OMB control number
Prescription Drop Off/Activation Form
OMB 0720-0074 ยท DOD/DODOASHA.
OMB 0720-0074
DHA Form 298, Prescription Drop-Off/Activation, is a standardized form for prescription activation/drop-off across all military medical treatment facilities (MTFs). DHA Form 298 allows pharmacy patients the option to request the MTF pharmacy activate/process their prescriptions without having to wait in a line to speak with pharmacy staff or outside of normal pharmacy hours.
The latest form for Prescription Drop Off/Activation Form expires 2027-03-31 and is listed under ICR 202309-0720-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DHA Form 298 DHA Form 298 Prescription Drop Off/Activation Form | Form |
 0720-PDOA_SSA_2.13.2024.docx | Supporting Statement A |
| TAB A_Draft_DHA_AI XXXX.xx MTF Authorized Pharmacy Forms Guidance (03.23.23).docx | Supplementary Document |
 DHA Form 298 Prescription Drop Off/Activation Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202309-0720-002 | New collection (Request for a new OMB Control Number) | 2024-02-20 | Approved without change |