However, it has faced a persistent issue in terms of reaching the patients who do need treatment, in the parts of the state where addiction medicine specialists are scarce or absent.
Telehealth narrows that gap considerably. South Dakota Medicaid covers buprenorphine and reimburses telehealth substance use treatment. Additionally, the DEA’s 2025 final rule made permanent the ability to start buprenorphine via telehealth without a prior in-person visit.
List Of The Top Online Suboxone Providers in South Dakota
AddictionResource.net has compiled a list of the best online Suboxone providers serving South Dakota residents. We chose the following providers based on criteria such as patient reviews, insurance acceptance, quality of clinical care, and ability to serve this population.
Disclosure: Our editorial team selects these providers based on independent research. This list includes some of the top-rated options but is not exhaustive. Learn more about our criteria.
Paid advertisements may appear on this page and are always clearly identified.
This list appears in alphabetical order, not ranked order. All providers that made the list are equal.
#1 Bicycle Health
In a state where buprenorphine stock is more inconsistent than the national average, Bicycle Health’s pharmacy finder tool is doing real work.
The tool checks real-time inventory at South Dakota pharmacies before the prescription is sent. This prevents the all-too-common scenario of a same-day prescription that the closest pharmacy can’t actually fill.
Bicycle Health accepts South Dakota Medicaid, Medicare, Aetna, Cigna, and most commercial carriers. Free online support groups and mental health services come with all enrollments.
Availability: Telehealth
Phone: New patients can initiate first call on website
Website: bicyclehealth.com
#2 MWI Health
MWI Health treats opioid use disorder as part of integrated psychiatric care, which is especially useful for patients who also face depression, anxiety, PTSD, ADHD, or bipolar disorder.
The same provider who prescribes Suboxone can also manage psychiatric medications for co-occurring conditions. Personalized psychotherapy is built into the treatment plan rather than handled as a separate referral.
MWI Health has physical offices in Sioux Falls, Downtown Sioux Falls, and Rapid City, with telehealth available statewide.
Availability: In-person + Telehealth
Phone: (605) 573-2000
Website: mwihealth.org
#3 Pelago
Pelago’s clinical model bundles four service tiers into a single care team rather than asking patients to coordinate them separately.
The service provides buprenorphine prescribing, ongoing counseling, app-based cognitive behavioral therapy modules, and at-home monitoring kits. The same care team can also treat co-occurring depression, anxiety, and alcohol use disorder. If needed, Pelago will also coordinate residential or inpatient care.
Pelago is offered through employer benefits and health plan partnerships, not direct sign-up. HR or your insurance carrier can confirm whether your plan includes the program.
Availability: Telehealth
Phone: (877) 349-7755
Website: pelagohealth.com
#4 QuickMD
South Dakota holds a distinctive place in QuickMD’s footprint. Rapid City is one of only two cities in the country where the provider operates a physical clinic.
The Rapid City location exists to satisfy state telemedicine MOUD rules requiring periodic in-person visits for patients in some states. It also means that patients can rely on both telehealth and in-person treatment.
The standard intake is an induction appointment that prescribes a 7-day Suboxone supply for tolerance testing, with a no-cost 14-day follow-up before transitioning to monthly visits. Each visit is $99, paid out-of-pocket, but pharmacy benefits typically cover the medication itself.
Availability: In-person + Telehealth
Phone: (888) 878-4256
Website: quick.md
FAQs About Online Suboxone Treatment In South Dakota
We answer the most commonly asked questions about online Suboxone care in South Dakota.
How Does The Online Suboxone Treatment Process Work?
You start by completing a brief intake form, then schedule a video visit with a licensed clinician.
The provider reviews your medical history, current opioid use, and withdrawal symptoms, and if Suboxone is appropriate, they send an electronic prescription to your pharmacy.
Follow-up visits run weekly during induction and stabilization, then typically shift to monthly.
What Happens If I Relapse While Taking Suboxone?
A relapse during Suboxone treatment doesn’t cancel out your progress.
Instead, it’s a sign your treatment plan for opioid use disorder may need to change.
Your provider may adjust your medication, add counseling, or focus on specific triggers.
If you need more structure and support, a rehab program in South Dakota can offer a higher level of care and help you stabilize.
Does South Dakota Medicaid Cover Online Suboxone Treatment?
Yes, South Dakota Medicaid covers buprenorphine for opioid use disorder and reimburses telehealth delivery of substance use treatment.
