Controlled Drugs within the Authorized Minimal Medical Allowance List (AMMAL)

Alcohol, barbiturates, hypnotics, stimulants, narcotics, and tranquilizers requiring special custodial care (hereinafter referred to as controlled medicinals) are those designated by the symbols, "C," "R," and "Q" appearing in the Notes column of each identification list in the Federal Supply Catalog.

Non-AMMAL Controlled Drugs

Ships and operational units shall not procure and dispense controlled medicinals that do not appear on the unit's AMMAL. Exceptions to this provision may be granted only upon prior written authorization from the force medical officer.

Inventory Board

The senior member of the Controlled Medicinals Inventory Board will be appointed by the commanding officer following NAVMED P-117, Manual of the Medical Department (MANMED) chapter 21. Duties, responsibilities, and authority are outlined in OPNAVINST 6710.3, Report of Monthly Issue of Drug Substances and NAVMEDCOMINST 6710.9, Guidelines for Controlled Substances Inventory.

• An unannounced inventory shall be conducted at least monthly or more frequently, if necessary, and an accountable audit trial shall be documented at each inventory.

Destruction

When controlled medicinals are surveyed and destroyed, the request must be submitted to the commanding officer identifying the items to be destroyed and the reasons for destroying them (deterioration, expiration, subpotent, etc.). When destruction has been approved by the commanding officer, it must be accomplished in the presence of at least one member of the Controlled Medicinals Inventory Board. The destruction document must contain complete nomenclature and quantity of substances to be destroyed, the method used to accomplish destruction, and the signatures of the witnessing officers. The completed destruction document must be retained in official files as the authorization for the removal of these items from the inventory record. The senior member is responsible for submitting a written report of all inventories conducted by the Controlled Medicinals Inventory Board to the commanding officer for approval.

Reference

1. Manual of the Medical Department (NAVMED P-117), Chapter 21: Pharmacy Operation and Drug Control: Controlled Substance (21-26 Deterioration (Regulatory)).

Reviewed by CDR Mark Brouker, MSC, USN, Fort Sam Houston, Texas (1999).