Counties where the most opioids are dispensed in Wisconsin

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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 Wisconsin, the opioid dispensing rate was 39.6 per 100 people, compared to 43.3 nationally.

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

#50. Dunn County

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#50. Dunn County

- Opioid dispensing rate: 17.2 per 100 people
--- 56.6% lower than state average
--- 60.3% lower than national average

#49. Walworth County

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#49. Walworth County

- Opioid dispensing rate: 18.7 per 100 people
--- 52.8% lower than state average
--- 56.8% lower than national average

#48. Oconto County

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#48. Oconto County

- Opioid dispensing rate: 19.2 per 100 people
--- 51.5% lower than state average
--- 55.7% lower than national average

#47. Lafayette County

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#47. Lafayette County

- Opioid dispensing rate: 20.3 per 100 people
--- 48.7% lower than state average
--- 53.1% lower than national average

#46. Green Lake County

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#46. Green Lake County

- Opioid dispensing rate: 21.6 per 100 people
--- 45.5% lower than state average
--- 50.1% lower than national average

#45. Portage County

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#45. Portage County

- Opioid dispensing rate: 21.9 per 100 people
--- 44.7% lower than state average
--- 49.4% lower than national average

#44. Vernon County

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#44. Vernon County

- Opioid dispensing rate: 23.7 per 100 people
--- 40.2% lower than state average
--- 45.3% lower than national average

#43. Washington County

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#43. Washington County

- Opioid dispensing rate: 25.1 per 100 people
--- 36.6% lower than state average
--- 42.0% lower than national average

#42. Pepin County

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#42. Pepin County

- Opioid dispensing rate: 26.0 per 100 people
--- 34.3% lower than state average
--- 40.0% lower than national average

#41. Iowa County

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#41. Iowa County

- Opioid dispensing rate: 26.2 per 100 people
--- 33.8% lower than state average
--- 39.5% lower than national average

#40. Burnett County

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#40. Burnett County

- Opioid dispensing rate: 26.8 per 100 people
--- 32.3% lower than state average
--- 38.1% lower than national average

#39. Lincoln County

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#39. Lincoln County

- Opioid dispensing rate: 27.1 per 100 people
--- 31.6% lower than state average
--- 37.4% lower than national average

#38. Grant County

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#38. Grant County

- Opioid dispensing rate: 27.1 per 100 people
--- 31.6% lower than state average
--- 37.4% lower than national average

#37. Fond Du Lac County

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#37. Fond Du Lac County

- Opioid dispensing rate: 29.0 per 100 people
--- 26.8% lower than state average
--- 33.0% lower than national average

#36. Door County

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#36. Door County

- Opioid dispensing rate: 29.2 per 100 people
--- 26.3% lower than state average
--- 32.6% lower than national average

#35. Price County

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#35. Price County

- Opioid dispensing rate: 29.4 per 100 people
--- 25.8% lower than state average
--- 32.1% lower than national average

#34. Manitowoc County

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#34. Manitowoc County

- Opioid dispensing rate: 29.4 per 100 people
--- 25.8% lower than state average
--- 32.1% lower than national average

#33. Iron County

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#33. Iron County

- Opioid dispensing rate: 29.7 per 100 people
--- 25.0% lower than state average
--- 31.4% lower than national average

#32. Dodge County

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#32. Dodge County

- Opioid dispensing rate: 29.7 per 100 people
--- 25.0% lower than state average
--- 31.4% lower than national average

#31. Kenosha County

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#31. Kenosha County

- Opioid dispensing rate: 30.0 per 100 people
--- 24.2% lower than state average
--- 30.7% lower than national average

#30. Vilas County

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#30. Vilas County

- Opioid dispensing rate: 30.2 per 100 people
--- 23.7% lower than state average
--- 30.3% lower than national average

#29. Crawford County

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#29. Crawford County

- Opioid dispensing rate: 30.3 per 100 people
--- 23.5% lower than state average
--- 30.0% lower than national average

#28. Monroe County

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#28. Monroe County

- Opioid dispensing rate: 32.1 per 100 people
--- 18.9% lower than state average
--- 25.9% lower than national average

#27. Waupaca County

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#27. Waupaca County

- Opioid dispensing rate: 32.7 per 100 people
--- 17.4% lower than state average
--- 24.5% lower than national average

#26. Racine County

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#26. Racine County

- Opioid dispensing rate: 35.4 per 100 people
--- 10.6% lower than state average
--- 18.2% lower than national average

