Naloxone Quarterly Report
Reporting your quarterly data is vital.
Thank you for providing information about naloxone kits your pharmacy has distributed under the statewide standing order.
A representative from your pharmacy must fill out the simple form below during these four reporting periods:
- January 1 – March 31
Due April 30 - April 1 – June 30
Due July 31 - July 1 – September 30
Due October 31 - October 1 – December 31
Due January 31
Questions? Email the South Dakota Department of Social Services, Division of Behavioral Health.
Report your quarterly data
*If you do not see your pharmacy listed and are not currently a participating pharmacy in the statewide standing order, please fill out this form. If you do not see your pharmacy listed and are already a participating pharmacy, please reach out to AvoidOpioid@state.sd.us for assistance.