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Agency Schedule Detail

Authorization Number :  580-1259
Agency Series No. :  PHA-29C
Status :  Active
Agency Web Link : 
Agency :  DMH
Confidential Description :   
Division :  DMHCOff
Vital Description : 
Section :  DMHCOff
Record Title :  Request for Procurement and Stocking of Drugs
Revision :  1
Record Description :  (DMH-0182) Form used for requesting additions or changes in the Master Selection List at the Pharmacy Service Center. Form is sent by the hospital pharmacists to the secretary of the Interdepartmental Pharmacy and Therapeutics Committee.
Retention Period Retention Justification Media Code Method of Disposal
Filed with the Interdepartmental Pharmacy & Therapeutics Committee and retained for the same period of time. Paper Wastepaper

Approvals

Status Name Title Date
Approved Sue Slaughter Records Officer 3/14/2008 11:10:00 AM
Approved Michael Hardenbrook Record Administrator 3/17/2008 9:44:00 AM
Approved Martin Meeks State Auditor 3/24/2008 1:18:00 PM
Approved Fred Previts State Archivist 5/14/2008 1:32:00 PM

Notes

Date Reason User

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