
Get the free DEA Form 486 - Import/Export Chemical Declaration - Instructions. DEA Form 486 - Imp...
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INSTRUCTIONS FOR COMPLETING IMPORT/EXPORT DECLARATION, DEA FORM 486
(Also available online at www.deadiversion.usdoj.gov)
This form is to be used in notifying DEA of all imports, exports, and international
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How to fill out dea form 486

How to fill out dea form 486
01
To fill out DEA Form 486, follow these steps:
02
Start by downloading the DEA Form 486 from the official DEA website or obtain a physical copy.
03
Read the instructions carefully and ensure you have all the necessary information and documents required.
04
Fill out the general information section, which includes your name, address, DEA registration number, and contact information.
05
Provide details about the controlled substances you wish to dispose of, including their name, strength, dosage form, and National Drug Code (NDC) number.
06
Indicate the quantity of each controlled substance you plan to dispose of.
07
Specify the method of destruction, whether it is using a reverse distributor or on-site destruction.
08
If using a reverse distributor, provide the name, address, DEA registration number, and contact information of the reverse distributor.
09
Sign and date the form to certify the accuracy of the information provided.
10
Keep a copy of the completed DEA Form 486 for your records.
11
Submit the form to the appropriate DEA field office according to the instructions provided.
Who needs dea form 486?
01
DEA Form 486 is required for individuals or entities registered with the Drug Enforcement Administration (DEA) who need to dispose of controlled substances legally.
02
This can include pharmacies, hospitals, clinics, manufacturers, distributors, reverse distributors, and other entities authorized to handle controlled substances.
03
It is essential for these registrants to accurately complete and submit DEA Form 486 to comply with federal regulations and ensure proper disposal of controlled substances.
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What is dea form 486?
DEA Form 486 is a registration form used by practitioners to apply for or renew their registration to handle controlled substances in the United States.
Who is required to file dea form 486?
Practitioners who wish to prescribe, dispense, or administer controlled substances must file DEA Form 486.
How to fill out dea form 486?
To fill out DEA Form 486, applicants must provide their personal information, including name, address, and type of practice, as well as details about the controlled substances they intend to handle.
What is the purpose of dea form 486?
The purpose of DEA Form 486 is to ensure that individuals and facilities handling controlled substances are properly registered and compliant with federal regulations.
What information must be reported on dea form 486?
The information that must be reported includes the applicant's personal details, the nature of their medical practice, and their intended use of controlled substances.
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