Aurobindo Suspicious Order Monitoring

All scheduled products

Aurobindo Pharma would like your assistance with our ongoing suspicious order processes monitoring. Please fill out this brief questionnaire in its entirety. This questionnaire is intended to assist in our due diligence to Federal and State regulatory agencies. We appreciate your participation as we believe this important process will benefit our mutual customers and industry.

* Denotes Required Field

Company*
Name*
First Last
Title*
Email*
Phone*
Please list your Company Name and DEA registration number.*
Please list the states to which you distribute products.*
Hold ‘CTR button’ to select multiple options
Have you ever had a DEA registration denied?*
- No
- Yes
Has your DEA registration ever been suspended or revoked?*
- No
- Yes
When was your facilities last DEA inspection?*
Were there any findings as a result of this inspection?*
- No
- Yes
Summarize inspection results*
Has the DEA ever visited your company to discuss any suspicious orders?*
- No
- Yes
Please explain*
Has your company ever had an administrative, civil, or criminal citation or action, etc. by the DEA and/or US Attorney?*
- No
- Yes
Is your company affiliated with any business that handles controlled substances through internet websites?*
- No
- Yes
Please provide the name and URL address of each website*
Are you a verified accredited wholesaler distributor (VAWD), certified by the National Association of Boards of Pharmacy (NABP)?*
- No
- Yes
When was certification issued?*
Does your company perform “due diligence” reviews on new accounts that use controlled substances?*
- No
- Yes
Does your company use a customer questionnaire?*
- No
- Yes
Please upload your customer questionnaire*
Max. file size: 512 MB.
Does your company verify the DEA registration of its prospective customers?*
- No
- Yes
Does your company verify the state registration of its prospective customers?*
- No
- Yes
Does the company conduct “on site” due diligence visits?*
- No
- Yes
Please describe your Suspicious Order Monitoring (SOM) program. What types of warning signs does your program flag?*
Upload a copy of your SOM program
Max. file size: 512 MB.
Does the company conduct “on site” due diligence visits of existing customers? When and why? What triggers such a visit?*
When you encounter suspicious order(s) how do you review, clear, escalate, or report them?*
Who has the authority to clear an order of suspicion?*
Who reports a suspicious order to the DEA?*
Are records maintained to document all investigations?*
- No
- Yes
How are records maintained and filed to document investigations?*
How many suspicious orders were reported to the DEA within the last 12 months?*
Hidden
How many suspicious orders were reported to the DEA within the last 12 months?
When suspicious orders involve Aurobindo products at what point in the process would you notify Aurobindo?*
Does your company have policies regarding illegal drug use?*
- No
- Yes
Please explain*
Does your company do random and/or cause drug screenings on employees?*
- No
- Yes
Does the company provide training to employees regarding drug abuse trends, including published high abuse areas?*
- No
- Yes
Does your company do specific employee training regarding its SOM system?*
- No
- Yes

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