Opioid abuse is a public health crisis for the nation and New York State. Between 2009 and 2015, the number of deaths across New York State resulting from prescription opioids alone nearly doubled. A new New York State Health Foundation-produced data snapshot examines opioid prescribing trends by county in New York from 2010 to 2015. New York is taking numerous steps to combat the opioid crisis. Understanding geographic variation within the state is essential to targeting these interventions appropriately.