Narcotic Treatment Programs
Best Practice Guideline

TABLE OF CONTENTS

MESSAGE FROM THE ADMINISTRATOR
PREFACE
ORGANIZATION OF THE GUIDELINES
ACKNOWLEDGMENTS

PART1. 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

• 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

• Ordering and Delivery
• Treatment Outside an NTP
• Disposal of Medication
• Recordkeeping
• Security
• Personnel Issues
• Other Miscellaneous Issues

B. FORMS 37

• Application for Registration (DEA Form-363)
• Renewal Application (DEA Form 363a)
• US Official Order Forms - Schedules I and II (DEA Form-222)
• Power of Attorney/Notice of Revocation
• Report of Theft or Loss of Controlled Substances (DEA Form-106)
• Registrants Inventory of Drugs Surrendered (DEA Form-41)

C. DEA INVESTIGATIONS: REQUIRED DOCUMENTATION

D. DEA DIVERSION FIELD OFFICES

BACK COVER

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