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Pharmacy Controlled Substance Audit

Comprehensive controlled substance inventory verification for a hospital pharmacy system to ensure DEA compliance and prevent diversion.

8 Facilities
Hospital Pharmacies
3,200+ Items
Controlled Substances
DEA Compliant
Full Compliance
2 Weeks
Audit Timeline

The Challenge

A hospital system needed to conduct a comprehensive audit of controlled substances across their 8-facility pharmacy network to ensure DEA compliance and verify inventory records.

Key Challenges:

  • Strict DEA regulatory requirements for controlled substance tracking and documentation
  • Need for complete chain of custody documentation throughout the audit process
  • Verification of automated dispensing cabinet records against physical inventory
  • Minimal disruption requirement to pharmacy operations and patient care
  • Tight timeline to complete audit before regulatory inspection
Pharmacy Controlled Substance Storage
Controlled Substance Audit Process

Our Solution

We deployed specialized pharmacy audit teams with DEA compliance expertise to conduct comprehensive controlled substance verification across all facilities.

Implementation Approach:

  • Facility-by-facility audit with strict chain of custody protocols
  • Physical count verification of all controlled substances in secure storage and ADCs
  • Reconciliation of physical counts against pharmacy management system records
  • Complete documentation package meeting DEA audit requirements
  • Variance investigation and resolution with pharmacy leadership

Project Results

Complete controlled substance verification with full DEA compliance documentation

DEA Compliance

Met all DEA requirements with complete documentation and chain of custody records

Complete Documentation

Comprehensive audit trail and variance documentation for regulatory review

2-Week Completion

Completed audit across all 8 facilities within scheduled timeline

Zero Disruption

Maintained full pharmacy operations throughout the audit process

Variance Resolution

Identified and resolved all discrepancies with complete documentation

Security Protocols

Maintained strict chain of custody and security throughout the audit

"The audit was conducted with exceptional attention to DEA compliance requirements. The team's pharmacy expertise and meticulous documentation provided us with complete confidence for our regulatory inspection. The process was smooth and had no impact on our operations."

DP
Director of Pharmacy
Hospital System

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