OVERVIEW OF DEA FORM-106 · OVERVIEW OF DEA FORM-106 Guide On How Information Should Be Recorded On...

OVERVIEW OF DEA OVERVIEW OF DEA FORMFORM--106106

Guide On How Information Should Guide On How Information Should Be Recorded On DEA Form 106Be Recorded On DEA Form 106

Susan D. BakerSusan D. BakerUnit Chief, Regulatory UnitUnit Chief, Regulatory Unit

U.S. Department of JusticeU.S. Department of JusticeDrug Enforcement AdministrationDrug Enforcement AdministrationOffice of Diversion ControlOffice of Diversion Control



REPORT OF THEFT OR LOSS OF REPORT OF THEFT OR LOSS OF CONTROLLED SUBSTANCESCONTROLLED SUBSTANCES

Date of Theft or LossDate of Theft or LossNotifying PoliceNotifying PoliceNumber of TheftsNumber of TheftsType of Theft or LossType of Theft or LossPurchase Value of the Controlled Purchase Value of the Controlled SubstancesSubstancesPharmaceuticals or Merchandise TakenPharmaceuticals or Merchandise Taken



REPORT OF THEFT OR LOSS OF REPORT OF THEFT OR LOSS OF CONTROLLED SUBSTANCESCONTROLLED SUBSTANCES

Lost In TransitLost In Transit-- customer files if shipment is accepted by the customer customer files if shipment is accepted by the customer -- supplier files if customer refuses shipment and returns it to supplier files if customer refuses shipment and returns it to suppliersupplier

-- consignee’s name & DEA registration is the supplier if customerconsignee’s name & DEA registration is the supplier if customer isisfiling the DEA 106filing the DEA 106

-- placement of controlled substances in a secure area afterplacement of controlled substances in a secure area afterthe receipt of a shipment & inventorying ensures that if interthe receipt of a shipment & inventorying ensures that if internal nal pilferage takes place it would not be considered an in transitpilferage takes place it would not be considered an in transit lossloss

Number of In Transit LossesNumber of In Transit LossesWhat Security MeasuresWhat Security Measures




Back or Second Page of DEABack or Second Page of DEA--106106

Trade Name of Substance or PreparationTrade Name of Substance or PreparationName of Controlled Substance in PreparationName of Controlled Substance in PreparationDosage Strength and FormDosage Strength and FormQuantityQuantity



Lower Portion of Second PageLower Portion of Second Page

SignatureSignatureTitleTitleDate of FormDate of Form


TITLE 21 CODE OF FEDERAL TITLE 21 CODE OF FEDERAL REGULATIONS, PART 1301.74 (c)REGULATIONS, PART 1301.74 (c)

The registrant shall notify within the DEA within The registrant shall notify within the DEA within one business day one business day of of discoverydiscovery of the theft or of the theft or loss.loss.All inAll in--transit losses of controlled must be transit losses of controlled must be reported.reported.The registrant shall complete and submit a DEA The registrant shall complete and submit a DEA Form 106.Form 106.


WHAT CONSTITUES A SIGNIFICANT WHAT CONSTITUES A SIGNIFICANT (MEANINGFUL) LOSS(MEANINGFUL) LOSS

The actual quantity of controlled substance lost The actual quantity of controlled substance lost in relation to the type of business.in relation to the type of business.The specific controlled substances lost.The specific controlled substances lost.Whether the loss of the controlled substances Whether the loss of the controlled substances can be associated with access to those can be associated with access to those controlled substances by specific individuals, or controlled substances by specific individuals, or whether the loss can be attributed to unique whether the loss can be attributed to unique activities that may take place involving the activities that may take place involving the controlled substances.controlled substances.


WHAT CONSTITUES A SIGNIFICANT WHAT CONSTITUES A SIGNIFICANT (MEANINGFUL) LOSS(MEANINGFUL) LOSS

A pattern of losses over a specific time A pattern of losses over a specific time period, whether the losses appear to be period, whether the losses appear to be random, and the results of efforts taken to random, and the results of efforts taken to resolve the losses; and if known;resolve the losses; and if known;Whether the specific controlled substances Whether the specific controlled substances are likely candidates for diversion;are likely candidates for diversion;Local trends and other indicators of the Local trends and other indicators of the diversion potential of the missing diversion potential of the missing controlled substances.controlled substances.


www.DEAdiversion.usdoj.govor www.dea.gov

For AdditionalFor AdditionalInformationInformation

DEA Diversion Contact InformationDEA Diversion Contact Information


Comments & Questions ?Comments & Questions ?


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OVERVIEW OF DEA FORM-106 · OVERVIEW OF DEA FORM-106 Guide On How Information Should Be Recorded On...

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