Pharmacy Compounding Chemicals

The Drug Enforcement Administration (DEA) Controlled Substances Ordering System (CSOS) allows for secure electronic ordering of controlled substances. Electronic orders are placed through MEDISCA’s website using software approved for CSOS, replacing the traditional paper 222 forms.

Using PKI technology, the orders are processed in a secure environment and signed and validated using a digital certificate. Here’s how it works:

1. Purchaser enrolls with the DEA and is issued a personal CSOS Certificate. The certificate is a digital identity that contains information identical to your current 222 paper form (Company Name, DEA Registration Number, Authorized Schedules, etc.).
2. Using CSOS through MEDISCA’s website, the purchaser enters an electronic order. The digitally-signed order is then transmitted to MEDISCA.
3. MEDISCA verifies the purchaser’s certificate and validates the order.
4. MEDISCA completes the order and ships it to the purchaser.
5. The CSOS software reports the order to the DEA within two business days.

Follow these three simple steps:

IMPORTANT: If you already have a DEA Certificate, proceed to this page.

1. Enroll in MEDISCA’s Controlled Substance Ordering System
   The first step is to complete MEDISCA’s CSOS Registration Form and return it to your Account Executive. An account will be created and a notification email will be sent to the address indicated on your sign up form. Applicants may be asked for additional information, inspected or audited as part of the account approval process. Using the account information provided in the notification, you can log in at https://csos.medisca.com and change your automatically generated password by selecting My Info. Once you have signed up with MEDISCA, you are ready to obtain your DEA issued ordering certificates. Note: if you are a new customer to MEDISCA, the first step is to complete and submit the Credit Application Form.
2. Enroll with the DEA
   Digital Certificates are issued by the DEA to pharmacies that are already registered to receive controlled substances. Determine the individual at your pharmacy who will be allowed to sign electronic orders. This person will need to enroll in the CSOS program on the DEA website.
3. Install your Digital Certificate
   Within six weeks of the enrollment, the DEA will send you an email and regular mail with your access code and password. These two pieces must be received in order to retrieve your digital certificate. You can follow the guidelines on the DEA website to ensure the certificate is properly installed in your computer, then download and follow these instructions to upload them to your Remote Certificate Store.

Once all three steps above are completed, contact MEDISCA to process your first electronic order.

Reduced Paperwork

• Elimination of 222 form storage and filing
• Verification of purchase history through CSOS account (blue copies of 222 forms no longer required)

Reduced Turnaround Time

• Instant transmission of order to MEDISCA
• Automatic verification of purchaser’s DEA credentials and validation of order by MEDISCA
• Prompt fulfillment of order

Reduced Operational Expenses

• Web-based access requiring no software installations
• Elimination of improperly filled 222 forms
• Reduced delivery and fulfillment timeframe

Increased Compliance

• Secure system approved for CSOS
• Elimination of risk of compromised orders

If you have successfully:

• Completed your MEDISCA Account Registration Form
• Obtained your DEA CSOS Certificate

Congratulations! Your registration is complete and you may now place your e-222 order.

NOTE: All orders are subject to approval by MEDISCA at its sole discretion