Counties where the most opioids are dispensed in Kansas

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When Purdue Pharma first began sales of OxyContin in the late 1990s, it was advertised as relief for cancer patients and people with chronic pain. Aggressive marketing fueled the drug's popularity, along with that of other opioid pain management drugs on the market. But as the company touted OxyContin to physicians, it downplayed the drug's addictiveness, according to confidential Justice Department reports obtained by news organizations, leading to widespread use that has fueled an opioid epidemic across the U.S.

More than 645,000 people have died from opioid-related overdoses between 1999 and 2021, according to the Centers for Disease Control and Prevention. Provisional data shows just under 80,000 people died in 2022 alone.

Opioid prescriptions have decreased dramatically over the past decade as physicians and public health officials learned about the dangers of OxyContin and other opioids prescribed for pain management. In 2020, the most recent year with data available, the national opioid dispense rate reached 43.3 per 100 people, the lowest rate ever recorded.

A 2022 study funded by the National Institute on Drug Abuse found that counties with higher dispensing rates had more cases of opioid misuse and dependence. The study suggested that reducing prescriptions at the local level can lower a community's rate of opioid abuse or misuse.

Other studies, however, have suggested that decreasing prescriptions may have fueled a new phase of the opioid epidemic: the rise of synthetics like fentanyl. In 2020, synthetics accounted for 82% of all opioid deaths.

It's also important to note that, as awareness has grown about the dangers of dispensing opioid prescription painkillers, more health care professionals are also prescribing medications like Suboxone–which contains buprenorphine and naloxone—for the treatment of addiction and opioid use disorders. While Suboxone is also an opioid medication, it works differently than typical opioid painkillers, blocking the effects of more powerful and addictive opioids to deter intentional misuse.

Using data from the Centers for Disease Control and Prevention, Ophelia broke down counties in every state with the highest opioid dispense rates. In the case of a tie, the county with the higher population and higher raw number is ranked higher. Data was available for 98% of counties in the United States. Overall in Kansas, the opioid dispensing rate was 59.8 per 100 people, compared to 43.3 nationally.

Read the national story for additional historical context and see where other counties outside of Kansas stand.

#50. Rush County

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#50. Rush County

- Opioid dispensing rate: 42.6 per 100 people
--- 28.8% lower than state average
--- 1.6% lower than national average

#49. Montgomery County

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#49. Montgomery County

- Opioid dispensing rate: 42.6 per 100 people
--- 28.8% lower than state average
--- 1.6% lower than national average

#48. Logan County

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#48. Logan County

- Opioid dispensing rate: 44.1 per 100 people
--- 26.3% lower than state average
--- 1.8% higher than national average

#47. Washington County

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#47. Washington County

- Opioid dispensing rate: 47.0 per 100 people
--- 21.4% lower than state average
--- 8.5% higher than national average

#46. Dickinson County

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#46. Dickinson County

- Opioid dispensing rate: 48.7 per 100 people
--- 18.6% lower than state average
--- 12.5% higher than national average

#45. Sumner County

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#45. Sumner County

- Opioid dispensing rate: 48.7 per 100 people
--- 18.6% lower than state average
--- 12.5% higher than national average

#44. Phillips County

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#44. Phillips County

- Opioid dispensing rate: 49.8 per 100 people
--- 16.7% lower than state average
--- 15.0% higher than national average

#43. Ness County

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#43. Ness County

- Opioid dispensing rate: 52.7 per 100 people
--- 11.9% lower than state average
--- 21.7% higher than national average

#42. Atchison County

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#42. Atchison County

- Opioid dispensing rate: 52.7 per 100 people
--- 11.9% lower than state average
--- 21.7% higher than national average

#41. Rooks County

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#41. Rooks County

- Opioid dispensing rate: 54.4 per 100 people
--- 9.0% lower than state average
--- 25.6% higher than national average

#40. Edwards County

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#40. Edwards County

- Opioid dispensing rate: 54.6 per 100 people
--- 8.7% lower than state average
--- 26.1% higher than national average

#39. Seward County

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#39. Seward County

- Opioid dispensing rate: 54.8 per 100 people
--- 8.4% lower than state average
--- 26.6% higher than national average

#38. Clark County

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#38. Clark County

- Opioid dispensing rate: 55.2 per 100 people
--- 7.7% lower than state average
--- 27.5% higher than national average

#37. Shawnee County

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#37. Shawnee County

- Opioid dispensing rate: 55.6 per 100 people
--- 7.0% lower than state average
--- 28.4% higher than national average

#36. Thomas County

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#36. Thomas County

- Opioid dispensing rate: 55.9 per 100 people
--- 6.5% lower than state average
--- 29.1% higher than national average

#35. Johnson County

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#35. Johnson County

- Opioid dispensing rate: 55.9 per 100 people
--- 6.5% lower than state average
--- 29.1% higher than national average

#34. Ellis County

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#34. Ellis County

- Opioid dispensing rate: 56.5 per 100 people
--- 5.5% lower than state average
--- 30.5% higher than national average

#33. Cowley County

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#33. Cowley County

- Opioid dispensing rate: 57.8 per 100 people
--- 3.3% lower than state average
--- 33.5% higher than national average

#32. Ellsworth County

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#32. Ellsworth County

- Opioid dispensing rate: 59.5 per 100 people
--- 0.5% lower than state average
--- 37.4% higher than national average

