This year several states - including Massachusetts - have considered a tax on opioid-based prescription painkiller sales.
The proposals vary from state to state, but can involve taxing some combination of manufacturers, producers, importers, and distributors. The taxes can be based on gross receipts, the number of pills, or the amount of addicting substances in the drugs. Some proposals have exceptions for opioids used for hospice and cancer patients.
All of the proposals send the tax revenue to opioid addiction treatment or prevention.