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File a non-participation form for the Drug Stewardship Program

Manufacturers that believe they're not required to file a Drug Stewardship Program plan can fill out the Non-Participation Form and file it with the Department.

Contacts

Drug Stewardship Program

Online

Email Drug Stewardship Program at drugstewardship@massmail.state.ma.us

The Details   of File a non-participation form for the Drug Stewardship Program

What you need   for File a non-participation form for the Drug Stewardship Program

  • Company name and address
  • Contact name, phone, and email
  • Compliance Officer name, phone, and email

How to file   File a non-participation form for the Drug Stewardship Program

  1. Download and complete the form, found below
  2. Scan the form
  3. Email the scanned form to drugstewardship@massmail.state.ma.us

  1. Download and complete the form, found below
  2. Mail completed form to:

Drug Stewardship Program
MA Bureau of Health Professions Licensure
239 Causeway St.
5th Floor, Suite 500
Boston, MA 02114

Downloads   for File a non-participation form for the Drug Stewardship Program

Open PDF file, 173.73 KB,  Drug Stewardship Program: Non-Participation Form (English, PDF 173.73 KB)
Open DOCX file, 31.56 KB,  Drug Stewardship Program: Non-Participation Form (English, DOCX 31.56 KB)

Contact   for File a non-participation form for the Drug Stewardship Program

Online
Email Drug Stewardship Program at drugstewardship@massmail.state.ma.us

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