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  • Dea Form - 224b (9/98)

Get Dea Form - 224b (9/98)

DEA Form 224BAffidavit for Chain Renewal DEA Retail Pharmacy RegistrationsOMB No. 11170014 Expiration date: (MM/DD/YYYY)Privacy Act Information AUTHORITY: Section 302 and 303 of the Controlled Substances.

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How to fill out the DEA Form - 224B (9/98) online

Completing the DEA Form - 224B (9/98) online is a straightforward process essential for retail pharmacy registrations. This guide will provide you with clear and detailed instructions to ensure that your form is filled out accurately and efficiently.

Follow the steps to complete your DEA Form - 224B online.

  1. Press the ‘Get Form’ button to access the DEA Form - 224B online and open it for editing.
  2. Locate the section labeled 'Affidavit for Chain Renewal.' This section confirms that the answers provided are applicable to each registration on the attached list.
  3. In the first question, indicate whether the listed locations are currently authorized to handle controlled substances by selecting 'Yes' or 'No'.
  4. For the second question, answer whether the applicant has ever been convicted of a crime related to controlled substances. Again, select 'Yes' or 'No'.
  5. If applicable, in the third question, confirm if any officer, partner, or stockholder has faced similar issues by selecting 'Yes' or 'No'. Include a statement if any responses were affirmative.
  6. Ensure that the form is signed by an authorized individual, using an original ink signature. Include the date of signing and the individual's title.
  7. Provide the applicant's business phone number in the designated field.
  8. Finally, indicate the application fee for the attached registrations and review all entered information carefully.
  9. Upon completion, save the changes made to the form, and consider downloading, printing, or sharing the finalized document as needed.

Start filling out your DEA Form - 224B online today for a smooth registration process.

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(2) The supplier must retain Copy 1 of each triplicate DEA Form 222 that it has filled. (3) Triplicate DEA Forms 222 must be maintained separately from all other records of the registrant. Triplicate DEA Forms 222 are required to be kept available for inspection for a period of two years.

No DEA Form 222 is valid more than 60 days after its execution by the purchaser, except as specified in paragraph (f) of this section.

DEA Forms 222 for carfentanil, etorphine hydrochloride, and diprenorphine must contain only these substances. (c) The name and address of the supplier from whom the controlled substances are being ordered must be entered on the form.

DEA form 222, allows DEA registrants to transfer Schedule I and II controlled substance drugs and also comply with record-keeping good practices.

(a) A purchaser must prepare and execute a DEA Form 222 by use of a typewriter, computer printer, pen, or indelible pencil. (b) Only one item may be entered on each numbered line.

DEA Form 222 General Information Each book of DEA Official Order Forms consists of seven sets of forms.

Requests for Order Forms are to be sent to the Drug Enforcement Administration, Diversion Control Division, ATTN: Chief - Registration Unit, Attn: Registration Section/DRR P.O. Box 2639 Springfield, VA 22152-2639, or may be faxed to (202) 307-8485.

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