Transcription of CONTROLLED SUBSTANCES INVENTORY LOG - NCBOP
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CONTROLLED SUBSTANCES INVENTORY LOG - NCBOP
CONTROLLED SUBSTANCES INVENTORY LOG Name of Pharmacy: _____ Address: _____ City: _____ State: _____ Zip Code: _____ Name of REGISTRANT on DEA Registration: _____ DEA Registration Number: _____ Date of INVENTORY : _____ INVENTORY Taken At: Opening of Business Closing of Business OR Time Started: _____ Time Ended: _____ _____ Signature of Person Responsible for Taking INVENTORY _____ Print Name of Person Responsible for Taking INVENTORY CII INVENTORY for _____ Date: ____/_____/_____ Pharmacy Page | 1 Drug Description Sch Pkg SizeDose UnitNDC On Hand Quantity ACTIQ LONZENGE 1200 MCG 2 30 LOZ 63459-0512-30 ACTIQ LONZENGE1600 MCG230 LOZ63459-0516-30 ACTIQ LONZENGE 400 MCG 2 100 LOS 63459-0504-30 ADDERALL 10 MG2100 TAB57844-0110-01 ADDERALL 15 MG 2 100 TAB 57844-0115-01 ADDERALL 20 MG 2100 TAB57844-0120-01 ADDERALL 30 MG2100 TAB57844-0130-01 ADDERALL XR CAP 10 MG 2 100 CAP 54092-0383-01 ADDERALL XR CAP 15 MG2100 CAP54092-0385-01 ADDERALL XR CAP 20 MG 2 100 CAP 54092-0387-01 ADDERALL XR CAP 25 MG 2100 CAP54092-0389-01 ADDERALL XR CAP 30 MG 2 100
focalin xr cap 25 mg 2 100 cap 00078-0608-05 focalin xr cap 30 mg 2 90 cap 00078-0433-05 focalin xr cap 35 mg 2 90 cap 00078-0609-05 focalin xr cap 40 mg 2 90 cap 00078-0434-05 focalin xr cap 5 mg 2 90 cap 00078-0430-05 hydrocodone apap sol 7.5/325mg/15ml 2 ml 66689-0023-04 hydrocodone apap sol 7.5/325mg/15ml 2 ml 00121-0772-16
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