Missouri

Missouri

State Facts

808

Deaths, or 61.2% of all overdose deaths in the year ending April 2025 involved opioids.¹

1.6 Million

Claims, or 4.1% of all Medicare Part D claims were for opioids in 2023 – an average of 61 per prescriber

47

Opioid Prescriptions were written for every 100 persons in the state in 2023.³

$72.6 Billion

the estimated total societal cost of opioid use disorder (OUD) to the state in 2024.⁴

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Opioid Settlement Funds

$894,258,177.21
State Spending Recommendation

National approved use: providing support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi-modal, evidence-informed treatment of pain.

Member & Endorser Footprint

Voices is backed by a broad coalition of organizations across the state united by a shared goal: ensuring patients have access to safe, effective, 
and individualized pain management throughout the continuum of care.

Co-Sponsors (119th)

Rep. Emanuel Cleaver (D-MO-05)

Rep. Emanuel Cleaver (D-MO-05)

2025 Introduced Relevant Legislation

HB 804 /SB 158

This bill prohibits health plans from favoring opioids over non-opioid medications for enrollees at elevated risk of opioid misuse, including through coverage denials, step therapy, or higher cost-sharing.

Introduced
01/08/2025
Plan Impact
Commercial
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Voices Letters

SB 158 Voices testimony

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SB 158 Sponsor Letter of Support

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1. Centers for Disease Control and Prevention (2025). Provisional Drug Overdose Death Counts. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

2. Centers for Disease Control and Prevention (2025). Medicare Part D Opioid Prescribing Mapping Tool. https://storymaps.arcgis.com/stories/f1051d23738c4980a08002bf301f7d8a

3. Centers for Disease Control and Prevention (2025). Opioid Dispensing Rate Maps. https://www.cdc.gov/overdose-prevention/data-research/facts-stats/opioid-dispensing-rate-maps.html

4. Avalere Health (2025). The cost of addiction: Opioid use disorder in the United States. https://advisory.avalerehealth.com/wp-content/uploads/2025/05/Avalere-Health-White-Paper_The-cost-of-opioid-addiction_OUD-in-the-United-States.pdf