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The document is a sample DEA Form 222 used for ordering controlled substances in Schedules I and II. It provides a template for purchasers to fill out, ensuring compliance with regulations before mailing the form. The document includes a checklist to verify that all necessary information is correctly completed, such as supplier details, package information, and required signatures.

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What is the last line completed on DEA form 222?

Last Line Completed: The line number that contains the LAST drug you are ordering. Do NOT skip any lines when completing the form and use only one line per item. This field MUST be filled in. If this is left blank or incorrect, the form will be returned to you for replacement.

Which of the following items of information must be recorded on DEA form 222?

Final answer: DEA Form 222 requires specific information including Drug Code (NDC), Prescribers License Number, and Dispensers Signature. The patients full name is not required on this form. Accurate completion is crucial for compliance with legal regulations.

What must be recorded on DEA form 222?

(e) The purchaser must record on its copy of the DEA Form 222 the number of commercial or bulk containers furnished on each item and the dates on which the containers are received by the purchaser.

Who sends copy of 222 to DEA?

Any supplier who is not required to report acquisition/disposition transactions to the Automation of Reports and Consolidated Orders System (ARCOS) under 1304.33(c) (such as a practitioner) must make and submit a copy of the original DEA Form 222 to DEA, either by mail to the Registration Section, or by email to DEA.

What must be documented on the DEA form?

The purchaser fills out the form which has their name, address and DEA number. They list the drug name, strength, form and quantities desired. The name, address and DEA number of the supplier/distributor is documented. The form is sent to the supplier.

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What is a DEA form 222 used for?

DEA Form 222s are only used to transfer or order Schedule II controlled substances. Orders for Schedule II agents will not be accepted without a Form 222. Each book of DEA Official Order Forms consists of seven sets of forms.

What is a DEA form 222 required to purchase?

Under 21 CFR 1305.03, the completion of DEA Form 222 is required for each distribution of a schedule I or II controlled substance.

What is the most important consideration when executing a DEA form 222?

Question: What is the MOST important consideration when executing a DEA Form 222? The supplier gets a copy of the DEA form for their records. Any errors made on the order form should be erased completely. Enter only one item on each numbered line.

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What is the last line completed on DEA form 222?

Which of the following items of information must be recorded on DEA form 222?

What must be recorded on DEA form 222?

Who sends copy of 222 to DEA?

What must be documented on the DEA form?

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What is a DEA form 222 used for?

What is a DEA form 222 required to purchase?

What is the most important consideration when executing a DEA form 222?

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