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AZ Controlled Substances Inventory Booklet 2000-2025 free printable template

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PHARMACY NAME: ADDRESS: CITY: STATE: ZIP CODE: CONTROLLED SUBSTANCE l INVENTORY LIST. AZ BOA-RD OF PHARMACY PERMIT#:
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How to fill out controlled substance inventory log

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How to fill out AZ Controlled Substances Inventory Booklet

01
Obtain the AZ Controlled Substances Inventory Booklet from the appropriate regulatory authority.
02
Identify the date and location at the top of the booklet.
03
List each controlled substance in your inventory, including the drug name, strength, form, and quantity.
04
Include the National Drug Code (NDC) number for each substance if available.
05
Record the inventory count accurately, ensuring that numbers align with your stock.
06
Document any discrepancies or additional notes regarding the controlled substances.
07
Sign and date the booklet to validate the information provided.

Who needs AZ Controlled Substances Inventory Booklet?

01
Pharmacies handling controlled substances.
02
Hospitals and medical facilities that maintain controlled substances.
03
Clinics and healthcare providers authorized to prescribe or dispense controlled substances.
04
Research facilities that use controlled substances in their studies.
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An inventory reconciliation report of all Schedule II drugs shall be compiled at least every three months and, in order to complete the report, the inventory must be compared with a review of drugs that entered and left the pharmacy since the previous inventory reconciliation.
The legal requirements for CD storage are: Secured to a wall and fixed with bolts that are not accessible from outside the cupboard • Fitted with a robust lock • Made of metal with strong hinges.
Actual Name of Controlled Substance, Form, Quantity, Strength; ▪ Number of Units or Volume of Finished Form Dispensed; ▪ Name, Address of the Person to Whom It Was Dispensed; ▪ Date of Dispensing.
Each inventory shall contain a complete and accurate record of all controlled substances on hand on the date the inventory is taken, and shall be maintained in written, typewritten, or printed form at the registered location.
Date, time, drug, quantity, and method of disposal must be logged and one or more persons must initial or sign the log as witnesses.
After the initial inventory is taken, the registrant shall take a new inventory of all stocks of controlled substances on hand at least every two years. The biennial inventory may be taken on any date which is within two years of the previous biennial inventory date.

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The AZ Controlled Substances Inventory Booklet is a document used by licensed facilities in Arizona to maintain a record of their inventory of controlled substances.
Licensed healthcare providers, pharmacies, hospitals, and any entity that is authorized to handle controlled substances are required to file the AZ Controlled Substances Inventory Booklet.
To fill out the AZ Controlled Substances Inventory Booklet, one must accurately record the quantities of controlled substances on hand, including details such as the name of the substance, dosage form, strength, quantity, and location in the facility.
The purpose of the AZ Controlled Substances Inventory Booklet is to ensure compliance with state and federal regulations regarding the handling, storage, and distribution of controlled substances, and to help prevent misuse and diversion.
The information that must be reported includes the name of the controlled substance, the dosage form, strength, quantity on hand, and the date of the inventory, along with the signatures of the person completing the inventory.
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