Form NOI Physicians 30 NOI Physicians 30 NOI Physicians 30 and 100 Waiver

Notification of Intent to Use Schedule III, IV, or V Opioid Drugs for the Maintenance and Detoxification Treatment of Opiate Addiction

Attachment A-NOI Physicians 30 and 100 Waiver_30E_Clean

Notice to Treat up to 100 Patients

OMB: 0930-0234