Prevention

Blood Pressure Medication Adherence by County — US Rankings

CDC PLACES 2023 · Age-adjusted prevalence · All 3,144 US counties

Among adults already diagnosed with high blood pressure, this measure tracks the share currently taking medication. It is a treatment-engagement measure rather than a population-prevalence one — the denominator is only diagnosed hypertensives, not the whole adult population. Counties scoring high on this measure are converting diagnosis into treatment effectively. The metric is one of the more clinically actionable surfaces in PLACES: a county can have high hypertension prevalence and still be in good shape if BPMED uptake is high.

How this ranking is built

Source: CDC PLACES 2023 release. Methodology: BRFSS survey responses pooled across years, fitted with a small-area statistical model, age-adjusted to the 2000 US standard population. Confidence intervals (95%) are shown for each county — wider intervals indicate more uncertainty in the modeled estimate, typically driven by smaller populations.

Highest Taking Medication for High Blood Pressure Rates — Top 100 Counties

Counties with the highest reported taking medication for high blood pressure rates — these counties lead the nation on this measure.

#	County	Rate	95% CI	State
1	Holmes County	69.9%	65.5 – 73.8	Mississippi
2	Claiborne County	69.7%	65.4 – 73.7	Mississippi
3	Tunica County	69.5%	65.2 – 73.6	Mississippi
4	Leflore County	69.5%	65.3 – 73.6	Mississippi
5	Jefferson County	69.5%	65.2 – 73.6	Mississippi
6	Humphreys County	69.3%	64.8 – 73.4	Mississippi
7	Sharkey County	69.2%	66.0 – 72.2	Mississippi
8	Quitman County	69.2%	65.0 – 73.0	Mississippi
9	Coahoma County	69.2%	64.9 – 73.4	Mississippi
10	Sunflower County	68.6%	64.2 – 72.6	Mississippi
11	Washington County	68.4%	64.2 – 72.6	Mississippi
12	Bolivar County	68.4%	64.1 – 72.5	Mississippi
13	Noxubee County	68.0%	63.5 – 72.2	Mississippi
14	Wilkinson County	67.9%	63.4 – 72.0	Mississippi
15	Perry County	67.9%	63.6 – 72.3	Alabama
16	Jefferson Davis County	67.8%	63.5 – 71.9	Mississippi
17	Greene County	67.8%	63.4 – 71.9	Alabama
18	Hinds County	67.7%	63.4 – 72.0	Mississippi
19	Madison Parish	67.5%	63.1 – 71.8	Louisiana
20	Yazoo County	67.3%	63.0 – 71.4	Mississippi
21	Williamsburg County	67.1%	62.9 – 71.1	South Carolina
22	Tallahatchie County	67.1%	62.7 – 71.0	Mississippi
23	Clay County	67.1%	62.9 – 71.2	Mississippi
24	East Carroll Parish	67.1%	62.8 – 71.1	Louisiana
25	Allendale County	67.0%	62.9 – 71.1	South Carolina
26	Kemper County	67.0%	62.4 – 71.1	Mississippi
27	Orangeburg County	66.9%	62.9 – 70.7	South Carolina
28	Claiborne Parish	66.9%	62.6 – 71.6	Louisiana
29	Randolph County	66.9%	62.8 – 71.0	Georgia
30	Sumter County	66.9%	62.3 – 71.2	Alabama
31	Lowndes County	66.9%	62.3 – 70.9	Alabama
32	Lee County	66.8%	62.4 – 70.7	South Carolina
33	Marshall County	66.8%	62.5 – 71.1	Mississippi
34	Panola County	66.7%	62.1 – 71.0	Mississippi
35	Oktibbeha County	66.7%	62.4 – 70.7	Mississippi
36	Wilcox County	66.7%	62.4 – 70.9	Alabama
37	Marion County	66.6%	62.6 – 70.5	South Carolina
38	Pike County	66.6%	62.2 – 70.9	Mississippi
