Reading 9

Question 1

Who must register for a DEA number?

Answer 1

• Any “persons” what do things registered by the DEA
• Corperations, Institutions…

Question 2

What are the ten types of federal registrations that are allowed?

Answer 2

• Manufacturing
• Distributing
• Reverse Distributing
• Dispensing or Instructing
• Research [C-I]
• Research [C-II to V]
• Narcotic Treatment Programs
• Importing
• Exporting
• Chemical Analysis

Question 3

What are the forms that must be filled out to register?

Answer 3

• DEA form 224
• DEA form 225
• DEA form 363
• DEA form 510

Question 4

Who should fill out the DEA for 224?

Answer 4

• Retail Pharmacy, Hospital/Clinics, Practitioners, Teaching Institutions, Mid-level practitioners

Question 5

Who should fill out a DEA for 225?

Answer 5

• Manufacturer, Distributor, Researcher, Analytical Laboratory, Importer, Exporter

Question 6

Who should fill out the DEA form 363?

Answer 6

• Narcotic Treatment Programs

Question 7

Who should fill out the DEA form 510?

Answer 7

• Domestic Chemicals

Question 8

When should the registration types be renewed?

Answer 8

• Annually except for “dispensing or instructing” which is Every 3 years

Question 9

What is Registeration based on?

Answer 9

• Schedules of drugs handled and the activies engaged
• Schedule I [1], Schedule II Nacrcotic [2], Schedule 2 Non-Nacrcotics [2N], Schedule III Nacrcotics [3], Schedule II Non-Narcotics [3N], Schedule IV [4], Schedule V [5]

Pharmacies are 2, 2N, 3, 3N, 4, 5

Question 10

What are Coincident activtives?

Answer 10

• Extra activities that a DEA Registrant can engage in without getting additional registration

i.e: Manfacuturers need Distributor too
i.e: Retails can distibute 5% without distributor

Question 11

What are the coincident activites for a dispensing or instructing activty?

Answer 11

• Pharmacies can distribute 5% of total controls
• May conduct research for substances that are registered
• Pharmacist may manufacture solutions or dosage forms containing C-II to V [not >20%]
• Retail Pharmacy may use Central Fill

Question 12

Out of the ten types of Registerations, what are the two that do NOT have any coincident activities?

Answer 12

• Reverse Distributing
• Exporting

Question 13

When looking at a DEA number what is important to know about the letters?

Answer 13

• The “Big Four” have a first letter of A, B, F, G
• Mid-level have M
• Distributors have P, R

Question 14

What is the easy way that we are able to look to see if a DEA number is legit?

Answer 14

• Add 1st, 3rd, 5th digits together
• Add 2nd, 4th, 6th digits together then times by 2
• Add step 1 and 2 together and the last digits should match

Question 15

What are institutional DEA Numbers?

Answer 15

• Allows people without DEA numbers to work under it; like in a hospital

Question 15

What are some of the exceptions from registration?

Answer 15

• Wavied for an agent or employee, as long as you act normally [Pharmacist dont need one because pharmacy has it]
• Anyone that is a carrier for the substace [FedEx or UPS]
• The patient

Also maybe; Armed Service, Public Health Service, Prisons, Law Enforcement

Question 16

What are the ways that individual practitioners may work under an institutional DEA number?

Answer 16

• Done for there professional practice
• Permitted by what they practice
• Work place permits them too
• Acts in scope of practice
• Work allows them too under a suffix of the DEA
• Work has verfications

Question 17

Practice Question 1

DEA registration is based on the activities a person engages in and the schedules of drugs handled?

a. True
b. False

Answer 17

• a. True

Question 18

Practice Question 2

A dentist, Dr. James, provides the DEA number BS1435038 when calling in a prescription for triazolam. This DEA number is obviously fraudulent?

a. True
b. False

Answer 18

• b. False

B = “Big Four”, numbers are good, S is the only SUS thing

Question 19

Practice Question 3

A person with a narcotic treatent program registration has no coincident activites that can be preformed?

a. True
b. False

Answer 19

• b. False

added in 2024

Question 20

Practice Question 4

A patient brings in a prescription for alprazolam for anxiety after the death of a family member. It was written on today’s date by a hospital resident (MD) working on the ED service using an institutional DEA registration number with appropriate suffix. The patient is the neighbor of the resident and was discharged from the ED today. Can you legally fill this?

a. Yes, it meets all requirements for the appropriate use of an institutional DEA number.
b. No, it was not issued in the resident’s scope of practice
c. Yes, it’s within the prescriber’s scope of practice
d. No, prescribers cannot issue prescriptions for people they know
e. Yes, it is not up to the pharmacist to verify that the MD can prescribe drugs where the hospital is located

Answer 20

• a. Yes, it meets all requirements for the appropriate use of an institutional DEA number.