Michigan Board of Pharmacy Administrative Rule 338.3162b states all pharmacies, dispensing practitioners and veterinarians who dispense controlled substances in Schedules 2-5 are required to electronically report this prescription data to the Michigan Automated Prescription System (MAPS).

Your pet's treatment plan includes a prescription medication for a controlled substance.

In order for AEC to dispense a controlled substance we are required to verify the identity of the recipient using a valid driver's license, social security number or state ID card, and to report this information to the State of Michigan.

Your personal information is protected. The birth date and ID number you submit will be securely encrypted. Only the last 4 digits of the ID you enter will be visible to AEC employees. Your ID information will be securely transmitted to the State of Michigan and subsequently removed from AEC systems following data confirmation (normally within 24-48 hours). If you have a Driver's License or ID issued by a state other than Michigan than you must either use your social security number for your ID, or call us back at AEC and verbally give us your non-Michigan ID information (you can only use this form for Michigan issued IDs).

Date of Birth (mm/dd/yyyy) : //

The recipient identification information entered on this form must be completely accurate. I understand that if this information is rejected by MAPS for any reason that I will be contacted by AEC and asked to validate this information either verbally or in person.

By clicking 'Agree' and submitting this information online, I acknowledge the following:

I understand that I have been asked to provide my identification information as a requirement by the State of Michigan for a controlled substance that has been prescribed for my pet. I understand that AEC deletes my identification information following transmission to the State of Michigan Automated Prescription System and confirmation of data acceptance.

(you need to complete 0 ✪ required fields)