39	Lauderdale County	66.6%	62.2 – 70.8	Mississippi
40	Issaquena County	66.6%	63.9 – 69.4	Mississippi
41	Adams County	66.6%	62.2 – 71.0	Mississippi
42	Tensas Parish	66.6%	62.2 – 70.8	Louisiana
43	Macon County	66.6%	62.3 – 70.7	Alabama
44	Dallas County	66.6%	62.1 – 70.7	Alabama
45	Copiah County	66.5%	62.0 – 70.6	Mississippi
46	Dougherty County	66.5%	62.3 – 70.4	Georgia
47	Dillon County	66.4%	62.0 – 70.8	South Carolina
48	Montgomery County	66.4%	62.0 – 70.5	Mississippi
49	Grenada County	66.4%	61.8 – 70.9	Mississippi
50	Bullock County	66.4%	62.1 – 70.6	Alabama
51	Marlboro County	66.3%	62.2 – 70.4	South Carolina
52	Jasper County	66.3%	61.8 – 70.6	Mississippi
53	Morehouse Parish	66.3%	61.4 – 71.0	Louisiana
54	Phillips County	66.3%	61.9 – 70.4	Arkansas
55	Winston County	66.2%	61.9 – 70.6	Mississippi
56	Bamberg County	66.1%	61.7 – 70.3	South Carolina
57	Lowndes County	66.0%	61.7 – 70.0	Mississippi
58	Bienville Parish	66.0%	61.5 – 70.3	Louisiana
59	Attala County	65.9%	61.2 – 70.1	Mississippi
60	Hampton County	65.8%	61.3 – 70.0	South Carolina
61	Wayne County	65.8%	61.4 – 70.0	Mississippi
62	Warren County	65.8%	61.4 – 70.0	Mississippi
63	Forrest County	65.8%	61.2 – 70.0	Mississippi
64	St. Helena Parish	65.8%	61.5 – 70.1	Louisiana
65	Clayton County	65.8%	61.7 – 69.9	Georgia
66	Clay County	65.8%	61.5 – 70.0	Georgia
67	Fairfield County	65.7%	61.3 – 70.0	South Carolina
68	Yalobusha County	65.7%	61.2 – 70.0	Mississippi
69	Chickasaw County	65.7%	61.2 – 70.0	Mississippi
70	Amite County	65.7%	61.2 – 69.9	Mississippi
71	Terrell County	65.7%	61.1 – 70.0	Georgia
72	Muscogee County	65.7%	61.7 – 69.7	Georgia
73	Macon County	65.7%	61.1 – 70.0	Georgia
74	Hancock County	65.7%	61.1 – 69.8	Georgia
75	Franklin County	65.6%	61.1 – 69.9	Mississippi
76	Concordia Parish	65.6%	61.6 – 70.6	Louisiana
77	Caddo Parish	65.6%	61.0 – 69.9	Louisiana
78	Barnwell County	65.5%	61.3 – 69.5	South Carolina
79	St. John the Baptist Parish	65.5%	61.6 – 69.5	Louisiana
80	Leake County	65.4%	61.0 – 69.8	Mississippi
81	Scott County	65.3%	60.9 – 69.6	Mississippi
82	Natchitoches Parish	65.3%	60.9 – 69.5	Louisiana
83	Jefferson County	65.3%	61.4 – 69.3	Arkansas
84	Florence County	65.2%	61.0 – 68.9	South Carolina
85	Walthall County	65.2%	60.9 – 69.7	Mississippi
86	Lawrence County	65.2%	60.7 – 69.6	Mississippi
87	Hale County	65.2%	60.6 – 69.5	Alabama
88	Clarendon County	65.1%	61.0 – 69.1	South Carolina
89	Monroe County	65.1%	60.4 – 69.3	Mississippi
90	Covington County	65.1%	60.5 – 69.4	Mississippi
91	Petersburg city	65.0%	60.9 – 69.3	Virginia
92	Jones County	65.0%	60.5 – 69.3	Mississippi
93	Clarke County	65.0%	60.6 – 69.2	Mississippi
94	Carroll County	65.0%	60.9 – 69.0	Mississippi
95	Washington County	65.0%	60.5 – 69.3	Georgia
96	Quitman County	65.0%	60.8 – 69.3	Georgia
97	Early County	65.0%	61.0 – 68.9	Georgia
98	Bibb County	65.0%	61.0 – 69.0	Georgia
99	Conecuh County	65.0%	60.5 – 69.2	Alabama
100	Webster Parish	64.9%	60.7 – 69.1	Louisiana

Lowest Taking Medication for High Blood Pressure Rates — Bottom 100 CountiesCounties with the lowest reported taking medication for high blood pressure rates.

