Authorization Number : 580-1243
Agency Series No. : PHA-13C
Status : Active
Agency Web Link :
Agency : DMH
Confidential Description :
Division : DMHCOff
Vital Description :
Section : DMHCOff
Record Title : Medication Return Form
Revision : 1
Record Description : (DMH-0243) Record listing the medications which are returned for credit to Central Pharmacy by the clinics. Generally these are medications not picked up by the client. Includes clinic name and address, patient name, patient no., prescription no., medication quant