An independent national ledger.
The Opioid Ledger exists for one reason. To make visible the $50 billion that drug companies pledged to fight the addiction crisis, and to count what states actually do with it.
The Ledger maintains a primary-source public record of every dollar a U.S. state has received, spent, and held from opioid-related legal settlements. The record is updated quarterly. It is free to read, cite, and download.
The Ledger does not accept funding from settlement defendants, treatment providers competing for settlement contracts, or government bodies disbursing settlement funds. Corrections are published within 48 hours of verification.
Every figure is derived from primary public documents and verified by a second analyst. The full procedure is published on the methodology page.
Nick McGrory
The Opioid Ledger was founded by Nick McGrory, CEO of Otter House Wellness, Inc., a substance-use treatment provider based in Asheville, North Carolina.
This research originated from operator demand for accurate data on the opioid abatement landscape. There was no comprehensive national dataset. The Ledger is the answer to that gap.
The Ledger maintains editorial independence from Otter House Wellness, Inc. OHW does not bid on any state contracts surfaced in this data. The Ledger's editorial decisions, sourcing standards, and publication schedule are not subject to OHW review.
In formation.
An advisory board of researchers, journalists, and public-health practitioners is being assembled. Members will be announced in Q3 2026.
Reach the desk.
- Press inquiries: press@opioidledger.org
- Tip line: tips@opioidledger.org
- Corrections: corrections@opioidledger.org