Diversion Control Division, US Department of Justice, Drug Enforcement Administration

Controlled Substances Security Manual

Narcotic Treatment Programs

Only a licensed practitioner employed at a Narcotic Treatment Program (NTP) or other authorized individual designated in writing may accept delivery of narcotic substances. Excluded from authorization to accept delivery are any persons currently or previously dependent on narcotics. At the time of delivery, the licensed practitioner or other authorized individual designated in writing must sign for the narcotics and place his or her specific title (if any) on the invoice. Copies of these signed invoices must be kept by the distributor.

Narcotics may only be dispensed or administered at an NTP directly to the patient by either:

  1. The licensed practitioner;
  2. A registered nurse or a licensed practical nurse under the direction of the licensed practitioner;
  3. A pharmacist under the direction of the licensed practitioner.

Persons enrolled at an NTP must wait in an area which is physically separated from the narcotic storage and dispensing area.

The Drug Enforcement Administration may exercise discretion regarding the degree of security required in NTP's based upon such factors as the location of a program, the number of patients, the number of physicians,staff members and security guards, etc. These factors will be taken into consideration when evaluating existing security or requiring new security at an NTP.

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