How many drug overdose deaths happen every year in Montana?
Updated May. 6, 2026Refreshed annually
There were 170 overdose deaths in 2024. That means that for every 100,000 people living in the state, 14.9 died of drug overdose. This was the fourth highest the drug overdose death rate has been in the state since data from 1999 became available.
In 2024
15
per 100,000 people died of overdoses
In 2024
170
people died of overdoses
Unadjusted data about the nation is a useful starting point, but age-adjusted data tells a more complete story. Age-adjusting accounts for differences in age distributions across populations, which is crucial when comparing health outcomes since age is a major risk factor for many conditions. This adjustment enables fairer comparisons of mortality rates between different groups or over time. The rest of the data on this page is age-adjusted.
In 2024, Montana had a drug overdose death rate lower than the US rate overall, nearly 34% lower. The drug overdose death rate in Montana increased in 15 of the last 25 years in which data is available. The overdose death rate increased 9% since 2019 and increased 23% since 2014.
In 2024, Montana had a drug overdose death rate lower than the US rate.
Drug-involved overdose deaths in Montana, age-adjusted rate per 100,000 people
What drugs are most commonly involved in drug overdose deaths?
The rise in drug overdose deaths nationally has been due to growing use of fentanyl and other synthetic opioids, however, this may vary by state. In 2024, methamphetamine has been involved in more overdose deaths than any other drug, making up 49% of total overdose deaths in Montana. The rates of drug overdose deaths involving Fentanyl and other synthetic opioids and Methamphetamine increased 3.3 and 2.0 times, between 2009 and 2024 and 2015 and 2024, respectively.
In 2024, methamphetamine was involved in more overdose deaths than any other drug.
Drug-involved overdose deaths in Montana, age-adjusted rate per 100,000 people
How do drug overdose deaths vary by county in Montana?
Drug overdose death rates can vary across counties. In 2024, the death rate for overdoses in Montana ranged from 12.6 per 100,000 in Gallatin County to 32.9 per 100,000 in Lake County.
Occasionally, the Centers for Disease Control and Prevention will mark data as either suppressed or unreliable. Suppression occurs when data does not meet confidentiality requirements. As a result, data may not be available for every county in this state. Age-adjusted data is also not available at the county level. County-level tables reflect the most recent year of available data.
Drug-involved overdose deaths per 100,000 people (2024)
| 1. | Lake County | 32.9 |
| 2. | Flathead County | 19.2 |
| 3. | Yellowstone County | 16.9 |
| 4. | Cascade County | 15.4 |
| 5. | Missoula County | 13.1 |
| 6. | Gallatin County | 12.6 |
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Methodology
USAFacts standardizes data, in areas such as time and demographics, to make it easier to understand and compare.
The analysis was generated with the help of AI and reviewed by USAFacts for accuracy.
Page sources
USAFacts endeavors to share the most up-to-date information available. We sourced the data on this page directly from government agencies; however, the intervals at which agencies publish updated data vary.
