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Cari Fais
Director
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Downtown Newark, NJ

New Jersey Drug Control Unit

Applications and Forms

Phases and Timelines

Applications for Registration

Application for Registration (Initial)

Application for Registration (Reinstatement)
- Dispenser/Prescriber Practitioner
- Dispenser/Prescriber Mid-Level Practitioner

Forms

Controlled Dangerous Substance Destruction Request Form (includes instructions)

Quarterly Inventory of Sodium Pentobarbital

Certification of the Destruction of New Jersey Prescription Blanks (NJPB)

NJPB Program Incident Report

Report of Theft or Loss of Controlled Substances

Important

Please contact the Drug Control Unit at CDS@dca.njoag.gov or (973) 504-6351 for the following applications:

Analytical Lab
Animal Shelters
Dog Trainers
Manufacturers
Narcotic Treatment Programs (NTP)
Researchers and Wholesale/Distributors.

To request a "Unique Provider Number,"
please contact the Drug Control Unit at (973) 504-6351.

Last Modified: 7/1/2024 8:14 AM

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