C - 2 INVENTORY LOG
C-II RECEIVING / DISPENSING / PHYSICAL INV
*
RECEIVING
DISPENSING
MONTHLY/RANDOM INV
DRUG ID (Last 7 digits of ndc)
If Drug Not Found, Please
Enter As A New C2 Drug
DRUG ID
Last 7 digits of NDC #
DRUG NAME
NDC #
STRENGTH
PKG SIZE
FORM
MANUF
VENDOR
Please Select
McKesson
Cardinal
IPC
CSOS #
*
PO #
FULL PKG RECEIVED
Please Select
0
1
2
3
4
5
6
7
8
TOTAL RECEIVED
DATE RECEIVED
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
PATIENT'S NAME
*
First Name
Last Name
RX #
*
QTY DISPENSED
*
DATE DISPENSED
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
FULL PKG
Please Select
0
1
2
3
4
5
6
7
8
UNIT
If open bottle, list the unit/each count here.
PHYSICAL COUNT
Current BOH
*
Look up BOH from C-2 table
BOH
Discrepancy
DATE OF INV
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
RPH
Please Select
EI
OTHER Pharmacist
COMMENTS (Optional)
Submit
Should be Empty: