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Pedigree Reporting System    

To obtain Pedigree Information for purchased pharmaceuticals, please fill out the form and click submit. Fields marked with * are mandatory.

* Customer Number:
* Invoice Number:	(must include all characters, i.e. 123456-7-8)
* Item Number:	(full item number found on the invoice, beginning with RX)
NDC#:	(full NDC from the package)
* Lot#:	(full lot number from the package)
Email Address:
Fax Number:
I prefer to receive this Pedigree via:	Choose One: Email Fax Mail it to the address on the invoice