Missouri
State Facts
Deaths, or 61.2% of all overdose deaths in the year ending April 2025 involved opioids.¹
Claims, or 4.1% of all Medicare Part D claims were for opioids in 2023 – an average of 61 per prescriber.²
Opioid Prescriptions were written for every 100 persons in the state in 2023.³
the estimated total societal cost of opioid use disorder (OUD) to the state in 2024.⁴
Opioid Settlement Funds
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.
Co-Sponsors (119th)
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
01/08/2025Plan Impact
CommercialVoices Letters
SB 158 Voices testimony
SB 158 Sponsor Letter of Support
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
































































