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Narcotic Treatment Programs Best Practice Guideline

TABLE OF CONTENTS

MESSAGE FROM THE ADMINISTRATOR
PREFACE
ORGANIZATION OF THE GUIDELINES
ACKNOWLEDGMENTS

PART 1. REGISTRATION

  • Key Elements of the Registration Process
  • Other Sources of Information

PART 2. ORDERING MEDICATION

  • Completing and Submitting the Order Form
    • Power of Attorney
  • Establishing and Maintaining an Ordering System
  • Emergency Orders
    • Procedures When an Order Form is Available
    • Procedures When an Order Form is Not Available

PART 3. RECEIVING MEDICATION

  • Designating NTP Personnel
  • General Procedures
  • Identification of Discrepancy/Damage to a Shipment

PART 4. DISPENSING/ADMINISTERING MEDICATION

  • Using Automated Dispensing Pumps for Liquid Medication
    • Manufacturer's Instructions and Technical Assistance
    • Cleaning and Storing Equipment
    • Calibrating the Equipment
    • Maintaining and Replacing Tubing
  • Using Computer Software for Dispensing/Related Recordkeeping
    • Training in the Use of Software
    • Addressing System Emergencies
  • Other Recommendations and Requirements

PART 5. DISPOSAL OF MEDICATION

  • Spillage and Accountable Loss
    • Spillage of Individual Patient Dose
    • Accountable Losses
  • Disposal of Liquid or Solid Medication

PART 6. RECORDKEEPING

  • Records for Compounding Controlled Substances
    • Compounding for On-Site Use
    • Compounding for Off-Site Use
      • Bulk Form
      • Finished Form
  • Requirements for an Inventory
  • Receipts
  • Dispensing Records
  • Computer Software Requirements for Maintaining Dispensing Records
  • Reporting Theft and Loss of Controlled Substance Medication
    • Issues Related to Reporting Theft and Loss
    • DEA Form-106 (Report of Theft or Loss of Controlled Substances)
  • DEA Accountability Investigations
  • Maintaining Complete and Accurate Records

PART 7. SECURITY

  • DEA Security Regulations
  • Security of Controlled Substance Stocks
    • Safes, Steel Cabinets, or Vaults
    • Alarm Systems
    • Accessibility of Controlled Substances

APPENDICES

A. ANSWERS TO FREQUENTLY ASKED QUESTIONS

B. FORMS

C. DEA INVESTIGATIONS: REQUIRED DOCUMENTATION

D. DEA DIVERSION FIELD OFFICES

BACK COVER

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U.S. DEPARTMENT OF JUSTICE  •  DRUG ENFORCEMENT ADMINISTRATION
Office of Diversion Control  •  8701 Morrissette Drive  •  Springfield, VA 22152  •  1-800-882-9539