Control Substance Inventory Michigan Form PDF Details

Michigan law governs the inventory of controlled substances. The Michigan Department of Community Health (MDCH) oversees the regulation and distribution of prescription medications through the state-controlled Drug Monitoring Program (DMP). The DMP includes a secure online database that pharmacies and prescribers use to review a patient’s medication history before prescribing or dispensing drugs. This program aims to prevent diversion, misuse, and abuse of prescription medications. To participate in the DMP, Michigan pharmacies must be registered with MDCH and complete quarterly reports on their inventories of Schedule II-V controlled substances. This blog post discusses the requirements for Michigan pharmacies to report their controlled substance inventory as part of the DMP. It also outlines what specific information is required in these

QuestionAnswer
Form NameControl Substance Inventory Michigan Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescontrolled substance inventory log pdf, annual controlled substance inventory form, mi state annual controlled substance inventory, controlled substance inventory form

Form Preview Example

Michigan State University

Annual Controlled Substance Inventory Form

Inventory must be performed between April 1 and June 30 of each year. A separate annual inventory is required for each registered location. Mail to: State of Michigan, Bureau of Health ProfessionsHealth and Regulatory Division, Annual Inventory, 6546 Mercantile Way, Suite 2, P.O. Box 30454, Lansing, MI 48909. Retain a signed and completed copy of this form at the licensed location. The completed form can serve as the biennial inventory required by the DEA.

Date:

Start of day

End of day

MI Licensee/DEA Registrant Name:

MI Licensee/DEA Registrant Address:

DEA Registration #:

State of MI Controlled Substance ID #:

DEA Schedule*

Controlled Substance

Container Unit Type (Vial, syringe, patch, etc.)

Container Quantity

Container Volume

Concentration

*Schedule I and II controlled substances must be separated from all other substances or places on a separate form.

Inventory performed by: _________________________________

____________________________________________

Print Name

Signature

Inventory witnessed by: _________________________________

____________________________________________

Print Name

Signature

 

Page: ___ of_ __

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Stage number 1 for submitting controlled substance inventory form pdf

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controlled substance inventory form pdf writing process outlined (stage 2)

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