Initial Application For Registration For Dispenser - Pharmacy (Controlled Dangerous Substance)

INITIAL APPLICATION FOR REGISTRATION FOR DISPENSER - PHARMACY. This form is a CDS application, which you are required to submit pursuant to N.J.S.A. 24:21-1 et seq. Registration is required for every person who or firm that prescribes, manufactures, distributes, conducts research or analysis, or dispenses controlled dangerous substances within this State. A New Jersey CDS registration is issued to an actual location including out-of-state, where controlled dangerous substances will be stored, prescribed, dispensed, etc. The address of record cannot be a post office box. A New Jersey Board of Pharmacy (BOP) permit is the pre-requisite to the CDS registration. Pursuant to N.J.A.C. 13:45H-1.2(m), CDS registrants must provide the Drug Control Unit with its federal DEA registration number within 60 days of registration. The address associated with your DEA registration must correspond with your CDS registration address of record. Your home state DEA registration is acceptable so long as the address associated corresponds with your CDS registration address of record. www.FormsWorkflow.com