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Michigan State University Controlled Substance Transfer Request Form 2011-2025 free printable template

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MichiganStateUniversityControlledSubstanceTransferRequestForm Date: SupplierInformation SupplierRegistrant: Supplier DEA#: SupplierAddress: RecipientInformation RecipientRegistrant: Recipient DEA#:
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How to fill out controlled substance transfer request

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How to fill out Michigan State University Controlled Substance Transfer Request

01
Obtain the Michigan State University Controlled Substance Transfer Request form from the appropriate department or the university's website.
02
Fill in the required details including the names of the sender and receiver, their departments, and contact information.
03
Specify the controlled substance being transferred, including its name, quantity, and any relevant identification numbers.
04
Indicate the reason for the transfer and ensure that it complies with university and legal regulations.
05
Include any necessary signatures from both the sender and receiver as well as any required departmental approvals.
06
Submit the completed form to the designated office responsible for processing controlled substance transfers.

Who needs Michigan State University Controlled Substance Transfer Request?

01
Researchers and faculty members at Michigan State University who are involved in activities requiring the transfer of controlled substances.
02
Laboratory personnel who handle or work with controlled substances and need to move them between locations.
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People Also Ask about

All CD requisitions should be kept for 2 years. Keep in original paper form or computerised form.
Legally, the requisition form must: be signed by the doctor. state the prescriber's name, address and area of practice (e.g. GP) specify the total quantity of drug (the total quantity of drug does not have to be written in both words and figures) state the purpose of the requisition. (e.g. 'practice use')
On the top of the page, write the name of the CD, strength and formulation. Complete the date, time and write 'Balance Carried Forward', update 'Running Balance' and then sign this entry. Repeat for all CDs recorded within this CD Register.
It's common to see a 2-day window for refilling these types of medications early. Some people even call it the “28 day prescription rule” for controlled substances they fill monthly. In other words, there needs to be at least 28 days between refills of 30-day prescriptions.
An FP10CDF is a Controlled Drug Requisition Form. It must be sent at the end of the month along with the FP34PCD. The FP10CDF and FP34PCD forms must be submitted to Prescription Services processing division in Newcastle. This is regardless of where you send your normal monthly submission.
Controlled Drug (CD) prescription writing requirements: Patient name and address. Drug name. Dose ('as directed' on its own is not permitted) Formulation. Strength (where appropriate) Total quantity/dosage units of the preparation in both words and figures (for liquids, total volume in ml) Prescriber signature and address.

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The Michigan State University Controlled Substance Transfer Request is a formal document used to request the transfer of controlled substances within the university. It ensures compliance with legal and regulatory requirements for handling such substances.
Anyone who intends to transfer controlled substances, including researchers, faculty, and staff involved in activities that require the use of controlled substances, is required to file this request.
To fill out the MSU Controlled Substance Transfer Request, one must provide the necessary details such as the type and quantity of substances being transferred, the individuals involved in the transfer, and their respective roles, along with any approvals required from relevant departments.
The purpose of the request is to maintain accurate records of controlled substances, ensure accountability, and adhere to federal and state regulations governing the use and transfer of these substances.
The information that must be reported includes the name of the substance, quantity being transferred, names and signatures of both the transferor and transferee, date of transfer, and any necessary compliance documentation.
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