Get the free Controlled Substance Form 222 Request - tricliniclabs.com

Controlled Substance Form 222 Request Contact Name:Company:Name and Address You Would Like To Appear on 222 Form:Phone:Fax:Email:Material Renumber of Amount In Grams Containers Per Container Shipping

How to fill out controlled substance form 222

How to fill out controlled substance form 222

1. To fill out controlled substance form 222, follow these steps:
2. Obtain the form: You can obtain a controlled substance form 222 from the Drug Enforcement Administration (DEA) or your local pharmacy.
3. Fill out the top portion: Enter your name, address, and DEA registration number at the top of the form.
4. Complete the supplier section: Enter the name, address, and DEA registration number of the supplier from whom you are ordering the controlled substances.
5. Specify the substance details: Fill in the details of the controlled substances you are ordering, including the name, strength, quantity, and package size.
6. Indicate the number of packages ordered: Enter the number of packages you are ordering for each substance.
7. Sign and date the form: Make sure to sign and date the form before submitting it.
8. Retain a copy: Keep a copy of the completed form for your records.
9. Submit the form: Send the completed form to the supplier via mail, fax, or electronic means as per their preferred method of receiving orders.

Who needs controlled substance form 222?

1. Controlled substance form 222 is required by individuals or entities that are registered with the DEA as a distributor or dispenser of controlled substances.
2. This includes pharmacies, hospitals, clinics, and other healthcare facilities that handle and dispense controlled substances.
3. The form is used to order and track the distribution of Schedule I and II controlled substances.
4. It ensures accountability and prevents unauthorized access or diversion of these substances.

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What is controlled substance form 222?

Controlled substance form 222 is a paper form used for ordering Schedule II controlled substances.

Who is required to file controlled substance form 222?

Authorized individuals such as pharmacists or practitioners who are registered with the DEA to handle controlled substances are required to file form 222.

How to fill out controlled substance form 222?

Controlled substance form 222 must be filled out manually with blue or black ink, following specific instructions provided by the DEA.

What is the purpose of controlled substance form 222?

The purpose of form 222 is to track the distribution of Schedule II controlled substances to prevent misuse and diversion.

What information must be reported on controlled substance form 222?

Form 222 requires information such as the name and address of the supplier and purchaser, the DEA registration numbers, and details of the controlled substances being ordered.