You can use DBI, and use DBD::ODBC ... There is also Win32::ODBC, but i recommend DBI over it for placeholders and much wider user/support base. Search here on perl monks for "access" and those modules for examples/related nodes. Also be sure to check out the "databases" section in the Tutorials.

Once you have a database handle using DBI/DBD, the code could be as simple as: 
my $sql = "INSERT INTO foo (bar, stuff) VALUES (?,?)";
my @bind = ( 3, 42 );
$dbh->do($sql, {}, @bind);

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Update: Searching for "access" here on PM immediately found these:

In reply to Re: Perl and Microsoft Access by davidrw
in thread Perl and Microsoft Access by powerhouse

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