DEA FORMS Flashcards
DEA Form 41
reporting the destruction of control substances
DEA Form 104
closing/surrendering a pharmacy permit
DEA Form 106
reporting loss/thief of controlled substances
DEA Form 222
ordering CI + CII controlled substances
DEA Form 222a
ordering more DEA 222 forms
DEA Form 224
applying for pharmacy DEA registration
・renew every 3 years
How many carbon copies are attached to a DEA Form 222?
2 copies.
In total, you have the original, plus 2 copies.
What color is each copy of the DEA Form 222?
・1st pg (original) is brown
・2nd pg (1st carbon copy) is green
・3rd pg (2nd carbon copy) is blue
Which part of the DEA Form 222 is the supplier required to retain ?
1st page, brown copy
Which part of the DEA Form 222 does the supplier forward to the DEA ?
2nd page, green copy
Which part of the DEA Form 222 is the pharmacy required to retain ?
3rd page, blue copy