Form DA - Implementation Options: Vertical
DA - Implementation Options: Vertical
Was drug accountability collected?
No
Yes
What was the date that drug accountability was assessed?
01 Jan 2000
What is the treatment label identifier?
What is the drug accountability being assessed?
Dispensed Amount
Returned Amount
What is the amount?
What is the unit?
Choose
Bag
Bottle
Box
Capsule
Package
Patch
Tablet
Tube
Vial
*
Mandatory field