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Controlled substances form 2025

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The document is a DEA Form 41, used by registrants to record the destruction of controlled substances. It includes sections for registrant information, details of items destroyed, method of destruction, and witness declarations. The form ensures compliance with the Controlled Substances Act and must be retained for at least two years.

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Click ‘Get Form’ to open the controlled substances form in the editor.
In Section A, enter your registrant information including your registered name, DEA registration number, address, and contact details.
Move to Section B. For Inventory, list each controlled substance destroyed by entering the National Drug Code (NDC) or DEA Controlled Substances Code Number, along with the name, strength, and form of the substance.
Continue in Section B for Collected Substances. Indicate whether you are destroying a mail-back package or an inner liner and provide unique identification numbers as required.
In Section C, document the date of destruction, method used, and location where the destruction took place.
Finally, complete Section D by having two authorized employees sign as witnesses to confirm they observed the destruction process.

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How to obtain a DEA 222 form?

Any person holding a registration authorizing the person to obtain a DEA Form 222 may requisition the forms through a DEA secured network connection or by contacting any Division Office or the Registration Section of the Administration through the customer service center.

What is a DEA form 41 used for?

PURPOSE: To document the surrender of controlled substances which have been forwarded by registrants to DEA for disposal. ROUTINE USES: This form is required by Federal Regulations for the surrender of unwanted Controlled Substances.

What is a 222 form for controlled substances?

Using DEA Form 222 to transfer Schedule II Drugs To transfer a C-II controlled substance, like sodium pentobarbital, between laboratories, a DEA Form 222 order form is required. The receiving party must have a DEA Form 222. One laboratory is the supplier, acting like a pharmacy.

What is the purpose of form 222?

The Drug Enforcement Administration (DEA), Office of Diversion Control, will accept requests from distributors that require a large volume of Order Forms (DEA Form 222) with the pin feed tracking left on the form. Order Forms are used for the distribution of a Schedule I or II controlled substance.

Who fills out the 222 form?

The DEA Form 222 can be executed with the use of a typewriter, computer printer, pen or indelible pencil according to the DEA. Only the DEA registrant and a person to whom the registrant has granted signing authority via a properly executive Power of Attorney form may sign the 222 form.

What are the four types of controlled substances?

Controlled Drugs Schedule I drugs with a high abuse risk. These drugs have NO safe, accepted medical use in the United States. Schedule II drugs with a high abuse risk, but also have safe and accepted medical uses in the United States. Schedule III, IV, or V drugs with an abuse risk less than Schedule II.

What is a DEA 224 form used for?

DEA Form 224: Application for Registration Under the Controlled Substances Act. This is the form pharmacies use to apply for a new registration with the DEA to dispense controlled substances. Its a crucial step for any pharmacy before beginning operations involving controlled substances.

Controlled substances form 2025

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Controlled substances form 2025

Here's how it works

How to use or fill out controlled substances form with our platform

Complete this form in 5 minutes or less

Got questions?

How can I sign my controlled substances form without printing?

How do you complete controlled substances form on Android?

How to obtain a DEA 222 form?

What is a DEA form 41 used for?

What is a 222 form for controlled substances?

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People also ask

What is the purpose of form 222?

Who fills out the 222 form?

What are the four types of controlled substances?

What is a DEA 224 form used for?

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