Frederic C. Bartter
General Clinical Research Center (GCRC)

Research Pharmacy Forms for Investigational Drugs

                    Research Pharmacy in the VA needs the following information for investigational drugs:

1. VA Form 10-9012

2. VA 10-1223 (Subcommittee on Human Studies) 

3. FDA Form 1572 (PDF)  (Word)

4. R&D Approval Letter (copy)

5. IRB Approval Letter (copy)

6. Invoice for the drug - source of the drug

7. Expiration date for the drug (if known)

        GCRC forms page

        Protocol information

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                        Date page last modified:  11/18/04 10:50 AM