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STUDY DRUG ACOUNTABILITY LOG PRINCIPAL INVESTIGATOR_______________________ Clinical research Coordinator_____________________ Protocol name and/or Number_____________________ Name of the Study Drug__________________________ Subject ID# and/or initials Lot or Kit Number # Bottles, Vials, etc. Amount of study Drug per bottle, Vial, etc. Total Amount Dispens ed Initials Date Date Dispensed returned #of Total Balance: Bottles, amount Number Vials, returned Dispensed etc. Less Returned Number returned Comments: Subject lost, discarded Initials