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Piedmont Access to Health Services Policy Number: 0109004 SUBJECT: Narcotic Cross Coverage EFFECTIVE DATE: 3×25/10 REVIEWED×REVISED: 03×17/2011, 04×05/2012 POLICY: PATHS has very stringent guidelines
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How to fill out 01-09-004 narcotic cross coverage:

01
Begin by carefully reviewing the form and familiarizing yourself with its sections and requirements.
02
Start by entering the date of the coverage in the designated space.
03
Provide your personal information, such as your full name, contact details, and professional credentials.
04
Indicate the specific narcotics that you will be covering and the duration of the coverage.
05
If applicable, mention any limitations or restrictions regarding the coverage.
06
Include any additional information or instructions that may be necessary for the smooth implementation of cross coverage.
07
Ensure that you sign and date the form to certify its accuracy and completeness.

Who needs 01-09-004 narcotic cross coverage:

01
Healthcare professionals who are responsible for the administration and management of narcotic medications.
02
Individuals working in healthcare facilities where narcotic medications are handled and dispensed.
03
Professionals who are required to provide cross coverage for narcotic-related tasks and responsibilities in their workplace.
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01-09-004 narcotic cross coverage is a form used to track the transfer of controlled substances between pharmacies.
Pharmacies are required to file 01-09-004 narcotic cross coverage.
To fill out 01-09-004 narcotic cross coverage, pharmacies need to provide information about the controlled substances being transferred, the quantities involved, and details about the sending and receiving pharmacies.
The purpose of 01-09-004 narcotic cross coverage is to ensure accurate tracking of controlled substances to prevent diversion or misuse.
Information such as the name of the controlled substance, quantity transferred, sending and receiving pharmacy details, and the date of transfer must be reported on 01-09-004 narcotic cross coverage.
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