What information do I need to provide in Section A: Registrant Information?

You need to provide your DEA registration number, the name and address indicated on your valid DEA registration, a current telephone number, and a contact name if different from the name on the valid DEA registration.

How do I list the controlled substances in Section B: Inventory?

In each row, indicate the National Drug Code (NDC) for the controlled substance destroyed, or if no NDC exists, provide the DEA Controlled Substances Code Number. Specify the name, strength, and form of the controlled substance, along with the number of capsules, tablets, etc., in a full package. If destroying the full quantity, indicate the number of packages destroyed; for a partial package, note the count of capsules or tablets destroyed.

What is required in Section C: Method of Destruction?

You must provide the date, location, and method of destruction. The method must render the controlled substance non-retrievable and comply with all applicable destruction requirements.

Who needs to sign in Section D: Witnesses?

Two authorized employees must sign to declare that they personally witnessed the destruction of the controlled substances listed in Section B, as described in Section C.

Do I need to submit this form to DEA?

No, you are not required to submit this form to the DEA unless requested. It must be kept as a destruction record and available for at least two years in accordance with 21 U.S.C. 827.

Fill Form DEA-41 2024-2025 - Registrant Record of Controlled Substances Destroyed

Name: PDF editor and converter
Brand: PDF Guru
Rating: 4.2 (11617 reviews)

What is Form DEA-41?

DEA Form 41, the Registrant Record of Controlled Substances Destroyed, is essential for individuals and businesses managing controlled substances. This form serves to document the destruction of these substances, ensuring compliance with federal regulations. It requires details about the type and quantity of substances disposed of, the method used for destruction, and signatures from witnesses. Completing this record is crucial for preventing diversion and ensuring that controlled substances are handled safely and securely, thus maintaining the integrity of the pharmaceutical supply chain.

What is Form DEA-41 used for?

Form DEA-41 is essential for managing controlled substances. It serves the following purposes:

Reporting Destruction: Documents the destruction of controlled substances by registrants.
Tracking and Monitoring: Helps track and monitor the movement of these substances.
Preventing Diversion: Aims to prevent the misuse of controlled substances.
Compliance: Ensures adherence to DEA regulations regarding disposal.

How to fill out Form DEA-41?

1
Enter your DEA registration number, name, address, telephone number, and contact name in Section A.
2
List each controlled substance destroyed in Section B, including NDC, batch number, name, strength, form, and quantity.
3
Record the date, location, and method of destruction in Section C.
4
Declare that two authorized employees witnessed the destruction in Section D.
5
Save the completed form for your records, as required by law.

Who is required to fill out Form DEA-41?

Individuals and businesses registered with the Drug Enforcement Administration (DEA), such as physicians, pharmacists, and pharmaceutical manufacturers, are responsible for completing Form DEA-41.

After filling out the form, DEA registrants use it to document the destruction of controlled substances, ensuring compliance with federal regulations and maintaining essential records for inspection.

When is Form DEA-41 not required?

Form DEA-41 is not required when you dispose of expired or unwanted controlled substances through a DEA-registered reverse distribution program. You also do not need it for accidental losses if you promptly clean up and discard the substances following proper procedures.

When is Form DEA-41 due?

The deadline for Form DEA-41 is whenever controlled substances are destroyed. This form must be completed accurately and kept for at least two years. Not submitting it can lead to legal penalties, audit risks, and accountability issues. It requires signatures from two authorized witnesses.

How to get a blank Form DEA-41?

To get a blank Form DEA-41, simply visit our website. The Drug Enforcement Administration issues this form, and we have a blank version ready for you to fill out in our editor. Remember, PDF Guru aids in filling and downloading but does not support filing forms.

How to sign Form DEA-41?

To sign Form DEA-41, you must use a handwritten signature, as electronic signatures are not accepted. The form requires signatures from two witnesses, and it’s important to keep this record for at least two years as proof of destruction. For filling out the form, PDF Guru offers an easy way to complete it and download it for your records. Be sure to check for the latest updates regarding signature requirements.

Where to file Form DEA-41?

The DEA does not require submission of the Form DEA-41 unless specifically requested. In case requested, you mail the form to the DEA. If specififed that the form the be sent online, log in to your DEA account, upload the form, and follow the prompts.