Get the free DEA 222 Form Sample Leave this area blank - SCA Pharmaceuticals

Avoid having your form returned. Were here to help!! (877) 5505059 DEA 222 Form Sample A copy of your current DEA license must be on file before any orders can be filled. Please send copy by fax to

How to fill out dea 222 form sample

How to fill out a DEA 222 form sample:

1. Start by obtaining a DEA Form 222 from the Drug Enforcement Administration (DEA) - this form is used for ordering Schedule I and II controlled substances.
2. Ensure that the form is the current version and that the serial numbers are in sequence.
3. Fill out the top portion of the form, including the name, address, and registration number of the registrant (buyer) who is ordering the controlled substances.
4. Provide the date on which the form is being filled out.
5. Next, identify the supplier (seller) of the controlled substances by entering their name and address.
6. Enter the number of packages being ordered in Box 1.
7. In Box 2, specify the name of the controlled substance being ordered, including the strength or quantity per package.
8. Indicate the size of each package in Box 3.
9. Specify the DEA Schedule number of the substance in Box 4.
10. Enter the number of items ordered per package in Box 5.
11. In Box 6, provide the license number of the supplier to whom the form will be sent.
12. Include any additional remarks or special instructions in Box 7.
13. Both the buyer and the seller should sign and date the form.
14. Keep a copy of the completed DEA Form 222 for your records.

Who needs a DEA 222 form sample:

1. Manufacturers, distributors, and retail pharmacies dealing with Schedule I and II controlled substances are required to use DEA Form 222 for ordering purposes.
2. The form ensures regulatory compliance and accountability in the distribution chain of controlled substances.
3. Pharmacies, practitioners, and other entities authorized to handle controlled substances use DEA Form 222 to maintain records of their inventory and purchases.

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What is dea 222 form sample?

DEA 222 form sample is a form used by pharmacies to order Schedule II controlled substances from distributors.

Who is required to file dea 222 form sample?

Pharmacies and other entities that are authorized to handle controlled substances are required to file DEA 222 form sample.

How to fill out dea 222 form sample?

DEA 222 form sample must be filled out completely and accurately with information such as drug name, quantity, and pharmacy information.

What is the purpose of dea 222 form sample?

The purpose of DEA 222 form sample is to track the distribution of controlled substances and prevent diversion.

What information must be reported on dea 222 form sample?

DEA 222 form sample must include information such as drug name, quantity, receiving pharmacy, and the signature of the authorized individual.