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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)

By email:

1. Download and complete the fillable PDF version of the Drug Incident Report (DIR) found below.

2. Save a copy of the completed DIR for your records.

3. Attach the completed DIR to an email addressed to: DIR.DCP@mass.gov.

4. If you are unable to complete this process, please contact DCP at DIR.DCP@mass.gov or call 617-973-0823 for assistance.

5. If, within 72 hours you do not receive confirmation of receipt of the DIR, please contact DCP at DIR.DCP@mass.gov or call 617-973-0823.

Next steps for Submit a Drug Incident Report (DIR)

  1. Intake number

    When we receive a DIR, it's assigned an intake number. You will receive email confirmation that the DIR has been received and the assigned intake number.  Please refer to this intake number in any communication with DCP related to this incident.

  2. If you discover more information

    Refer to the intake number for this incident and submit additional relevant information to DIR.DCP@mass.gov"

More info for 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
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