Transcription of CONTROLLED SUBSTANCES Inventory Log - NCBOP
{{id}} {{{paragraph}}}
Example: dental hygienist
CONTROLLED SUBSTANCES Inventory Log - NCBOP
CONTROLLED SUBSTANCES Inventory Log Name of PHARMACY Name of REGISTRANT on DEA Registration: Address: City: _____ State: _____ ZipCode: _____ DEA Registration Number: _____ Date of Inventory : _____ Inventory Taken at: Opening or Closing of business OR Started at (time): _____ and Ended at (time): _____ _____ Signature of Person Responsible For Taking Inventory _____ Print Name of Person Responsible For Taking Inventory C-II Inventory FOR _____ PHARMACY DATE: ____ / ____ / _____ Page 1 PACK DOSE ON HAND UNIT DRUG DESCRIPTION SIZE UNIT SCHED. NDC # QUANTITY --------------------------------- ------- ------ ----- ------------------- -------- ----- ACTIQ 1200 MCG LOZ CEPH 30 LOZ 2 63459-0512-30 _____ LOZ ACTIQ 1600 MCG LOZ CEPH 30 LOZ 2 63459-0516-30 _____ LOZ ACTIQ 200 MCG LOZ CEPH 30 LOZ 2 63459-0502-30 _____ LOZ
c-ii inventory for _____ pharmacy date: ____ / ____ / _____ page 1 pack dose on hand unit
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: