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DEA 222 Sample Form
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TO: (Name of Supplier)STREET ADDRESS:1Amy First line
CITY and STATE:Lenexa, KS 66214OMB APPROVAL
No. XXXXXXXXNo order form may be
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What is dea 222 sample form?
DEA 222 sample form is a form used by pharmacies to order and track Schedule II controlled substances.
Who is required to file dea 222 sample form?
Pharmacies that dispense Schedule II controlled substances are required to file DEA 222 sample form.
How to fill out dea 222 sample form?
DEA 222 sample form must be filled out with detailed information about the pharmacy, the controlled substances being ordered, and the prescriber.
What is the purpose of dea 222 sample form?
The purpose of DEA 222 sample form is to regulate the ordering and distribution of Schedule II controlled substances to prevent misuse and abuse.
What information must be reported on dea 222 sample form?
DEA 222 sample form must include details such as the name of the pharmacy, the DEA registration number, the name and quantity of the controlled substances being ordered, and the signature of the authorized individual.
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