Get the free DEA-222 Request Form - frontrangelabs.com

DEA222 Request Form Before submitting a schedule II for testing, complete and fax this Form to 970.593.9044 Line No. Sample 1 2 3 4 5 Company Information Company Name Address City/State/Zip Phone/Fax

How to fill out dea-222 request form

How to fill out a DEA-222 request form?

1. Obtain the DEA-222 request form: Visit the Drug Enforcement Administration (DEA) website or contact your local DEA office to obtain the DEA-222 request form. It is a controlled substance order form used by DEA registrants to order Schedule I and Schedule II substances.
2. Fill in the registrant information: Start by filling in the registrant information section of the form. This includes your DEA registration number, business name, address, and contact information.
3. Indicate supplier information: Provide the name and address of the supplier from whom you are ordering controlled substances. This should include the supplier's DEA registration number as well.
4. List the substances being ordered: Enter the name, strength, size, quantity, and DEA scheduling information of each controlled substance being ordered. Ensure that you accurately provide all the necessary information for each item.
5. Calculate the total number of lines on the form: Count the total number of lines you have used on the form and enter the number in the designated space. This will help the supplier verify the order.
6. Sign and date the form: Once you have filled out all the required information, sign and date the form. Only authorized individuals with registration privileges can sign the DEA-222 request form.
7. Keep a copy for your records: Make a copy of the completed DEA-222 request form for your records before sending it to the supplier. This will serve as proof of your order.

Who needs a DEA-222 request form?

1. Licensed pharmacies and doctors: Registered pharmacies and doctors who handle controlled substances, especially those listed in Schedule I and Schedule II, need to complete a DEA-222 request form to procure these substances legally.
2. Researchers and scientists: Individuals engaged in scientific research and studying controlled substances often require a DEA-222 request form to obtain these substances for their experiments and investigations.
3. Distributors and manufacturers: Wholesale drug distributors and manufacturers who deal with controlled substances, particularly those classified under Schedule I and Schedule II, must use a DEA-222 request form to order these substances from other registered suppliers.

Note: It is crucial to comply with all applicable federal and state laws and regulations when filling out DEA-222 request forms and handling controlled substances.

For pdfFiller’s FAQs

What is dea-222 request form?

The DEA-222 request form is used by pharmacies to order Schedule II controlled substances.

Who is required to file dea-222 request form?

Pharmacies are required to file the DEA-222 request form when ordering Schedule II controlled substances.

How to fill out dea-222 request form?

The DEA-222 request form must be filled out with the pharmacy's information, the controlled substances being ordered, and the DEA registration number.

What is the purpose of dea-222 request form?

The purpose of the DEA-222 request form is to ensure that pharmacies are ordering controlled substances in compliance with DEA regulations.

What information must be reported on dea-222 request form?

The DEA-222 request form must include the pharmacy's name and address, the DEA registration number, the controlled substances being ordered, and the quantities requested.

How can I send dea-222 request form to be eSigned by others?

When you're ready to share your dea-222 request form, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.

How can I get dea-222 request form?

With pdfFiller, an all-in-one online tool for professional document management, it's easy to fill out documents. Over 25 million fillable forms are available on our website, and you can find the dea-222 request form in a matter of seconds. Open it right away and start making it your own with help from advanced editing tools.

Can I create an electronic signature for the dea-222 request form in Chrome?

Yes. With pdfFiller for Chrome, you can eSign documents and utilize the PDF editor all in one spot. Create a legally enforceable eSignature by sketching, typing, or uploading a handwritten signature image. You may eSign your dea-222 request form in seconds.