2023 Expenditures Form

Vermont Office of Attorney General
109 State Street
Montpelier, VT 05609-1001

2023 Expenditure Disclosure Form for Manufacturers of Prescribed Products
Reporting Period for Pharmaceuticals, Biologics and Medical Devices
January 1, 2023 to December 31, 2023; Due Date: April 1, 2024

Name of Manufacturer

Last Name of Recipient

First Name

License Number/ID Number of Recipient

NPI Number

Date Expenditure Incurred

Value/Amount of Expenditure Incurred

Nature of Expenditure

If "Other"

Descripton

Purpose of Expenditure

If "Other"

Descripton

Products

Re-order	Product Type	Product Name	NDC Number	Weight	Operations
	Product Type	Product Name	NDC Number	Item weight

more items

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