#	County	Rate	95% CI	State
1	Boulder County	48.0%	43.9 – 52.2	Colorado
2	Utah County	48.2%	44.7 – 51.7	Utah
3	Jefferson County	48.7%	45.0 – 52.4	Colorado
4	Mesa County	48.9%	44.5 – 53.2	Colorado
5	Bristol Bay Borough	49.1%	44.5 – 53.7	Alaska
6	Matanuska-Susitna Borough	49.3%	45.4 – 53.5	Alaska
7	Eagle County	49.3%	44.7 – 53.8	Colorado
8	Grand County	49.3%	44.6 – 53.9	Colorado
9	Hinsdale County	49.3%	44.5 – 53.9	Colorado
10	Idaho County	49.4%	45.2 – 53.6	Idaho
11	Jackson County	49.4%	45.0 – 53.6	Oregon
12	Jefferson County	49.4%	45.2 – 53.7	Washington
13	Haines Borough	49.5%	44.9 – 54.0	Alaska
14	San Diego County	49.5%	45.8 – 53.1	California
15	Elbert County	49.5%	44.8 – 54.2	Colorado
16	Kalawao County	49.5%	44.8 – 53.9	Hawaii
17	Ada County	49.5%	45.6 – 53.3	Idaho
18	Davis County	49.5%	45.8 – 53.4	Utah
19	Denali Borough	49.6%	45.2 – 54.1	Alaska
20	Pitkin County	49.6%	44.7 – 54.2	Colorado
21	Salt Lake County	49.6%	46.4 – 52.9	Utah
22	Sitka City and Borough	49.7%	45.2 – 54.3	Alaska
23	Denver County	49.7%	45.5 – 53.7	Colorado
24	Kenai Peninsula Borough	49.8%	45.8 – 54.1	Alaska
25	La Plata County	49.8%	45.1 – 54.3	Colorado
26	Washington County	49.8%	45.9 – 53.5	Oregon
27	San Luis Obispo County	49.9%	45.6 – 54.2	California
28	Garfield County	49.9%	45.5 – 54.4	Colorado
29	Ouray County	49.9%	45.1 – 54.6	Colorado
30	Routt County	49.9%	45.2 – 54.5	Colorado
31	Morgan County	49.9%	45.4 – 54.6	Utah
32	Weber County	49.9%	46.1 – 53.5	Utah
33	Ventura County	50.0%	45.8 – 54.2	California
34	Broomfield County	50.0%	45.6 – 54.4	Colorado
35	Clear Creek County	50.0%	45.5 – 54.8	Colorado
36	Lake County	50.0%	45.3 – 54.7	Colorado
37	Summit County	50.0%	45.5 – 54.3	Colorado
38	Clackamas County	50.0%	45.8 – 54.1	Oregon
39	Chelan County	50.0%	46.0 – 54.0	Washington
40	San Juan County	50.0%	45.7 – 54.1	Washington
41	Spokane County	50.0%	46.5 – 53.3	Washington
42	Yuma County	50.1%	45.5 – 54.9	Colorado
43	Bonner County	50.1%	45.6 – 54.5	Idaho
44	Kootenai County	50.1%	45.9 – 54.5	Idaho
45	Iron County	50.1%	45.8 – 54.7	Utah
46	Washington County	50.1%	46.1 – 54.3	Utah
47	Benton County	50.1%	46.6 – 53.8	Washington
48	Douglas County	50.1%	45.7 – 54.5	Washington
49	Stevens County	50.1%	46.2 – 54.0	Washington
50	Ketchikan Gateway Borough	50.2%	45.7 – 54.4	Alaska
51	San Benito County	50.2%	45.5 – 54.7	California
52	Moffat County	50.2%	45.6 – 55.0	Colorado
53	Boise County	50.2%	45.4 – 54.8	Idaho
54	Camas County	50.2%	45.6 – 54.6	Idaho
55	Oneida County	50.2%	45.4 – 54.4	Idaho
56	Ravalli County	50.2%	45.8 – 54.6	Montana
57	Daggett County	50.2%	45.5 – 54.6	Utah
58	Duchesne County	50.2%	45.7 – 54.7	Utah
59	Emery County	50.2%	45.6 – 54.7	Utah
60	Summit County	50.2%	45.9 – 54.5	Utah
61	Kittitas County	50.2%	46.0 – 54.4	Washington
62	Chugach Census Area	50.3%	45.7 – 54.6	Alaska
63	Southeast Fairbanks Census Area	50.3%	46.0 – 54.5	Alaska
64	Douglas County	50.3%	45.7 – 54.6	Colorado
