157VermontVermont: 154 count154North DakotaNorth Dakota: 113 count113South DakotaSouth Dakota: 88 count88WyomingWyoming: 88 count88
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesMarch 2026
count		Change on March 2025
1California Provisional8,595-8.7%
2Texas Provisional4,424-8.4%
3Florida Provisional3,983-13.2%
4New York Provisional3,644-11.5%
5Arizona Provisional2,871+4.7%
6Pennsylvania Provisional2,742-15%
7Washington Provisional2,627-18.9%
8Ohio Provisional2,336-20%
9North Carolina Provisional2,184-16.2%
10Tennessee Provisional2,032-15.5%
11Illinois Provisional1,892-20.8%
12Colorado Provisional1,844+11.8%
13Michigan Provisional1,739-6.5%
14Georgia Provisional1,571-17.7%
15New Jersey Provisional1,524-16.1%
16Massachusetts Provisional1,318-11.5%
17Indiana Provisional1,317-18.4%
18Maryland Provisional1,307-19%
19South Carolina Provisional1,248-11.7%
20Nevada Provisional1,222-14.1%
21Missouri Provisional1,209-12.3%
22Louisiana Provisional1,188-15.1%
23Kentucky Provisional1,087-25.1%
24New Mexico Provisional1,052+27.7%
25Minnesota Provisional990-2.1%
26Virginia Provisional983-31.3%
27Wisconsin Provisional955-10.6%
28Oklahoma Provisional844-14.1%
29Alabama Provisional820-23.6%
30Oregon Provisional817-43.3%
31Connecticut Provisional801-14.3%
32West Virginia Provisional658-12.4%
33Utah Provisional640-8.4%
34Kansas Provisional478-16.3%
35Mississippi Provisional412-13.4%
36Maine Provisional362-14.8%
37Arkansas Provisional355-7.3%
38Iowa Provisional341-21.4%
39District of Columbia Provisional325-16%
40Hawaii Provisional301-13%
41Alaska Provisional298-10.2%
42Delaware Provisional279-18.7%
43Idaho Provisional271-12%
44New Hampshire Provisional254+0.8%
45Rhode Island Provisional187-38.3%
46Montana Provisional177+6%
47Nebraska Provisional157+3.3%
48Vermont Provisional154-15.4%
49North Dakota Provisional113-0.9%
50South Dakota Provisional88+8.6%
50Wyoming Provisional88-7.4%

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 8,595 in March 2026, according to Centers for Disease Control and Prevention.

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

Wyoming, with 88 in March 2026.

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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