Free Controlled Substance Destruction And Disposal Log

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Stock that leaves without a dispense is the entry a count most often misses. This log keeps every one in one place: the drug, the units, the reason, how it left, and the paperwork that proves it.

It does not replace DEA Form 41. An on-site destruction is recorded on Form 41, with the names and signatures of the two employees who witnessed the destruction (21 CFR 1304.21(e)); this log points to it.

What Is On It

  • Date, drug, strength and form, NDC and schedule
  • Units, and the reason: expired, damaged, recalled or other
  • How it left: destroyed on site, reverse distributor, or returned to the supplier
  • Paperwork number: DEA Form 41, Form 222 or electronic order, invoice
  • Witnessed by, for a destruction on site
  • Posted to the perpetual log (initials)

When You Reach For It

  • Destroying expired or damaged stock on site.
  • Handing stock to a reverse distributor, or returning it to the supplier.
  • Finding every disposal of the year in one place, tied to the perpetual log.

How often to count, and how long to keep a sheet, are answered on the count sheets hub. Every sheet prints the federal rules it relies on in its own footer, each with its 21 CFR citation. Your state board of pharmacy may require more.

More Sheets

The Counting Is The Easy Half

NarcCount works out what you should have from records you already keep, by NDC. See NarcCount for US pharmacies or read the Florida inventory guide.