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STATE OF MAINE OFFICE DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION OF PROFESSIONAL AND OCCUPATIONAL REGULATION BOARD OF PHARMACY 35 STATE HOUSE STATION AUGUSTA, MAINE 04333-0035 Drug Loss,.

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DEA Form 41 is used for authorization to destroy controlled substances; DEA Form 106 is used for loss and theft of controlled substance; DEA Form 222 is used to order and transfer Schedule II controlled substances.

Upon discovery of a theft or significant loss of controlled substances, a pharmacy must report the loss in writing to the area Drug Enforcement Administration (DEA) field office on DEA Form 106 (FIGURE 1) either electronically or manually within one business day.

Name of LTCF Address, City, State, Zip Code Form DEA-106 Pg. 3 Page 4 U.S. Department of Justice Report of Theft or Loss of Controlled Substances Drug Enforcement Administration DEA FORM 106 OMB No. 1117-0001 (Exp. Date 7/31/2023) Diversion Control Division Describe any other corrective measure(s) you have taken to ...

Maine classifies drugs into different schedules: Schedule W, X, Y, or Z. These schedules largely correspond to the level of crime and sentence. Schedule W drugs include certain amounts of heroine, cocaine, , and . Schedule X drugs include hallucinogens like psilocybin (mushrooms) and hashish.

Match DEA Form 222. purchase schedule I and II drugs. DEA Form 224. dispense controlled substances. DEA Form 225. manufacture controlled substances. DEA Form 106. loss/theft of controlled substances. DEA Form 41. destroy controlled substances. DEA Form 363. compounding controlled substances, controlled substance treatment program.

Theft and/or misuse of a controlled substance is a criminal act. A significant loss can be either a pattern of small losses over time or one-time loss and is relative to the amount of controlled substance used by the registrant on average.

The DEA Form 106 can be completed via Theft/Loss Reporting Online (TLR) or download the fillable PDF version and submit to your Local Diversion Field Office. 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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232