Most Commonly Used Drug List Order Form

MOST COMMONLY USED DRUGS

ENTER QUANTITIES NEEDED IN THE APPROPRIATE DRUG BOX

Please Note: All drugs administered to animals must be listed on an IACUC approved Animal Protocol
Please Note: DO NOT use autofill to enter any information on this form. Autofill can add unintended items to the order. Confirm all entries are correct before submitting.

For questions, please e-mail oar-drugorder@uiowa.edu or call 5-7985 and ask to speak with a veterinary technician regarding drug orders

PI Name *

PI Hawk ID *

Animal Protocol # *

Account # *

Contact Person *

Contact Person Phone # *

Contact e-mail address (NOTE: When the order is ready for pick-up at L350 PBDB a purchase receipt will be sent via email to both the PI and the contact person) *

ISOFLURANE 100 ML [bottle(s)]

ISOFLURANE 250 ML [bottle(s)]

SILVER NITRATE STICKS [tube(s) of 100]

SILVER SULFADIAZINE CREAM 1% [tube/tub(s)]

TRIPLE ANTIBIOTIC OPHTHALMIC OINTMENT [tube(s)]

TRIPLE ANTIBIOTIC TOPICAL OINTMENT [tube(s)]

XYLAZINE PLUS SALINE (to make mouse Ketamine/Xylazine Anesthetic Mix. NOTE: lab must add their own ketamine) 10mL [10mL bottle(s)]

XYALZINE PLUS SALINE (for Mouse Anesthetic Mix) 30mL [30mL bottle(s)]

MOST COMMONLY USED DRUGS

Drug Orders

Office of Research units

Research Administration

Core Facilities

Museums & Collections

Centers

Office of Animal Resources

Office of the Institutional Animal Care and Use Committee

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Most Commonly Used Drug List Order Form

MOST COMMONLY USED DRUGS

Drug Orders

Office of Animal Resources

Office of the Institutional Animal Care and Use Committee