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STATE OF MAINEOFFICEDEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION OF PROFESSIONAL AND OCCUPATIONAL REGULATION BOARD OF PHARMACY 35 STATE HOUSE STATION AUGUSTA, MAINE 043330035Patient Controlled.

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How to fill out the Controlled Substance Destruction Log online

Filling out the Controlled Substance Destruction Log accurately is essential for complying with regulations regarding the disposal of Schedule II controlled substances. This guide provides a detailed overview of each section of the form and offers step-by-step instructions to help you complete it online.

Follow the steps to complete the form accurately and efficiently.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the date of the report in the designated field. This date should reflect the day the destruction of controlled substances takes place.
  3. In the section labeled 'Person completing this form,' provide your name and title. Ensure this information is printed legibly for clarity.
  4. Record the prescription number (Rx#) in its specific field. This number is crucial for tracking the medication being destroyed.
  5. Input the dispensing pharmacy’s name in the corresponding field to identify where the medication was originally obtained.
  6. Fill in the patient's name. This information ties the controlled substances directly to the individual from whom they were prescribed.
  7. Document the drug, strength, and form of the medication being disposed of. Ensure accuracy in this section to avoid any regulatory issues.
  8. Enter the quantity of drugs being destroyed in the designated field. This number must match the amount being disposed of.
  9. In the witness section, the individual who observes the destruction should print their name, provide a signature, and indicate the date to validate the process.
  10. Finally, review all entries for accuracy and completeness. Once satisfied, you can save changes, download a copy, print, or share the completed log as needed.

Complete your documents online to ensure compliance and maintain accurate records.

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Registrant Record of Controlled Substances Destroyed - DEA Form 41.

Methods of denaturing Controlled Drugs All Controlled Drugs in Schedule 2, 3 and 4 (part 1)* should be destroyed by being denatured and rendered irretrievable before being placed into pharmaceutical waste containers and sent for incineration.

Stock CDs Any person required by the Misuse of Drugs Regulations 2001 to keep records of Schedule 1 or 2 Controlled Drugs may only destroy them in the presence of an authorised witness. The Society's inspectors, police chemist inspection officers and Home Office inspectors are authorised witnesses.

Registrant Record of Controlled Substances Destroyed - DEA Form 41.

Disposal of waste medicines All medicines should be disposed of in a safe and appropriate manner. Medicines should be disposed of in relevant waste containers that are sent for incineration. They should not be disposed of in the sewerage system.

PURPOSE: To document the surrender of controlled substances which have been forwarded by registrants to DEA for disposal. ROUTINE USES: This form is required by Federal Regulations for the surrender of unwanted Controlled Substances.

DEA Form 41 is used to request permission from the DEA to destroy controlled substances.

A controlled substance can be disposed of by destruction, return, recall, sale or through the manufacturing process. When disposing of by destruction, the drug must be rendered non-retrievable.

(Examples of destruction are shredding, crushing, mixing with kitty liter or, in the case of a liquid medication, dispensing into an absorbent; or placing them in a locking sharps container.) The waste will then be transported to a medical waste incineration facility for destruction.

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Fill Controlled Substance Destruction Log

In each row, indicate the name, strength, and form of the controlled substance destroyed, and the number of capsules, tablets, etc. Failure to maintain complete and accurate records of drug destruction could result in revocation of your Controlled Substance Registration. A bound log for documenting the destruction and disposal of controlled substances. Record of Local Destruction of Unserviceable Stock Containing Narcotics, Controlled. Drugs or Targeted Substances. Controlled drug liaison officers (CDLOs). This document summarizes the proper management, destruction, and documentation of expired controlled drugs in accordance with the Title 21 CRF Parts 1330.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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