Get Fl Dh 2129 2006-2025

The FL DH 2129 form is crucial for documenting the pedigree of prescription drugs in the distribution chain. This guide will provide a clear, step-by-step approach to filling out the form online, ensuring that users can accurately complete the necessary fields with confidence.

Follow the steps to successfully complete the FL DH 2129 online.

1. Press the ‘Get Form’ button to obtain the FL DH 2129 and open it in the online editor.
2. Identify and enter the wholesaler’s name at the top of the form to establish who is completing the document.
3. In the designated fields, provide the name, strength, dosage form, and container size of the prescription drug being sold or distributed.
4. If applicable, check the box indicating that the drug is repackaged, and ensure to provide the necessary repackager’s pedigree information.
5. Include the optional National Drug Code (NDC) if available.
6. Document the lot number along with the quantity for each lot, as well as the unique serial number if one has been assigned.
7. Fill in the reference number, document type, and reference date related to the sale for clarity and record-keeping.
8. On the left side of the form, enter the manufacturer's name and address for authentication purposes.
9. Provide the wholesaler’s information along with the details about the purchase such as date and reference number.
10. Record the name and signature of the recipient of the prescription drugs and the name of the authenticator, if available.
11. Repeat the previous steps for additional sales to others, ensuring to include all necessary recipient information.
12. Sign and provide the name, title, and date for the authorized person at the wholesaler to certify that the pedigree is accurate.
13. After completing all necessary fields, users may save their changes, download, print, or share the form as needed.

Complete your FL DH 2129 online to ensure proper documentation of drug distribution!