Order by Phone
APPROVED HEALTHCARE FACILITIES INSTRUCTIONS:
Step1. Complete DEA 222 Form (as indicated in the sample form below)
Nembutal® Sodium Solution CII must be the ONLY product on the DEA 222 form and purchase order.
Step 2. Collect Purchasing & Licensing Information
Each time you place a new order for Nembutal® Sodium Solution CII (pentobarbital sodium injection, USP), you must provide
the following documents:
• Copy of your current DEA License
• Purchase order for Nembutal® products only
• Completed DEA 222 form using the sample form above as a guide
Step 3. Finalize Your Order…
Contact Akorn by Phone!
Call (800) 932-5676 to let us know you have a Nembutal® Sodium Solution CII order on the way.
Express Ship Your Documentation
(Retain tracking information for your records)
Ship completed documents to:
150 S. Wyckles Road
Decatur, IL 62522
Attn: Nembutal Processing Department