Narcotic drugs order forms

In 2021, to order narcotic drugs order forms you must transfer the fee of 18,12€ for 100 order forms.

A payment slip is included with delivered order forms.

The account number of FAMHP (Avenue Galilée 5/03, 1210 Brussels) is

IBAN : BE32 6790 0220 2102
BIC/ Swift code: PCHQBEBB

Please indicate the registration number of the pharmacy or the number of the actitvity licence and the highest order form number that you currently have.

The delivery time for order forms is about 4 weeks.

Any change in the name of the title holder must be advised on the special form at AFMPS; the narcotic drugs order forms of the previous title holder must be used up first, replacing the old holders name with the new one.

Contact: +32 2 528 4000 or 

Last updated on 13/09/2021