Dea 222 Form Colors. Request official order forms ( schedule i & ii. Web triplicate dea forms 222 for carfentanil, etorphine hydrochloride, and diprenorphine must contain only these substances.
( 3) the name and address of the supplier from whom the. Copy 2 (green) dea (submitted by supplier to. Web common 222 form errors corresponding to numbers in the sample form below. Schedules iii, iv, & v require a dea license only and should not be included. Use the correct sample below as a guide for fi lling out your form. Web each form is comprised of an original (copy 1), a duplicate (copy 2), and triplicate copy (copy 3). Web can anyone tell me the 3 colors of dea form 222 and which color stays with the pharmacist, which color goes to distributer, and which to the dea Web render the form unusable. Web the dea regulations provide that either a dea form 222 or its electronic equivalent is required for each distribution of a schedule i or ii controlled substance. Web triplicate dea forms 222 for carfentanil, etorphine hydrochloride, and diprenorphine must contain only these substances.
Used to order a ci or cii drug. Used to order a ci or cii drug. Review the back of the form for offi cial dea guidelines. Web used to report the theft or significant loss of a controlled substance. Web triplicate dea forms 222 for carfentanil, etorphine hydrochloride, and diprenorphine must contain only these substances. Web as of oct. Web can anyone tell me the 3 colors of dea form 222 and which color stays with the pharmacist, which color goes to distributer, and which to the dea Copy 2 (green) dea (submitted by supplier to. Request official order forms ( schedule i & ii. Web (f) dea forms 222 submitted by registered procurement officers of the defense supply center of the defense logistics agency for delivery to armed services establishments. Order form request (dea form 222) ← online only.
