C2 Verification Submission

NEVER HAVE A 222 FORM REJECTED AGAIN!
Have you ever experienced a delay in the delivery of your controlled medication shipment? Has a mistake caused your DEA 222 Form to be rejected by your vendor? Then 222 CII Verify is for you! Take the worry out of the process! Avoid having your DEA Form 222 from being returned! Lifeline Pharmaceuticals is here to help! Our Compliance Department can assist you with answers to successfully completing your DEA 222 Form.

Start by creating an order for the products you wish to purchase. Products can be ordered at orders.lifelinepharm.com or with your sales rep via phone or email.
Once your order has been created you can then submit a copy of your 222 form and we will review your form for any posssible errors and respond to you via phone or email within 2 hours of receipt. (Please note 222 forms are only used for ordering CII control porducts.)
Once approved by our compliance department, Lifeline Pharmaceuticals will provide you with a Free Pre-paid FedEx label to your email for shipping your DEA Form 222. (service provided for shipping of DEA form 222 ONLY, not to be used for returns.)

Email*

Please enter your email address below

Phone Number*

Submit Picture of Your Completed 222 Form Here!*

Click above to attach a picture of your form and click below to submit. Our trained DEA Compliance staff will check your 222 Form for any errors before you mail it in! Once the DEA Compliance Department gives you the green light, you may be eligible for a FedEx Pre-Paid label depending on your order.

Below is an example 222 Form with details on how to fill it out and mistakes to avoid