Naloxone Quarterly Report

South Dakota Resource Hotline 1-800-920-4343

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
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • This field is for validation purposes and should be left unchanged.

 

*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.

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