Order by Phone

APPROVED HEALTHCARE FACILITIES INSTRUCTIONS:

Download instuction as PDF

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.

NembutalOrderDEAp326FINAL

 

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

NembutalOrderDEAp326FINAL

 

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:

Akorn, Inc.

150 S. Wyckles Road
Decatur, IL 62522
Attn: Nembutal Processing Department