Missouri Access Score: 10/100
Composite of methadone OTP density, buprenorphine provider density, mental health shortage need-met %, Medicaid coverage breadth, 1115 SUD waiver status, and legal protections. How we score.
Suboxone Providers in Missouri
Missouri has 276 active NPPES enumerations across 12 cities for clinicians who commonly prescribe buprenorphine for opioid use disorder. Coverage is wider than the old X-waiver lists suggested, but availability still varies clinic to clinic. Confirm intake before you drive anywhere.
CAA 2023 disclaimer. Buprenorphine X-waiver eliminated by Consolidated Appropriations Act 2023. Any DEA II-V prescriber may now prescribe buprenorphine.
Composite analysis
Treatment Access Pressure Index
Very high pressure84.3Rank 9 of 52
Missouri sits in the top quarter of states for treatment access pressure. Demand signals are elevated and verified provider supply is thin relative to population.
Mental health HPSA score (weighted)
16.74
0–25 scale. Higher means greater federally-designated shortage.
36,708,438 residents live inside designated mental health HPSAs.
Source: HRSA Data Warehouse
Frequent mental distress
18%
Population-weighted share of adults reporting 14+ days of poor mental health in the last month.
Source: CDC PLACES (BRFSS 2022)
Unemployment rate
3.9%
Seasonally adjusted state unemployment, used as a stress proxy.
Latest period: M02 2026.
Source: BLS Local Area Unemployment Statistics
Verified treatment density
4.68
Methadone OTPs plus buprenorphine prescribers per 100,000 residents. Higher density lowers pressure.
(14 OTPs, 276 bupren providers.)
Source: SAMHSA + CMS NPPES (CCIWA dataset)
TAPI is a CCIWA composite. Each input is z-scored across 50 states plus DC and Puerto Rico, then combined as a weighted sum (HPSA 30%, frequent mental distress 25%, unemployment 15%, treatment density 30%, sign-flipped). The result is rescaled 0 to 100 by percentile rank. Read the full methodology.
F
Score breakdown
| Component | Detail | Points |
|---|---|---|
| OTP density | Unknown | 0 / 30 |
| Buprenorphine density | Unknown | 0 / 20 |
| Mental health HPSA need met | Unknown | 10 / 20 |
| Medicaid breadth | 0 of 5 service categories covered | 0 / 15 |
| 1115 SUD waiver | None | 0 / 10 |
| Legal protections | Good Samaritan: No · Naloxone access: No | 0 / 5 |
Demand snapshot
12 cities with buprenorphine providers
Cities below have at least 5 active prescribers. Smaller cities consolidate into the closest hub city for V1.