(4) Figure 3-9 illustrates issuance of supplies to another work-center using
DA Form 3875, Bulk Drug Order Form. This TMC is not part of the hospital pharmacy's
TDA and issuance of supplies to this work-center generates a UCA count. Three lines
of items have been identified for clinic use so the correct UCA count is 6.0 (3 x 2.0).
UCA Calculations
Factor
Line
2.0
x
1
=
2.0
2.0
x
1
=
2.0
2.0
x
1
=
2.0
6.0
Figure 3-9. DA Form 3875, Bulk Drug Order Form (issuance of supplies to another
work-center) with UCA calculatio ns .
MD0812
3-14