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DOJ Form DEA-41 free printable template

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OMB APPROVAL NO. 11170007Expiration Date 10/31/2020U. S. DEPARTMENT OF JUSTICE DRUG ENFORCEMENT ADMINISTRATIONREGISTRANT RECORD OF CONTROLLED SUBSTANCES DESTROYED FORM DEA41A. REGISTRANT INFORMATION
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How to fill out DOJ Form DEA-41

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How to fill out DOJ Form DEA-41

01
Obtain the DOJ Form DEA-41 from the official DEA website or a licensed practitioner.
02
Fill out the header section with the date, registrant name, and address.
03
Provide the DEA registration number in the appropriate field.
04
List the controlled substances being disposed of, including the quantity and unit of measurement.
05
Indicate the method of disposal (e.g., return to supplier, destruction).
06
Sign and date the form at the bottom to certify the accuracy of the information provided.
07
Make a copy of the completed form for your records before submitting it.

Who needs DOJ Form DEA-41?

01
The DOJ Form DEA-41 is needed by registrants who are authorized to handle controlled substances, such as pharmacies, hospitals, and research facilities, for the purpose of documenting the disposal of these substances.
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Common examples include morphine, diamorphine, methadone, fentanyl, alfentanil, oxycodone, methylphenidate, dexamphetamine, ketamine and tapentadol.
Non-controlled substances include over-the-counter medications and medications that are prescribed to treat medical conditions such as high blood pressure, diabetes, and bacterial infections.
Controlled drugs are those that, if not used responsibly, can lead to addiction and have the potential to be abused by individuals. Narcotic and psychotropic (controlled drug - Class A or CDa) drugs are controlled.
Pennsylvania Schedules of Controlled Substances These drugs include opiates and opium derivatives (heroin), hallucinogens (LSD), marijuana.
Check these 3 lists to see if your chemical is controlled: Drug Enforcement Administration (DEA) Controlled Substances in Alphabetical Order (PDF) DEA Listed Substances (for listed chemicals PDF) List of California Department of Justice Precursor Chemicals, CA Health & Safety Code 11100 (PDF)
Drug Scheduling Drug Schedules. Drugs, substances, and certain chemicals used to make drugs are classified into five (5) distinct categories or schedules depending upon the drug's acceptable medical use and the drug's abuse or dependency potential. Schedule I. Schedule II. Schedule III. Schedule IV. Schedule V.
Under Nevada Revised State (“NRS”) 453.166, Schedule I substances are a category of drugs which are believed to have a strong likelihood of abuse and do not have a recognized use for treatment in the medical community and thus lack a benefit when administered under the care of a doctor.
Controlled substances include opioids, stimulants, depressants, hallucinogens, and anabolic steroids. Controlled substances with known medical use, such as morphine, Valium, and Ritalin, are available only by prescription from a licensed medical professional.
Some Schedule I drugs include: Heroin. LSD. Marijuana. Ecstasy. Quaaludes. Bath salts.
Most prescriptions for infections or chronic conditions are non-controlled. For example, blood pressure and cholesterol medications, diabetes mellitus medications (including insulin), asthma inhalers, and antimicrobials are all non-controlled medications. Both types require prescriptions from a provider.
Common Schedule I drugs in Nevada Heroin – Read our article on heroin crimes. LSD (“acid”) GHB (“date rape drug”) – Read our article on GHB crimes. Peyote (mescaline) Ecstasy – Read our article on ecstasy crimes. PCP.
Controlled substances include opioids, stimulants, depressants, hallucinogens, and anabolic steroids. Controlled substances with known medical use, such as morphine, Valium, and Ritalin, are available only by prescription from a licensed medical professional.
No, SSRIs are not controlled substances.
When considering only their chemical makeup, there are six main classifications of drugs: alcohol, opioids, benzodiazepines, cannabinoids, barbiturates, and hallucinogens.Some popular examples of opioids include: Heroin. Fentanyl. Oxycodone.
Most prescriptions for infections or for chronic conditions are non-controlled. For example, most blood pressure and cholesterol medications are non-controlled medications. Same with diabetes medications (including insulin), asthma inhalers, and antibiotics.

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DOJ Form DEA-41 is a form used to report the disposal or transfer of controlled substances to the Drug Enforcement Administration (DEA).
Entities that handle controlled substances, such as pharmacies, hospitals, and laboratories, are required to file DOJ Form DEA-41 when disposing of or transferring controlled substances.
To fill out DOJ Form DEA-41, you need to provide information such as the date of disposal, the method of disposal, details about the controlled substances being disposed of (including their names, quantities, and dosage forms), and any relevant signatures.
The purpose of DOJ Form DEA-41 is to ensure proper documentation of the disposal or transfer of controlled substances, helping to maintain accountability and compliance with federal regulations.
The information that must be reported on DOJ Form DEA-41 includes the name and registration number of the registrant, the date of disposal, the method of disposal, details of the controlled substances (name, quantity, and dosage form), and any signatures of authorized individuals.
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