OA: Controlled Substances

Controlled Substances

Drugs that have a high abuse potential.

Controlled Substance Act of 1970

Passed to reduce drug abuse.

Drug Enforcement Agency (DEA)

Regulates controlled substances.

DEA License

Required by all veterinarians that prescribe, order, or dispense controlled substances.

Locked Cabinet Requirement

Controlled substances must be kept in a locked cabinet that is irremovable from wall or ground.

Logging Requirement

Controlled substances must be logged.

Controlled Substance Schedule

Indicated by 'C' written on the bottle; five schedules exist.

Schedule I

Highest abuse potential, dispensed for research only; Restrictions: DEA form 222 required.

Schedule II

High abuse potential, dispensed via written prescription, no refills; Restrictions: DEA form 222 required.

Schedule III

Abuse potential less than schedule II, dispensed via written prescription, can refill five times; Restrictions: DEA number.

Schedule IV

Low abuse potential, dispensed via written prescription; can refill five times; Restrictions: DEA number.

Schedule V

Low abuse potential, no DEA limits; Restrictions: DEA number.

Form 222

A form required for ordering Schedule I and II controlled substances.

Veterinarian Registration

Veterinarians must register with DEA; some states require additional CS license.

Security and Protection

Includes reasonable hiring practices and limited access to controlled substances.

Safes for CS

Must be substantially constructed, anchored to wall or floor, used to store CS not in active use.

Daily Use Storage

Less substantially secured storage for daily use; cannot hold drugs while not in active use.

Record Keeping

CS records must be kept for 2 years; DEA can inspect at any time.

Separate Storage Requirement

Logs for Class II must be stored separate from Class III, IV, and V.

Inventory Requirement

Required when opening a business, biennial, and at the close of a business.

CS File Contents

Should include CS invoice, assigned bottle number, stock supply sheet, running drug log, drug discrepancies, and annual CS inventory.

DEA Form 106

Used to report CS loss of 3% or more.

Handling Expired CS

Send to a reverse distributor for incineration; fill out DEA Form 41 and maintain CS logs.

Annual Inventory

A required inventory of controlled substances conducted yearly.