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Request/Download Forms

New to Pharmaceutical Returns Service or need a form? Our team is here to help.

Utilize the designated tabs below to locate the required form.

Customer Information Form

To enhance our service to you, we kindly request some essential details about your facility. This form is designed to gather all necessary information, ensuring the efficient processing of your returns and expedited issuance of credits.

Online FormPDF Form

Wholesaler Change

Ensuring the accuracy of your wholesaler account information is crucial for the timely and precise processing of return credits. Please notify us promptly of any additions of secondary wholesalers or modifications to your primary wholesaler account to maintain seamless operations.

Online FormPDF Form

Schedule II Return Request

To return Schedule II drugs, send the Schedule II Return Request Form via email or fax (630-277-8340). Upon receipt, PRS will provide a DEA-222 for products requested with shipping supplies and instructions within 7 business days.

Online FormPDF Form

Control Drug Report III-V

Enter your Schedule III-V items effortlessly online or opt for manual completion by downloading the provided PDF form.

Online FormPDF Form

Legend/OTC Report

Enter your Legend/OTC items online or opt for manual completion by downloading the provided PDF form.

Online FormPDF Form

Patient Specific Forms CII-V

Download the PDF form for manual completion of your Patient Specific Products. NOTE: If you are unsure if your facility is set-up for Patient Returns please contact our customer service team.

PDF Form

Shipping and Return Guidelines

Navigate the shipping process effortlessly with our Simplified Ship To Form, offering step-by-step instructions from proper packaging to hassle-free pickup for delivery.

PDF Form

Schedule II Return Request

To return Schedule II drugs, send the Schedule II Return Request Form via email or fax (630-277-8340). Upon receipt, PRS will provide a DEA-222 for products requested with shipping supplies and instructions within 7 business days.

Online FormPDF Form

DEA-222 Form & Shipping Instructions

Upon receiving your DEA-222 Form, this guide outlines the comprehensive steps to finalize your Schedule II return, ensuring accuracy checks through the seamless pickup of the shipment.

PDF Form

Form 41

The DEA Form 41 is a record of drugs surrendered. This is a quick link to a copy of the DEA form 41 for your convenience. If you need any help completing the form, contact our scheduled drug/compliance department for assistance.

Form Request

Form 106

Federal regulations require registrants to submit a detailed report of any loss or theft of controlled substances to the DEA. This is a quick link to a copy of the DEA Form 106 for your convenience. If you need any help completing the form, contact our scheduled drug/compliance department for assistance.

Form Request

Should you encounter difficulty in finding a form or have inquiries, we encourage you to contact us for assistance.

Please leave fill out the contact form with your report or form question and a representative will contact you immediately.