Renewal. Under the Controlled Substances Act. APPROVED OMB NO FORM DEAA () FORM. EXPIRES: 01/31/ INSTRUCTIONS. Fill Dea Form a, download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller ✓ Instantly ✓ No software. Try Now!. 74 FR – Agency Information Collection Activities: Proposed Collection; Comments Requested: Application for Registration (DEA Form.

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When ordering schedule II controlled substances, the purchaser is responsible for filling in the number of packages, the size of the package, and the name of the item.

There is no requirement to submit a copy of the inventory to the DEA. Every pharmacy that dispenses a controlled substance must be registered with the DEA. The order is not signed using a digital certificate issued by DEA. If a dwa determines that an unfilled electronic order has been lost before or after receipt, the purchaser must provide, to the supplier, a signed statement.

Examples of schedule II stimulants include: When determining whether a loss is significant, a registrant should consider, among others, the following factors: Staff is available from 8: A pharmacy may hire an outside firm to inventory, package, and arrange for the transfer 224z its controlled substances to another pharmacy, the original supplier, or the original manufacturer.

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Substances in this schedule have a low potential for abuse relative to substances listed in schedule IV and consist primarily of preparations containing limited quantities of certain narcotics. In-Transit Loss When all or part of an in-transit shipment of controlled substances fails to reach its intended destination, the supplier is responsible for reporting the in-transit loss of controlled substances to DEA. Records regarding controlled substances must be readily retrievable from all other records.

New applications are processed within 6 to 8 weeks. A paper version of the form can be obtained by writing to: Please note that these changes will become effective immediately upon DEA approval.

The purchaser must retain an electronic copy of the voided order.

Other schedule II substances include: A purchaser may cancel an order or partial order on a DEA Form by notifying the supplier in writing. Research for the treatment of drug addiction or abuse utilizing any drug, scheduled or not.


A waiver request should be sent by the employer dsa the following address:. Responsibility for the accuracy of records prior to the date of transfer remains with the transferor, but responsibility for custody and maintenance shall be upon the transferee.

DEA Registration and Renewal | USC Environmental Health & Safety

Each book of DEA Form consists of seven sets of forms. A supplier may void all or part of an electronic order by notifying the purchaser of the voiding. This section describes how to acquire an individual DEA registration, renew an existing DEA registration, obtain duplicate copies of a DEA registration, and how and when to request a modification to a DEA registration. If there is a question as to whether a theft has occurred or a loss is significant, a registrant should err on the side of caution and report it to DEA and local law enforcement authorities.


Electronic copies of prescription records must be sortable by prescriber name, patient name, drug dispensed, and date filled.

If you encounter errors in this document, please notify: Applicants must submit the following application to obtain registration for schedule I CS use: This requirement is not satisfied by reporting the theft or significant loss in any other manner. DEA must be notified directly. Name and address of the firm pharmacyDEA registration number, Date of theft or loss or when discovered if not knownName and telephone number of local police department if notifiedType of theft e.

In addition, when a retail pharmacy contracts with private, common or contract carriers fofm retrieve filled prescriptions from a central fill pharmacy, the retail pharmacy is responsible for reporting in-transit losses upon discovery using a DEA Form Transfer to a Pharmacy If a pharmacy goes out of business or is acquired by a new pharmacy, it may transfer the controlled deea to another pharmacy. A supplier may, for any reason, refuse to accept any order.

Unless the registrant is informed by the DEA that the permission to keep central records is denied, the registrant may begin maintaining central records 14 days after DEA receives this notification. For these matters call ; for change of address, use dra Address Changes Form. Lost Electronic Orders If a purchaser determines that an unfilled forj order has been lost before or after receipt, the purchaser must provide, to the supplier, a signed statement.


A listing of the substances and their schedules is found in the DEA regulations, 21 C. The Controlled Substances Act CSA and its implementing regulations establish federal requirements regarding both illicit and licit controlled substances.

Newly Scheduled Controlled Substance Inventory When a drug not previously listed as a controlled substance is scheduled or a drug is rescheduled, the drug must be inventoried as of the effective date of scheduling formm change in scheduling. The employer must have a waiver approved for allowing such an employee or prospective employee to have access to controlled substances. Regardless of whether a registration is reinstated within the calendar month after expiration, federal law prohibits 2244a handling of controlled substances or List 1 chemicals for any period of time under an expired registration.

Registration categories, fees and requirements may be viewed at DEA Registration. Authorization for Public Dissemination All material in this publication dae in the public domain and may be reproduced without the express permission of the Drug Enforcement Administration.

On the day the controlled substances are transferred, a complete inventory must be taken which documents the drug name, dosage form, strength, quantity, and date transferred. DEA policy does not preclude the substitution of identical products differing in packaging size from those initially ordered, provided that the dorm quantity received does not exceed the amount initially ordered and that the National Drug Code number reflected is that of the actual product shipped.

The theft of controlled substances from a registrant is a criminal act and a source of diversion that requires notification to DEA.

Renewal Form A – Login Screen

The electronic application must be capable of printing out or transferring the records in a forrm that is readily understandable to an Administration or other law enforcement agent at the registered location. Corm Springfield, Virginia Change of Business Address A pharmacy that moves to a new physical location must request a modification of registration.

Every pharmacy must maintain complete and accurate records on a current basis for each controlled substance purchased, received, stored, distributed, dispensed, or otherwise disposed of. Instead, an electronic reminder to renew will be sent to the email address associated with the DEA registration.