(1) A prepared DA Form 3875, Bulk Drug Order Form, shown in figure 3-6
illustrates items ordered for a clinic. Three items have been ordered for the clinic with a
UCA value of 2.0 per line, that is, 3 x 2 = 6.0. The number of individual items is
irrelevant.
UCA Weighted Procedure 6.0
UCA Calculations
Factor
Line
2.0
x
1
=
2.0
2.0
x
1
=
2.0
0.0
x
1
=
0.0
2.0
x
1
=
2.0
6.0
Figure 3-6. DA Form 3815, Bulk Drug Order Form (items ordered for a clinic)
with UCA calculation s.
MD0812
3-11