Misuse and overdose of opioids have become a serious public health problem in North Dakota and throughout the United States. Blue Cross Blue Shield of North Dakota Caring Foundation partnered with Prairie Public Broadcast, Bell Bank and Dakota Medical Foundation to produce a 30-minute North Dakota state-based documentary. The documentary spotlights some of the most important things North Dakota opioid users, affected families, health care professionals, educators, businesses and community members need to know upfront about the opioid epidemic but most importantly how they can drive action in helping to solve the problem. Our vision of hope identifies solutions from multiple facets with focuses on promotion and prevention, early intervention, treatment and recovery.