The Drug Enforcement Administration (DEA) is pleased to provide this guideline to assist in the understanding of the provisions of the Controlled Substances Act of 1970 (CSA) and in the implementation of the regulations as they apply to dosage reconciliation practices in narcotic treatment programs (NTPs). These guidelines should answer many of the questions that treatment programs have and should provide guidance to assist programs in complying with the regulations.

The NTP's role in the proper handling of controlled substances is critical both to the health of patients and to safeguarding against drug abuse and diversion. Programs' adherence to the law and understanding of the law's objectives play a valuable role in the protection of the public health and safety.

This guideline is the result of a collaborative effort of DEA and the American Methadone Treatment Association. It documents these organizations' mutual belief that the benefits of the therapeutic environment are enhanced by maintaining compliance with existing law.

Donnie R. Marshall
Acting Administrator

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