Direct dispensing log veterinary use only 2025

1. Click ‘Get Form’ to open the direct dispensing log in the editor.
2. Begin by entering your name and veterinary license number in the designated fields at the top of the form. This identifies you as the dispenser.
3. Fill in your address and telephone number to ensure accurate contact information is provided.
4. Input your DEA number, which is essential for tracking controlled substances.
5. For each dispensing entry, record the date, client’s first name, numeric quantity dispensed, and middle initial if applicable.
6. Complete the client’s address and ensure you include their date of birth and gender code (Male=1/Female=2) for accurate records.
7. Document the drug name, strength of prescription, and NDC number for each medication dispensed.
8. At the end of the form, fill in the reporting month/year and date submitted before mailing it to the CURES Program.

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