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DEA Forms & recall
PTCB DEA Forms, FDA Recalls, DAW Codes
| Term | Definition |
|---|---|
| Form 41 | For reporting the destruction of controlled substance |
| Form 104 | For reporting a pharmacy closure or surrender of a pharmacy permit |
| Form 106 | For reporting the loss or theft of controlled substances |
| Form 222 | For ordering schedule I and II C drugs |
| Form 222a | For ordering an additional supply of DEA 222 form |
| Form 224 | For applying for a DEA registration number |
| Form 224a | For renewing DEA registration (renewal every 3 years) |
| Class I Recall | The use of (or exposure) the affected product could cause serious adverse health consequences or death |
| Class II Recall | The use of (or exposure) the affected product could cause temporary or medically reversible adverse health consequences and the likelihood of serious adverse health consequences is remote |
| Class III Recall | The use of (or exposure) the affected product is unlikely to cause adverse health consequences |
| Form 223 | Pharmacies that require a duplicate authorization certificate |
| Form 225 | required to manufacture or distribute controlled subs. |
| Form 363 | Required for compounding controlled subs. or to operate programs requiring controlled sub. |
| DAW 0 | No product selection may have missing values |
| DAW 1 | Subs not allowd |
| DAW 2 | Substitution Allowed - Patient Requested That Brand Product Be Dispensed |
| DAW 3 | Substitution Allowed - Pharmacist Selected Product Dispensed |
| DAW 4 | Substitution Allowed - Generic Drug Not in Stock |
| DAW 5 | Substitution Allowed - Brand Drug Dispensed as Generic |
| DAW 6 | Override |
| DAW 7 | Substitution Not Allowed - Brand Drug Mandated by Law |
| DAW 8 | Substitution Allowed - Generic Drug Not Available in Marketplace |
| DAW 9 | OTHER |
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Brandy01
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