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Public Health Preparedness RMA

All fields are required

Ship To DOH - BPHP - NI - BULK
104-2 Hamilton Park Drive
Tallahassee, FL 32303
(850) 922-9036
Permit # 5433

Instructions: Enter the required information for the returned product and click the Add to RMA button. When complete, click the submit button and follow the on-screen instructions

Tip: You may use a barcode scanner to scan the product barcode in the Enter NDC or UPC field. PFS will autofill the NDC, Product Name, and Drug Strength.

Delete	Program	NDC or UPC #	Product Name \| Packaged UoM \| Drug Strength \| Size \| Form	Drug Strength	Lot Number	Expiration Date	Quantity Returning	Return Type


							0	0 - Pills 0 - Bottles/UoM

Shipping

Shipped By

Shipped Date

	Shipment Method	Tracking #
	New Shipment Method	New Tracking #

Shipping Notes

Submitting RMA Instructions

Step 1 : Enter Tracking Information for RMA

	Shipper	Tracking Number

Public Health Preparedness RMA

Public Health Preparedness RMA

Step 1 : Enter Tracking Information for RMA

Step 2 : Write the RMA Number on the outside of the box and put RMA Form inside of the box. (RMA Form will print after you press Complete)

Step 2 : Write the RMA Number on the outside of the box and put RMA Form inside of the box.
(RMA Form will print after you press Complete)