Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

Which form must be used to report theft or significant loss of a controlled substance?

1. DEA form 41

2. DEA form 106

3. DEA form 222

4. DEA form 12

The correct answer is: DEA form 106

To report the theft or significant loss of a controlled substance, the appropriate form to use is DEA Form 106. This form is specifically designed for reporting such incidents involving controlled substances to the Drug Enforcement Administration (DEA). It captures important details such as the circumstances surrounding the theft or loss, the type and quantity of substances involved, and any pertinent information that can assist in the investigation. When a pharmacy or healthcare facility experiences a theft or significant loss, timely reporting is crucial for regulatory compliance and for the DEA to take appropriate action. This form must be submitted within one business day of the discovery of the theft or loss to ensure prompt investigation and response. Other forms mentioned, such as DEA Form 41, are used for the disposal of controlled substances, DEA Form 222 is for ordering Schedule I and II controlled substances, and DEA Form 12 does not exist; these are not applicable for reporting theft or loss. Understanding the specific purposes of each DEA form is essential for maintaining compliance with federal regulations governing controlled substances.