DEA Forms Flashcards
DEA Form 104
Used to surrender controlled substances/permit on a voluntary basis. Usually used to close a pharmacy
DEA Form 41
Used to return or destroy drugs per DEA approval
DEA Form 106
Used to report the theft or lost of controlled substances
DEA Form 222
Order form for Schedule I and II drugs
DEA Form 222a
Used to obtain DEA Form 222 from the DEA
DEA Form 224
Used for a new application for registration under CSA for retail pharmacies, hospitals, clinics, practitioners and teaching institutions
DEA Form 225
Used for a new application for registration under CSA for manufacturers, wholesalers, distributors, importer/exporter and research
DEA Form 363
Used for registration for narcotic treatment programs
DEA Form 82
Notice of inspection of controlled premises, used to inform a registrant that an inspection will be made
DEA Form 226
Used for re-registration of controlled substances privilieged by retail pharmacies, hospitals, clinics, practitioners, and teaching institutions to obtain or dispense controlled meds