| Term 
 
        | Pseudoephedrine sale limits |  | Definition 
 
        | 3.6 gm/transaction (30x120 mg) Mail order 7.5 gm per 30 days
 9gm max per person per 30 days
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 1. Product Name 2. Qty
 3. Name and address of purchaser
 4. Date/time of sale
 5. Photo ID
 6. Signature
 Keep log x 2 years
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Copy 1 retained by suppliers Copy 2 sent to DEA by supplier
 Copy 3 pharmacy
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Form 41- CS destruction Form 106- report theft
 Form 224- pharmacy registration w/ DEA
 Form 225- indiv registration w/ DEA
 Form 363- methadone tx program registration
 Form 2362- prescriber app for methadone tx
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | LTCF Terminally ill pt (hospice)
 Home infusion or IV pain mgmt
 Signed original rx must be rec'd within 7 days
 Faxed rx only valid 60 days
 |  | 
        |  |