The info below is NOT legal advice. State pharmacy laws vary widely. And the DEA changes procedures occasionally. Even the DEA's website says that it should not be absolutely relied upon. The final authority is the law itself, not this website or the
DEA's. However, we have done our best to direct you to reliable sources of info on issues which retail pharmacists commonly confront regarding controlled substances.
- DEA's Home Page
- DEA Pharmacist's Manual
- Controlled Substance Schedules
- Drugs of abuse
- Street Names for Drugs of Abuse
- Pharmacist's Recovery
Contact your state board or pharmacist assn. for help for impaired pharmacists by selecting your state from the pull-down list in the upper right portion of the page.
- DEA local field offices
- Addiction-related, including methadone issues
- Patients with non-terminal chronic pain
- Regulations regarding interns, residents and foreign physicians using Hospital DEA numbers
DEA registration numbers for physicians used to all start with the letter A. Registrants after October 1, 1985 have been assigned the letter B as a first character. There has been no change in the registration number for those physicians who already had the letter A as a first character.
- Changing CII Rxs
What info can be changed via telephone on a CII Rx?
Patient's address, drug strength, quantity, directions, dosage form, generic substitution. There is no time limit for filling CIIs mandated in federal law.
Partial Filling CII Rxs balance within 72 hours
Refilling CII Rxs For terminal patients or those in long-term care facilities a large quantity can be written and partialed several times over 60 days in accordance with strict guidelines. This is the same as being able to refill an Rx, in effect, though not in record keeping.
Faxing CII Prescriptions for Hospice Patients
- Supplying controlled substances to a prescriber or another pharmacy
A practitioner writing "for office use" or using someone's name who works in the office in order to obtain controlled substances for office use is not legal. If
the order is for a CIII-V, then Federal law allows you to sell or distribute to another pharmacy or DEA registered prescriber via a duplicate invoice. The invoice must contain the name, address, and DEA number of both the seller and the buyer. In addition, the invoice must contain the date of sale, the name, strength, metric quantity, and dosage form of the drug sold. These records must be kept available for two years. Sales may not exceed 5% of the total number of dosage units of all controlled substances distributed and dispensed during the same calendar year. If for a CII, you act as supplier (like wholesalers do) and receive the 222 Form from the purchaser. You then forward the third copy to the DEA at your local field office.
- Order 222 forms online
Form 222 FAQs
More on Form 222 Including power of attorney info.
If you ever accidentally run out of 222 Forms, you may be able to call your DEA local field office and get an emergency authorization to order CIIs until you get your 222 Forms.
- DEA
proposed standards for:
electronic
Rxs for controlled substances
electronic
222 forms
- Inventory your controls every 2 years
Inventory newly scheduled controls ASAP
Include unsaleable controls in biennial inventory
Form 41 for destruction of controls
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