DEA Rules Flashcards
DEA registration lasts…
expires 36 months from initial date
DEA pharmacy registration form number
224
add “a” for renewal
DEA Manufacturer/researcher registration form number
225
add “a” for renewal
DEA narcotic treatment form number
363
add “a” for renewal
Can reregister within __ of expiration
60 days of expiration
120 days for bulk manufacturers
Schedule I examples to know:
gamma-hydroxybutyric acid (GHB) heroin lysergic acid (LSD) mescaline methaqualone methcathinone (CAT)
Schedule II opiates to know:
alfentanil COCAINE fentanyl/hydromorphone Nabilone Tincture of opium Codeine as single product
Schedule II stimulants to know:
METHAMPHETAMINE
amphetamine
Schedule II Depressants to know:
pentobarbital (alone)
secobarbital (alone)
Any pento- or secobarbital combo product or suppository form of single ingredient is Schedule III
Schedule II Hallucinogens to know:
Phencyclidine (PCP)
MO codeine rules
Schedule III:
-Not more than 1.8 grams of codeine per one hundred milliliters (100 mL) or not more than ninety milligrams (90mg) per dosage unit, with an equal or greater quantity of an isoquinoline alkaloid of opium 9803 B or with one (1) or more active, nonnarcotic ingredients in recognized therapeutic amounts (T3s)
Schedule IV:
-Not more than two hundred milligrams (200 mg) of codeine per one hundred milliliters (100 mL) or per one hundred grams (100 g)
Anabolic steroids are ___ schedule
Schedule III
Schedule III randoms to know
Buprenorphine (or any combos) Butabarbital Butalbital (Fiorinal NOT Fioricet) Dronabinol Any pento- or secobarbital combo product or suppository form of single ingredient
Hydrocodone as known as ____
dihydrocodeinone
MO dihydrocodeinone rules:
Schedule III:
-Not more than 1.8 grams of dihydrocodeine per one hundred milliliters (100 mL) or not more
than ninety milligrams (90 mg) per dosage unit, with one (1) or more active, nonnarcotic ingredients in recognized therapeutic amounts
Schedule IV:
-Not more than one hundred milligrams (100 mg) of dihydrocodeine per one hundred milliliters (100 mL) or per one hundred grams (100 g)
Schedule 3 rule of thumb:
divisible by 3 limits
Schedule IV randoms to know:
Butorphanol Diethylpropion Benzos/Hypnotics Meprobamate Pentazocine Phenobarbital
Schedule V:
Lacosamide (Vimpat)
Pregabalin (Lyrica)
Diphenoxylate with atropine
-Not more than two hundred milligrams (200 mg) of codeine per one hundred milliliters (100 mL) or per one hundred grams (100 g)
222 forms info
can request more using 222a
for CI and CII
Issued in mailing envelopes in groups of 7 or 14
222 form colors
Original - copy 1 (brown)
-to supplier
Duplicate - copy 2 (green)
-to supplier, then forwarded to DEA
Triplicate - copy 3 (blue)
-kept by purchaser
222 forms have specific info on them…
Name of registrant
Address
Registration number
Authorized activity and schedules
222 order valid for…
60 days - can partial fill, but must fill in entirety within 60 days
CSOS electronic order to DEA within ___
2 business days
Partial-filling CII
only for out of stock issues (not patient request)
Must fill remaining portion within 72 hours
Emergency verbal CII
prescriber must deliver written Rx within 7 days
Must have “authorization for emergency dispensing written on the face with date of order
Transfer rules
CII - no
CIII and V - only once; 3 & 4 only between pharmacists (not interns/techs)
(may be more if real-time system)
Destruction of controlled substances form rules for retail pharmacies destroying:
Form 41 (lists all drugs to be destroyed) and letter requesting permission to destroy (lists date, method, and witnesses) - those to DEA at least 2 weeks before
Or can forward substances to DEA registered distributers any time (use 222 for CIIs, distributor files form 41 with DEA)
DEA validity rules
Letters:
- First letter: A, B, F, or M (midlevels)
- Second letter: first letter of last name or business name
Numbers: (7 digit sequence)
(1st + 3rd + 5th) + 2(2nd + 4th + 6th) = X7th
Forms for Theft/Loss
DEA form 106
Form hospitals use to order large amounts of grain alcohol, tax free…
ATF1447
Form community pharmacies use to order alcohol
ATF11
