Arizona’s struggle with the opioid crisis reflects a failure of drug policy. This failure stems from decades of mimicking federal narcotic criminalization legislation. Arizona’s deference on narcotic policy was driven by a fear of addicts that was intentionally inflated by federal agents. Further, the federal prioritization of state uniformity of narcotic policy spread and entrenched the consequences of creating an illegal narcotics market. Arizona adopted these uniform policies enthusiastically. The state’s continued adoption of federal policy— exemplified by five pieces of legislation spanning between 1931 and 1979— show a continued theme of fear of addicts and prioritization of criminalization for the sake of uniformity. Criminalization and demonization of addicts are the main drivers of the modern opioid crisis. In this way, Arizona is culpable and is thus obligated to adopt an alternate narcotic policy approach that prioritizes evidence, compassion, and individual rights.