Get the free Initial Controlled Substance Inventory Form

This form is used to maintain an initial inventory of controlled substances at Michigan State University, detailing the necessity for recording and storing controlled substances at licensed locations.

How to fill out initial controlled substance inventory

How to fill out Initial Controlled Substance Inventory Form

1. Obtain the Initial Controlled Substance Inventory Form from your regulatory authority or organization.
2. Fill in the date of the inventory at the top of the form.
3. Enter the name, address, and registration number of the facility or individual conducting the inventory.
4. List all controlled substances on hand, including the drug name, form, strength, and quantity.
5. For each controlled substance, provide the National Drug Code (NDC) if available.
6. Indicate whether the substances are in stock (kept on-site) or in use (in the process of being administered).
7. Record the signature of the person completing the form at the bottom.
8. Make copies of the completed inventory for your records and submit the original to the appropriate authority if required.

Who needs Initial Controlled Substance Inventory Form?

1. Pharmacies
2. Hospitals
3. Clinics
4. Licensed practitioners who handle controlled substances
5. Veterinary clinics storing controlled medications

For pdfFiller’s FAQs

What is Initial Controlled Substance Inventory Form?

The Initial Controlled Substance Inventory Form is a document used by healthcare providers to record the quantity and types of controlled substances on hand at the start of their operations or upon changing registration.

Who is required to file Initial Controlled Substance Inventory Form?

All healthcare providers who are authorized to handle controlled substances are required to file the Initial Controlled Substance Inventory Form, including pharmacies, hospitals, and individual practitioners.

How to fill out Initial Controlled Substance Inventory Form?

To fill out the Initial Controlled Substance Inventory Form, providers must list each controlled substance by name, the corresponding DEA schedule, the quantity on hand, and the date of the inventory. It must be signed and dated by the person responsible for maintaining the inventory.

What is the purpose of Initial Controlled Substance Inventory Form?

The purpose of the Initial Controlled Substance Inventory Form is to ensure accurate tracking and accountability of controlled substances, assist in preventing misuse, and comply with federal and state regulations.

What information must be reported on Initial Controlled Substance Inventory Form?

The Initial Controlled Substance Inventory Form must report the names of controlled substances, their DEA schedule classifications, the total quantities on hand, and the date and time the inventory was conducted.