This CDC link and publication shows opiate prescribing rates by county and state.  Interesting to see the discrepancies from county to county and state to state.

Here are the highlights of the data

  • After a steady increase in the overall national opioid prescribing rate from 2006, the total number of prescriptions dispensed peaked in 2012 at more than 255 million and a prescribing rate of 81.3 prescriptions per 100 persons.

  • The overall national opioid prescribing rate declined from 2012 to 2016, and in 2016, the prescribing rate had fallen to the lowest it had been in more than 10 years at 66.5 prescriptions per 100 persons (over 214 million total opioid prescriptions).

  • However, in 2016, prescribing rates continue to remain very high in areas across the country.

    • In about a quarter of U.S. counties, enough opioid prescriptions were dispensed for every person to have one.
    • While the overall opioid prescribing rate in 2016 was 66.5 prescriptions per 100 people, some counties had rates that were seven times higher than that.
  • Prescribing rates for opioids vary widely across different states and counties. Emerging hotspot areas are identified by the darker colors on the maps.

Source: U.S. Prescribing Rate Maps | Drug Overdose | CDC Injury Center