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Biologic Resources Laboratory

Buprenorphine ER Lab Order Form

Buprenorphine ER is a special order. It is ready to pick up about one week after the order is placed.

ER Heading link

Untitled * Required
- Refill
- New Request
PI Name * Required
First Last
PI Email * Required
Requestor Name * Required
First Last
Requestor Email * Required
ACC Protocol Number * Required
BRL Account Number * Required
Species * Required
Quantity of Bottle(s) * Required
DEA State Number * Required
DEA Federal Number * Required
Notes