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Wasted Controlled Substance Log Sheet

Wasted Controlled Substance Log Sheet


Use this form to log your controlled substance waste (expired medications, dropped tablets, broken tablets, etc). It is designed to print front and back to give you more room for logging and comes with one form for C2's and one form for C3-5's. There is also a place to sign them in the waste and a place to sign them out after destruction or transfer to a reverse distributor.


This form will ensure you comply with the requirement to document controlled substance waste.

  • Each download allows for the copy and use of the form for one pharmacy permit.

    NOTE: This form is intended as an aid only and Pharmacy Compliance Specialists, LLC, shall not be held liable for damages resulting from the use or misuse of this product. 

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