#31. Osborne County

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#31. Osborne County

- Opioid dispensing rate: 61.3 per 100 people
--- 2.5% higher than state average
--- 41.6% higher than national average

#30. Butler County

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#30. Butler County

- Opioid dispensing rate: 61.7 per 100 people
--- 3.2% higher than state average
--- 42.5% higher than national average

#29. Barton County

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#29. Barton County

- Opioid dispensing rate: 62.2 per 100 people
--- 4.0% higher than state average
--- 43.6% higher than national average

#28. Bourbon County

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#28. Bourbon County

- Opioid dispensing rate: 62.6 per 100 people
--- 4.7% higher than state average
--- 44.6% higher than national average

#27. Labette County

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#27. Labette County

- Opioid dispensing rate: 63.8 per 100 people
--- 6.7% higher than state average
--- 47.3% higher than national average

#26. Mitchell County

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#26. Mitchell County

- Opioid dispensing rate: 66.5 per 100 people
--- 11.2% higher than state average
--- 53.6% higher than national average

#25. Clay County

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#25. Clay County

- Opioid dispensing rate: 67.0 per 100 people
--- 12.0% higher than state average
--- 54.7% higher than national average

#24. Ford County

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#24. Ford County

- Opioid dispensing rate: 69.7 per 100 people
--- 16.6% higher than state average
--- 61.0% higher than national average

#23. Norton County

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#23. Norton County

- Opioid dispensing rate: 70.1 per 100 people
--- 17.2% higher than state average
--- 61.9% higher than national average

#22. Kearny County

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#22. Kearny County

- Opioid dispensing rate: 70.4 per 100 people
--- 17.7% higher than state average
--- 62.6% higher than national average

#21. Reno County

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#21. Reno County

- Opioid dispensing rate: 71.6 per 100 people
--- 19.7% higher than state average
--- 65.4% higher than national average

#20. Crawford County

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#20. Crawford County

- Opioid dispensing rate: 71.7 per 100 people
--- 19.9% higher than state average
--- 65.6% higher than national average

#19. Harvey County

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#19. Harvey County

- Opioid dispensing rate: 72.8 per 100 people
--- 21.7% higher than state average
--- 68.1% higher than national average

#18. Brown County

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#18. Brown County

- Opioid dispensing rate: 73.5 per 100 people
--- 22.9% higher than state average
--- 69.7% higher than national average

#17. Kiowa County

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#17. Kiowa County

- Opioid dispensing rate: 74.4 per 100 people
--- 24.4% higher than state average
--- 71.8% higher than national average

#16. Scott County

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#16. Scott County

- Opioid dispensing rate: 77.3 per 100 people
--- 29.3% higher than state average
--- 78.5% higher than national average

#15. Neosho County

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#15. Neosho County

- Opioid dispensing rate: 81.4 per 100 people
--- 36.1% higher than state average
--- 88.0% higher than national average

#14. Allen County

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#14. Allen County

- Opioid dispensing rate: 83.3 per 100 people
--- 39.3% higher than state average
--- 92.4% higher than national average

#13. Russell County

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#13. Russell County

- Opioid dispensing rate: 84.6 per 100 people
--- 41.5% higher than state average
--- 95.4% higher than national average

#12. Coffey County

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#12. Coffey County

- Opioid dispensing rate: 85.1 per 100 people
--- 42.3% higher than state average
--- 96.5% higher than national average

#11. Sedgwick County

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#11. Sedgwick County

- Opioid dispensing rate: 88.6 per 100 people
--- 48.2% higher than state average
--- 104.6% higher than national average

#10. Smith County

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#10. Smith County

- Opioid dispensing rate: 89.7 per 100 people
--- 50.0% higher than state average
--- 107.2% higher than national average

#9. Saline County

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#9. Saline County

- Opioid dispensing rate: 94.3 per 100 people
--- 57.7% higher than state average
--- 117.8% higher than national average

#8. Pratt County

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#8. Pratt County

- Opioid dispensing rate: 96.3 per 100 people
--- 61.0% higher than state average
--- 122.4% higher than national average

#7. Wyandotte County

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#7. Wyandotte County

- Opioid dispensing rate: 98.1 per 100 people
--- 64.0% higher than state average
--- 126.6% higher than national average

#6. Morton County

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#6. Morton County

- Opioid dispensing rate: 102.8 per 100 people
--- 71.9% higher than state average
--- 137.4% higher than national average

#5. Stanton County

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#5. Stanton County

- Opioid dispensing rate: 105.8 per 100 people
--- 76.9% higher than state average
--- 144.3% higher than national average

#4. Wilson County

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#4. Wilson County

- Opioid dispensing rate: 109.1 per 100 people
--- 82.4% higher than state average
--- 152.0% higher than national average

#3. Trego County

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#3. Trego County

- Opioid dispensing rate: 117.2 per 100 people
--- 96.0% higher than state average
--- 170.7% higher than national average

#2. Greeley County

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#2. Greeley County

- Opioid dispensing rate: 117.6 per 100 people
--- 96.7% higher than state average
--- 171.6% higher than national average

#1. Cheyenne County

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#1. Cheyenne County

- Opioid dispensing rate: 150.1 per 100 people
--- 151.0% higher than state average
--- 246.7% higher than national average