Authorized Purchasing Agent Proof of Identity Form for Lugol's Iodine Concentrate
All below listed items require completion of EDM3’s Authorized Purchasing Agent Proof of Identity Form before shipment of the item per DEA Regulation 21 CFR 1310.08(f). This document is required for each ship-to address. The document is good for 1 year from the sign date.
Item No. | Description 1 | Description 2 |
400353 | LUGOLS IODINE CONCENTRATE | 16 oz |
400354 | LUGOLS IODINE CONCENTRATE | 32 oz BOTTLE |
400355 | LUGOLS IODINE CONCENTRATE | 2 oz Dropper BOTTLE |
400359 | LUGOLS IODINE CONCENTRATE | 1 oz BOTTLE (orders greater than 1ea) |
400357 | LUGOLS IODINE CONCENTRATE | 4 oz |
Please contact us directly if you have any questions.