Submit a Drug Incident Report (DIR)

Licensed health care facilities must report drug discrepancies within 24 hours of discovery.

Drug Control Program

The Details of Submit a Drug Incident Report (DIR)

What you need for Submit a Drug Incident Report (DIR)

  • Facility information
    • Facility name
    • Address
  • Facility type
  • Date of loss
  • Specific location of loss (unit, floor, etc., if applicable)
  • Incident type
    • Diversion
    • Loss
    • Theft
    • Tampering
    • Documentation
    • Other (please specify)
  • Drug information (use extra sheets if needed)
    • Name
    • Quantity
    • Strength
    • Dosage Form
  • An explanation of what happened
    • Include factors may have contributed to loss
    • Include any other relevant information
    • State if patient harm was involved
    • Use extra sheets if necessary

How to submit Submit a Drug Incident Report (DIR)

  1. Download and complete a Drug Incident Report (DIR) form, found below
  2. Fax it to the Drug Control Program (DCP) at (617) 753-8083

Next steps for Submit a Drug Incident Report (DIR)

  1. Intake number

    When we receive a DIR, it's assigned an Intake number. You get the Intake number to use as a reference and as validation that the DIR was actually received by DCP.

  2. DEA reporting requirements

    Reporting requirements may be different for the U.S. Drug Enforcement Administration (DEA). We recommend that you contact the DEA's Office of Diversion Control in Boston for federal reporting requirements.

  3. If you discover more information

    You should submit subsequent relevant information, if discovered.

More info about Submit a Drug Incident Report (DIR)

The submission of the DIR form will satisfy DCP's requirements for both a telephonic and written report (the latter is currently required within 7 days of discovery).

Downloads for Submit a Drug Incident Report (DIR)

Contact for Submit a Drug Incident Report (DIR)

Address
239 Causeway St., Suite 500, Boston, MA 02114
Fax
(617) 753-8083
Address
JFK Federal Building
15 Sudbury St., Room E-400, Boston, MA 02203
Online

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