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Declaration of Controlled Substances Purchases 624 Please fill out this form and mail it to: Moore Medical LLC, PO Box 4066, Farmington, CT 060344066 or fax it to 877.881.0710. 1. customer name (hereinafter
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How to fill out controlled substances purchases:

01
Begin by gathering all necessary information and documents, such as the prescription or order form, patient information, and drug information.
02
Enter the date of the purchase and ensure that it matches the date on the prescription or order form.
03
Fill in the name and address of the prescribing healthcare professional or facility.
04
Provide the patient's name, address, and any other relevant identifying information.
05
Input the name and strength of the controlled substance being purchased.
06
Record the quantity of the controlled substance being purchased, ensuring it matches the prescription or order form.
07
Enter the intended use or indication for the controlled substance purchase.
08
Specify any additional instructions or special requests, if applicable.
09
Review and double-check all information entered for accuracy and completeness.
10
Obtain any required signatures or authorizations as indicated by local regulations or policies.

Who needs controlled substances purchases?

01
Healthcare professionals, such as doctors, dentists, veterinarians, and nurse practitioners, who are authorized to prescribe controlled substances.
02
Licensed pharmacies and pharmacists who dispense controlled substances to patients with a valid prescription.
03
Researchers and institutions involved in scientific studies or clinical trials that require the use of controlled substances.
04
Law enforcement agencies and drug enforcement administration for investigation and enforcement purposes.
05
Certain manufacturing or distribution companies involved in the production and supply chain of controlled substances under strict regulatory controls.
These individuals or entities must adhere to strict regulations and guidelines outlined by local laws, regulatory bodies, and professional licensing boards to ensure the proper handling, record-keeping, and dispensing of controlled substances.
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Controlled substances purchases refer to the acquisition of substances regulated by the government due to their potential for abuse or addiction.
Certain healthcare professionals and facilities, such as pharmacies and drug manufacturers, are required to file controlled substances purchases.
Controlled substances purchases are typically reported through specific forms provided by regulatory agencies, which must be completed accurately and submitted on time.
The purpose of reporting controlled substances purchases is to monitor and regulate the distribution of potentially harmful substances to prevent misuse or diversion.
Information such as the type and quantity of controlled substances purchased, the date of purchase, and the supplier's information must be reported.
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