Get Ind. Drug Accountability Form - Ftp Hrsa

The IND. Drug Accountability Form is a crucial document for managing the distribution of under the Investigational New Drug protocol. This guide will help you navigate each section of the form effectively.

Follow the steps to complete the IND. Drug Accountability Form

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by entering the name of your institution and the investigator in the designated fields to identify who is responsible for the medication accountability.
3. Fill in the drug name, strength, and dosage form. Indicate ' 50 mg capsules (Novartis )' in the respective section.
4. Enter the FDA IND number as 67,033 and the protocol title as ' Use in the Long-Term Treatment of Leprosy, Phase III.'
5. Leave Line 1 of the form blank. This will be completed by NHDP pharmacy personnel to maintain a perpetual inventory.
6. Complete the remaining lines by recording the date, patient ID, dose, quantity dispensed, quantity received, lot number, balance, recorder’s initials, and date returned for each transaction.
7. In the Order Request section, specify the quantity of 50 mg capsules you wish to order, up to a 90-day supply.
8. After filling out the form, review all entries to ensure accuracy and compliance with the protocol.
9. Once verified, you can save changes, download the completed form, print it, or share it as needed for further processing.

Complete your IND. Drug Accountability Form online today to ensure proper medication management.