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Methadone Dispensing Form - OCPInfo.com

Methadone Dispensing Notification Form The Methadone Maintenance Treatment (MMT) and Dispensing Policy requires the owner/designated manager (DM) of a pharmacy to inform the College within seven days of starting to dispense Methadone for either Methadone maintenance treatment (MMT; for opioid addiction/dependence) or for pain/analgesia, and of changes in this status. New Initial Notification Pharmacy Information Change AOwner of Pharmacy/Corporation Name: Accreditation Number: Name of Pharmacy (by which the pharmacy is known to the public): Postal Code: Start Date of Methadone Dispensing : Stop Date of Methadone Dispensing : Hours of Operation Change B Sunday Monday Tuesday Wednesday Thursday Friday Saturday Holidays The DM must be trained via the CAMH Opioid Dependence Treatm

Methadone Dispensing Notification Form . The . Methadone Maintenance Treatment (MMT) and Dispensing Policy. requires the owner/designated manager of a (DM)

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