New Jersey Drug Control Unit

Applications for Registration

• Initial Application for Registration
  • Dispenser/Prescriber
  • Dispenser/Prescriber Mid-Level Practitioner
  • Dispenser - Pharmacy


• Reinstatement Application for Registration
  • 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.