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Narcotic Control Forms

Controlled Drug Administration Record

Size: 8" x 11"
Min/QTY: 100
Price: $513.80

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Controlled Drug Administration Set

Size: 8" x 11"
Min/QTY: 100
Price: $513.80

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Controlled Substance Administration Record Form

Size: 8" x 11"
Min/QTY: 200
Price: $757.05

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Drug Administration Record Form

Size: 8" x 11"
Min/QTY: 100
Price: $513.80

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Narcotic and Controlled Substance Form

Size: 8" x 11"
Min/QTY: 200
Price: $757.05

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Narcotic Control Forms, 3 Parts

Size: 8" x 11"
Min/QTY: 200
Price: $757.05

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Narcotic Control Form Sets

Narcotic Control Sets are forms that allow hospitals to maintain an account for every dosage of each controlled substance. Customize the form to list all controlled drugs within a facility or choose one of our stock forms that are already imprinted and ready for immediate shipment. Shingled narcotic control forms are designed to meet stringent government narcotic control regulations, save the time of pharmacy and nursing personnel in controlling and auditing drugs and improve billing by reducing errors, late charges, and lost charges.

Stock Items - Self stocked forms, available for immediate shipment.
Quick Customizations - Preset format with custom flexibility to print Hospital name, address, drug names, and charge.
Custom - Full Custom capabilities include complete composition service, variety of numbering and shingling formats and custom specifications. 

The form consists of:

  • Pharmacy receipt with drug administration record
  • PCA Control Number
  • Pharmacy charge ticket
  • The charge code and the amount charged
  • Carbonless paper with the last copy being manila card stock
     

Take a look at our Patient Valuables Envelopes