What is Form DEA 106?
Form DEA-106 is an essential document used to report the theft or loss of controlled substances, including prescription medications. This report aids the Drug Enforcement Administration (DEA) in tracking and preventing the diversion of these substances. Pharmacies and other registered entities are required to complete this form within one business day of discovering a significant loss. Timely reporting is vital for ensuring public safety and compliance with the Controlled Substances Act, helping maintain order in the distribution of controlled medications.
What is Form DEA 106 used for?
Form DEA-106 is essential for reporting missing controlled substances. Here’s what you need to know about its use:
- Report theft or loss of controlled substances, including those in mail-back packages.
- Notify the DEA within one business day or 15 calendar days of discovering the loss.
- Provide detailed info about the lost substances, like trade name, dosage strength, and quantity.
- Certify accuracy of the information you report.
How to fill out Form DEA 106?
- 1
Notify the DEA Field Division Office in writing within one business day.
- 2
Conduct a thorough investigation of the incident.
- 3
Fill out the DEA Form 106 electronically in the PDF editor.
- 4
Submit the completed form within 45 calendar days after discovering the theft or loss.
- 5
Include all necessary details regarding the theft or loss.
Who is required to fill out Form DEA 106?
DEA-registered pharmacies, healthcare providers, and other entities handling controlled substances are responsible for completing Form DEA-106. They must report any theft or significant loss of controlled substances to ensure compliance with DEA regulations and to prevent diversion.
After completing the form, these entities use it to notify the local DEA Field Division Office of the theft or loss. This notification is required within one business day of discovery.
When is Form DEA 106 not required?
Form DEA 106 is not required in long-term care settings. You do not need to file it for losses in these facilities. Additionally, if inventory shrinkage occurs due to unintentionally dropped or otherwise unusable drugs, this is classified as a non-significant loss and does not require the form.
When is Form DEA 106 due?
The deadline for Form DEA-106 is 45 calendar days after you discover the theft or loss of controlled substances. You must also notify your local DEA Field Division Office in writing within one business day of finding out about the incident.
How to get a blank Form DEA 106?
To get a blank Form DEA-106, issued by The Drug Enforcement Administration, simply visit our website. The form is pre-loaded in our editor, allowing you to fill it out conveniently. Remember, our platform helps with filling and downloading but does not assist in filing forms.
How to sign Form DEA 106 online?
When filing Form DEA 106 electronically through the DEA’s online portal, you sign the form by entering your full name in the designated signature field. This entry constitutes your electronic signature and certifies the accuracy of the information provided.
If you are completing a paper version of Form DEA 106 (which is now rare and only accepted under special circumstances), you must provide a handwritten signature in the signature field.
Where to file Form DEA 106?
To submit Form DEA-106, you can file it electronically through the DEA's online portal. This method is encouraged for its efficiency.
Alternatively, you can mail the completed form. Remember, it must be submitted within 45 days of discovering the theft or loss. Notify your local DEA Field Division Office within one business day.
