Graded Practice Questions with Answers
DEA Form 222
- Ordering form for CI- CII
-limit to 20 items
- Paper
- Typical takes about 2-5 business days
- Handwritten signature in pen or indelible pencil
- Can be endorse to another supplier (if sent in a new supplier..
the original supplier will need to fill out part #3 in the form)
- The supplier report the transaction to the DEA by the END OF
THE MONTH during which the order was filled
,CSOS (Controlled Substance Ordering System)
- Electronic for ordering C1-V
- no limit
- Typical takes about 1-2 business days
- Digital signature
- No endorsed to another supplier (will need to fill out a new
CSOS)
- Supplier report the transaction to DEA within 2 business days
of filling the order
DEA FORM 224
Registration form for retail pharmacies, hospitals/clinic,
teaching institutions, practitioners, or mid-level practitioners
DEA FORM 224a
pharmacy registration renewal form
DEA FORM 225
registration form for drug manufacturer, distributors
(supplier/wholesaler) and researchers
DEA FORM 363
Registration form for narcotic (opioid) treatment clinics
eg: Methadone Clinics
DEA FORM 510
,Registration form for bulk chemical manufacturers and
distributors
DEA FORM 222
ordering form for schedule I and II drugs
DEA FORM 106
reporting form for theft or significant loss of controlled
substance
DEA FORM 41
Record of controlled substance destroyed
DEA FORM 222 following items preprinted
1. Serial number
2. Pharmacy name and address
3. Pharmacy DEA
4. the drug schedules that the pharmacy is permitted to order
(e.g. Schedule II,III, IV, V)
DEA FORM 222 for Schedule II Transaction: Pharmacy order
drugs from a supplier
Original form: Supplier
Photocopy: Pharmacy, DEA
Pharmacy returns unused drugs back to the supplier
Original form: Pharmacy ("Supplies the drug")
Photocopy: Supplier (receive the drugs) , DEA
, Pharmacy sends unused drugs back to reverse distributors for
disposal
Original form: Pharmacy ("Supplies the drug")
Photocopy: Reverse distributor (receive the drugs) , DEA
Pharmacy sells or lend drugs to another pharmacy
Original form: Supplying Pharmacy ("Supplies the drug")
Photocopy: Receiving Pharmacy (receive the drugs) , DEA
Pharmacy sells or lends drug to a physician for administration
or dispensing
Original form: Pharmacy ("Supplies the drug")
Photocopy: Physician (receive the drugs) , DEA
How long does the supplier keep the original or copy of Form
222?
3 years
DEA Form 222 Lost or Stolen PLUS ELECTRONIC
If a COMPLETED FORM 222 STOLEN:
- Purchaser must resubmit the order with a NEW form 222 with
the provided statement: 1) serial number of the original form
2) DATE of the initial order 3) statement that the controlled
substances were NOT RECEIVED
If an UNUSED FORM WAS STOLEN: the pharmacy
notify IMMEDIATELY to the local DEA DIVERSION FIELD