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ControlledSubstancesAuthorizationForm doc 2025

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The document is a Controlled Substances Authorization Form from the California Institute of Technology, requiring approval for the use of controlled substances in research. It includes sections for the principal investigator's information, IACUC approval, division chairperson's signature, approved storage location, and personnel authorized to work with controlled substances. The principal investigator must acknowledge understanding and compliance with Caltech's policy on controlled substances.

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What is used to report theft of controlled substances to DEA select one DEA form 41 DEA form 106 DEA form 222 DEA form 224?

The DEA Form 106 can be completed via Theft/Loss Reporting Online (TLR). In order to better track controlled substances and listed chemical products reported as lost or stolen, DEA uses of the National Drug Code (NDC) number.

Which form is required to dispense controlled substances?

Normally, under the CSA, the distribution of a schedule I or II controlled substance must be pursuant to an order form that complies with the DEA regulations. The DEA regulations provide that either a DEA Form 222 or its electronic equivalent is required for each distribution of a schedule I or II controlled substance.

Who fills out Form 41?

IMPORTANT NOTICE: Only those persons registered with and authorized by DEA to handle controlled substances may utilize/submit this form.

What is a DEA 107 form used for?

The DEA-107 is for reporting any theft or loss of Listed Chemicals. Use this form if: You are reporting the theft or loss of a listed chemical.

How many times may DEA form 41 be submitted annually by a retail pharmacy?

Retail pharmacies can only request this form from the DEA once a year.

How do you document a controlled substance?

When a pharmacy is transferring Schedule 1 or 2 controlled substances to another pharmacy, the pharmacy receiving the drugs must complete DEA Form 222. When transferring any other controlled substance (Schedule 3-5), a pharmacy must document the following: Drug name, dosage, quantity, and strength. Date of transfer.

How do you write a controlled drug?

The strength only needs to be on the prescription if the medicine is available in more than one strength. The total quantity must be written in the number of dosage units, e.g. ampoules, tablets, capsules, patches, millilitres, etc (in both words and figures). It must be signed by the prescriber. It must be dated.

What must be documented on the DEA form?

The purchaser fills out the form which has their name, address and DEA number. They list the drug name, strength, form and quantities desired. The name, address and DEA number of the supplier/distributor is documented.

What are the DEA record keeping requirements for controlled substances?

Controlled Substance Recordkeeping. All controlled substance records are required to be retained for two years following full use, transfer, or disposal. These records include purchasing and shipping records, inventories, usage and disposal logs and disposal paperwork.

What is a Form 41 for controlled substances?

DEA Form 41 is used to request permission from the DEA to destroy controlled substances. The only time University researchers use Form 41 is after controlled substances have been lost due to accidentally spilling or breaking a container.

ControlledSubstancesAuthorizationForm doc 2025

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