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DEA 222 Sample Form and Instructions for Completion Physician Supply Company, Limited 1 Pasadena, TX 77505 3 4 2 5041 Spencer Highway, Suite 904 todays date 7 5 6 Cocaine 4% Solution 4ml 2 1 25 25 mg/0.5ml
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Manual 222 form completion is the process of filling out a physical form used to order Schedule II controlled substances.
Authorized individuals or entities, such as pharmacies, that are allowed to order Schedule II controlled substances.
The form must be completed with detailed information about the ordered substances, including quantities and dates.
The purpose is to track the ordering and distribution of Schedule II controlled substances to prevent misuse and diversion.
Details such as the name and address of the supplier and purchaser, the controlled substance ordered, quantities, and the signature of the authorized individual.
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