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Let's Be Clear:Submit a Quarterly Report

Reporting your Naloxone Data is Vital

To track naloxone distribution efforts, we ask that all participating pharmacies report kit distribution by quarter, even if the number is 0. Thanks for your cooperation so we can see and measure the impact we’re making on overdose deaths.

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

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 letsbeclear@state.sd.us for assistance.

Any questions we can clear up? Contact us.