"Pharmacies can register with the DEA as a manufacturer/distributor. It is a criminal violation of the law when a DEA-registered pharmacy knowingly and intentionally delivers opiates to any person other than the patient or a member of the patient’s household. However, a DEA-registered manufacturer/distributor may distribute controlled substances to providers under conditions outlined by the DEA. For pharmacies that register as a distributor, a “5 percent rule” specifies that they can supply no more than 5% of their dosage units to physicians’ offices. This does not apply if a drug must be compounded from bulk chemicals.
Logan Davis says:
Generally, if pharmacies dispensing these preparations were to distribute the preparations to physicians, their distribution would exceed 5% of all of the controlled substances they dispense in a calendar year. Since these preparations are unique, high-risk sterile compounds, rather than a bottle of pills, a registration with the DEA as a distributor would not suffice. To distribute these controlled substances, a pharmacy would have to register with the DEA as a manufacturer, and this registration would have implications related to pharmacy registration with the FDA and most state Boards of Pharmacy."
quoted from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3628171/
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