DEA FORMS Flashcards

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1
Q

DEA Form 41

A

reporting the destruction of control substances

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2
Q

DEA Form 104

A

closing/surrendering a pharmacy permit

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3
Q

DEA Form 106

A

reporting loss/thief of controlled substances

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4
Q

DEA Form 222

A

ordering CI + CII controlled substances

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5
Q

DEA Form 222a

A

ordering more DEA 222 forms

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6
Q

DEA Form 224

A

applying for pharmacy DEA registration

・renew every 3 years

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7
Q

How many carbon copies are attached to a DEA Form 222?

A

2 copies.

In total, you have the original, plus 2 copies.

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8
Q

What color is each copy of the DEA Form 222?

A

・1st pg (original) is brown
・2nd pg (1st carbon copy) is green
・3rd pg (2nd carbon copy) is blue

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9
Q

Which part of the DEA Form 222 is the supplier required to retain ?

A

1st page, brown copy

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10
Q

Which part of the DEA Form 222 does the supplier forward to the DEA ?

A

2nd page, green copy

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11
Q

Which part of the DEA Form 222 is the pharmacy required to retain ?

A

3rd page, blue copy

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