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Eureka-Pharmacy - Controlled Q-bstances Return Procedure Page 2 of 2 <br /> Contact Name - the name of the return contact team member at the pharmacy <br /> 9. Make one copy of the completed form(s) for pharmacy records. <br /> For C-II Returns: <br /> i. Fax completed form to CLS/Medturn Processors at (817) 868-5342 <br /> ii. CLS/Medturn will initiate a DEA 222 order form and send the top 2 copies <br /> (Brown and Green)to the store for product <br /> For all returns: Keep copy of completed printed form(s) on file in the Completed Controlled <br /> Substance Return Forms tab of the CLS/Medturn return folder in your file cabinet for your <br /> records. <br /> 10. Place the original return form(s) in the box and seal it with Target pilfer proof tape. <br /> ***IF THERE ARE NO C-II ITEMS GO TO STEP 16*** <br /> 11. HOLD THE BOX OF CONTROLLED SUBSTANCES CONTAINING C-II ITEMS UNTIL THE <br /> RECEIPT OF THE DEA 222 FORMS FROM CLS/Medturn PROCESSORS. <br /> NOTE: If the pharmacy does not receive the 222 form from CLS/Medturn within 7 business <br /> days, call USF Processors Customer Service at (800) 967-5952 weekdays from 8 AM - 5 <br /> PM Central Standard Time for form status. <br /> 12. Record the NDC number, quantity shipped, date shipped and the Store's DEA Registration <br /> Number on the DEA 222 forms (Brown and Green) upon receipt from CLS/Medturn. <br /> 13. File the Brown Copy of the DEA 222 form in the back of the executed 222 folder. <br /> DO NOT INCLUDE THE DEA 222 FORM IN THE SHIPMENT! IF THIS HAPPENS, THE <br /> PHARMACY WILL BE OUT OF COMPLIANCE WITH DEA REGULATIONS! <br /> 14. Send the Green Copy of the DEA 222 form to the local DEA office. <br /> 15. Update C-II inventory counts in the perpetual C-II Inventory Log <br /> 16. Send the Controlled Substance return to CLS/Medturn Processors. Ship via UPS/RPS, or by Certified <br /> Mail and ensure Proof of Delivery. <br /> http://eureka.target.com/ShowPage.aspx?rank=5&id=b4967360-304c-4d95-a515-1 c82eb9... 3/10/2008 <br />