#25. Sawyer County

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#25. Sawyer County

- Opioid dispensing rate: 35.5 per 100 people
--- 10.4% lower than state average
--- 18.0% lower than national average

#24. Columbia County

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#24. Columbia County

- Opioid dispensing rate: 35.7 per 100 people
--- 9.8% lower than state average
--- 17.6% lower than national average

#23. Juneau County

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#23. Juneau County

- Opioid dispensing rate: 36.5 per 100 people
--- 7.8% lower than state average
--- 15.7% lower than national average

#22. Sauk County

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#22. Sauk County

- Opioid dispensing rate: 37.3 per 100 people
--- 5.8% lower than state average
--- 13.9% lower than national average

#21. Marinette County

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#21. Marinette County

- Opioid dispensing rate: 40.1 per 100 people
--- 1.3% higher than state average
--- 7.4% lower than national average

#20. Outagamie County

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#20. Outagamie County

- Opioid dispensing rate: 40.2 per 100 people
--- 1.5% higher than state average
--- 7.2% lower than national average

#19. Langlade County

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#19. Langlade County

- Opioid dispensing rate: 40.5 per 100 people
--- 2.3% higher than state average
--- 6.5% lower than national average

#18. Winnebago County

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#18. Winnebago County

- Opioid dispensing rate: 41.0 per 100 people
--- 3.5% higher than state average
--- 5.3% lower than national average

#17. Waukesha County

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#17. Waukesha County

- Opioid dispensing rate: 41.1 per 100 people
--- 3.8% higher than state average
--- 5.1% lower than national average

#16. Green County

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#16. Green County

- Opioid dispensing rate: 41.4 per 100 people
--- 4.5% higher than state average
--- 4.4% lower than national average

#15. Rock County

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#15. Rock County

- Opioid dispensing rate: 42.3 per 100 people
--- 6.8% higher than state average
--- 2.3% lower than national average

#14. Barron County

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#14. Barron County

- Opioid dispensing rate: 42.6 per 100 people
--- 7.6% higher than state average
--- 1.6% lower than national average

#13. Dane County

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#13. Dane County

- Opioid dispensing rate: 42.8 per 100 people
--- 8.1% higher than state average
--- 1.2% lower than national average

#12. Polk County

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#12. Polk County

- Opioid dispensing rate: 44.6 per 100 people
--- 12.6% higher than state average
--- 3.0% higher than national average

#11. Ozaukee County

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#11. Ozaukee County

- Opioid dispensing rate: 45.4 per 100 people
--- 14.6% higher than state average
--- 4.8% higher than national average

#10. Marathon County

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#10. Marathon County

- Opioid dispensing rate: 46.4 per 100 people
--- 17.2% higher than state average
--- 7.2% higher than national average

#9. Wood County

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#9. Wood County

- Opioid dispensing rate: 47.4 per 100 people
--- 19.7% higher than state average
--- 9.5% higher than national average

#8. Brown County

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#8. Brown County

- Opioid dispensing rate: 48.0 per 100 people
--- 21.2% higher than state average
--- 10.9% higher than national average

#7. Oneida County

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#7. Oneida County

- Opioid dispensing rate: 50.4 per 100 people
--- 27.3% higher than state average
--- 16.4% higher than national average

#6. Washburn County

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#6. Washburn County

- Opioid dispensing rate: 52.1 per 100 people
--- 31.6% higher than state average
--- 20.3% higher than national average

#5. La Crosse County

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#5. La Crosse County

- Opioid dispensing rate: 53.4 per 100 people
--- 34.8% higher than state average
--- 23.3% higher than national average

#4. Sheboygan County

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#4. Sheboygan County

- Opioid dispensing rate: 55.0 per 100 people
--- 38.9% higher than state average
--- 27.0% higher than national average

#3. Eau Claire County

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#3. Eau Claire County

- Opioid dispensing rate: 57.6 per 100 people
--- 45.5% higher than state average
--- 33.0% higher than national average

#2. Ashland County

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#2. Ashland County

- Opioid dispensing rate: 61.4 per 100 people
--- 55.1% higher than state average
--- 41.8% higher than national average

#1. Milwaukee County

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#1. Milwaukee County

- Opioid dispensing rate: 62.6 per 100 people
--- 58.1% higher than state average
--- 44.6% higher than national average