65	Gunnison County	50.3%	45.9 – 54.9	Colorado
66	Teller County	50.3%	45.6 – 54.9	Colorado
67	Washington County	50.3%	45.6 – 54.8	Colorado
68	Blaine County	50.3%	46.0 – 54.7	Idaho
69	Beaver County	50.3%	45.2 – 55.2	Utah
70	Wrangell City and Borough	50.4%	45.7 – 54.9	Alaska
71	Gilpin County	50.4%	45.5 – 55.2	Colorado
72	Canyon County	50.4%	46.4 – 54.4	Idaho
73	Columbia County	50.4%	45.8 – 55.1	Oregon
74	Garfield County	50.4%	45.8 – 54.9	Utah
75	Teton County	50.4%	45.7 – 55.1	Wyoming
76	Skagway Municipality	50.5%	45.5 – 55.1	Alaska
77	Alpine County	50.5%	46.0 – 55.2	California
78	Santa Barbara County	50.5%	45.8 – 54.5	California
79	Sonoma County	50.5%	46.2 – 54.9	California
80	El Paso County	50.5%	46.8 – 54.2	Colorado
81	Morgan County	50.5%	46.3 – 55.4	Colorado
82	Jefferson County	50.5%	45.9 – 54.9	Idaho
83	Flathead County	50.5%	46.5 – 54.7	Montana
84	Santa Fe County	50.5%	46.4 – 55.2	New Mexico
85	Curry County	50.5%	46.0 – 55.1	Oregon
86	Hood River County	50.5%	47.1 – 53.8	Oregon
87	Wallowa County	50.5%	45.9 – 55.0	Oregon
88	Cache County	50.5%	46.1 – 54.9	Utah
89	Juab County	50.5%	46.4 – 54.8	Utah
90	Sanpete County	50.5%	45.9 – 54.8	Utah
91	El Dorado County	50.6%	46.0 – 55.1	California
92	San Juan County	50.6%	45.8 – 55.3	Colorado
93	San Miguel County	50.6%	45.6 – 55.1	Colorado
94	Gallatin County	50.6%	46.3 – 54.6	Montana
95	Deschutes County	50.6%	46.1 – 54.9	Oregon
96	Lincoln County	50.6%	45.5 – 55.6	Wyoming
97	Amador County	50.7%	46.1 – 55.3	California
98	Placer County	50.7%	46.3 – 55.3	California
99	Custer County	50.7%	46.1 – 55.4	Colorado
100	Mineral County	50.7%	47.8 – 53.7	Colorado

What this ranking suggests

BPMED is a "post-diagnosis" indicator and only meaningful when read alongside the BPHIGH prevalence ranking. A county that scores high here AND low on BPHIGH is in genuinely better cardiovascular shape; a county that scores high here AND high on BPHIGH is fighting hard against a heavy burden.

Methodology notes & limitations

Estimates are statistical model outputs, not direct measurements. Small counties have wider confidence intervals; treat narrow rank differences in those rows as within-noise. Counties where the underlying population is too small to support modeling are suppressed entirely (about 1% of US counties). All measures are age-adjusted to the 2000 US standard population. The PLACES dataset uses BRFSS self-reported data — self-report introduces known direction-of-bias in some measures (BMI is under-reported; binge drinking is under-reported), but the bias is roughly uniform across counties so ranking comparability is preserved. See the methodology page for full data-pipeline documentation.

By Logan Johnson, Founder & Data EditorPublished May 15, 2026Reviewed by Logan Johnson, Founder & Data Editor

Data source: CDC PLACES 2023 release. Measure ID: BPMED.

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