Third Party Logistics Provider (3PL) Forms
Permit Specific

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Miscellaneous
DEA - form 106 (Theft or Loss of Controlled Substances)
Pharmacy Permit Misc
Remote Permit Misc
Wholesalers Permit Misc
Manufacturer Permit Misc
Medical Gas/DME Permit Misc
3PL Permit Misc
Last Revision - web link
DEA - form 41 (Registrants Inventory of Drugs Surrendered)
Pharmacy Permit Misc
Remote Permit Misc
Wholesalers Permit Misc
Manufacturer Permit Misc
Medical Gas/DME Permit Misc
3PL Permit Misc
Last Revision - 10.22.2015
Deviation Request
Pharmacy Permit Misc
Remote Permit Misc
Wholesalers Permit Misc
Manufacturer Permit Misc
Medical Gas/DME Permit Misc
3PL Permit Misc
Last Revision - 02.16.2019
Verification of Licensure
Remote Permit Misc
Wholesalers Permit Misc
Manufacturer Permit Misc
Medical Gas/DME Permit Misc
3PL Permit Misc
Last Revision - web link