BNE 060 - DIRECT DISPENSING LOG Veterinary Use Only BNE 060 - DIRECT DISPENSING LOG Veterinary Use O 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and veterinary license number in the designated fields at the top of the form.
3. Fill in your address and telephone number to ensure accurate contact information.
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, and middle initial as required.
6. Complete the client’s address, date of birth, and state for each entry to maintain comprehensive records.
7. Enter the drug name and its NDC number for proper identification of dispensed medications.
8. Indicate the strength of the prescription and client gender code (Male=1/Female=2) for each animal patient listed.
9. Finally, fill out the reporting month/year and date submitted before saving or printing your completed log.

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