
Maryland is located on the north end of the mid-Atlantic area and is intersected by Interstate 95. Drugs, weapons and illegal proceeds targeted for New York City regularly transit Maryland through Baltimore. Cocaine and crack abuse, and distribution, cause a substantial threat throughout Maryland, especially in cities located near Washington, DC. Law enforcement in cities and towns situated along the Eastern Shore and in western Maryland also report crack cocaine as the main drug threat in their regions.
Violence is still accompanying the cocaine trade in the state of Maryland. Wholesale levels of cocaine are easily accessible through suppliers in New York City, the southwestern U.S., and the Atlanta, GA region. Throughout 2008, there have been intermittent reports of fewer accessibility and higher costs for cocaine in the Baltimore region, showing that every now and then there are cocaine shortages in portions of the city.
Although heroin is abused in Maryland, it is centered in and around Baltimore City, where high-purity heroin is easily accessible. Baltimore is home to higher amounts of heroin addicts and has more heroin-associated crimes than any other city in the country. These issues generally spill over into adjoining counties where several heroin distributors keep residences. The huge demand for heroin in the Baltimore metropolitan region has caused a rise in heroin abuse among teenagers and young adults, who regularly drive into Baltimore to attain heroin for themselves and other local abusers.

In Maryland, methamphetamine does not have a significant demand nor is it easily accessible. Reports of clandestine meth labs in western Maryland have grown in 2008, but so far the general issue continues to be quite small. Still, the accessibility of meth imported from Mexico and the southwestern U.S. may be slowly rising.
Baltimore, Maryland still has a booming rave and nightclub scene, where club drugs, typically MDMA, are abused. Club drugs such as Ketamine, GHB and others do not have the same demand or accessibility as MDMA. MDMA smuggling in Maryland seems to have stayed stable throughout 2008.
The most frequently abused drug in Maryland, marijuana continues to be easily accessible in every area of the state. Low levels of marijuana harvesting occur in Maryland, mainly in western Maryland and along the eastern shore, where private farmland and public parkland are helpful to growers' concerns for secrecy. In 2008, a number of indoor grow operations were also apprehended in the Baltimore region. The majority of the marijuana that is smuggled in Maryland is imported from the southwestern U.S., with high-grade marijuana being frequently imported from Canada, and accessible to a lesser degree.
Current investigations reflect that the diversion of oxycodone products including OxyContin remain an issue in Maryland. The main strategies of diversion are illegal sale and distribution by health care professionals and workers, doctor shopping, forged prescriptions, and employee theft. Further, illegal distribution of drugs via Internet pharmacies is an increasing issue. Xanax, methadone, Klonopin, and hydrocodone products were also targeted as being among the most frequently abused and diverted pharmaceuticals in the state of Maryland. Buprenorphine, an alternative to methadone in heroin addiction treatment, has become a frequently diverted pharmaceutical drug in Baltimore City.