Policies and guidelines for MCSR

See the policies and guidelines for the Massachusetts Controlled Substances Registration (MCSR).

Issuance of MCSR to health facilities

Regulations of the Department of Public Health at 105 CMR 700.003 permit the issuance of a Massachusetts Controlled Substances Registration (MSCR) to licensed health facilities as defined in 105 CMR 700.001. A health facility includes the following:

  • A hospital, hospital pharmacy, long-term care facility or clinic licensed or maintained by the Department
  • A public medical institution as defined in M.G.L. c. 118E § 8
  • Any institution licensed or maintained by the Department of Mental Health
  • Any hospital, long-term care facility or clinic maintained by the Commonwealth
  • Any ambulance service licensed by the Department to provide Advanced Life Support services

Health facilities with an MCSR are advised that such registrations are not transferable. A new MCSR is required for a change in name, ownership or address. An MCSR is valid for one year and must be kept current.

For further information, please contact the Drug Control Program.

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Requirements for individuals with limited medical licenses

Regulations of the Department of Public Health at 105 CMR 700.004 (B)(5) permit residents and clinical fellows who have limited medical licenses and wish to prescribe, dispense and administer controlled substances to utilize the registration of the hospital in which he/she is employed provided the following criteria are met:

  • A person must be authorized to dispense controlled substances under M.G.L. c. 112, if applicable
  • Such dispensing must be done in the usual course of business or professional practice
  • The hospital by whom a person is employed must verify with the Board of Registration in Medicine that the individual is permitted to dispense controlled substances
  • The person must only act within the scope of his/her employment at the hospital
  • The hospital must authorize the person to dispense controlled substances under the registration number of the hospital and designate a specific suffix number to the hospital's registration number preceded by a hyphen for each person authorized
  • The hospital must maintain a current list of internal codes and make these codes available at all times to other registrants, the Commissioner and authorized law enforcement agencies

It should be noted that individual hospitals determine whether or not they wish to permit persons with limited licenses to use the registration of the hospital. Should a hospital determine that they do not want individuals with limited licenses to utilize the hospital's registration, the physician must apply to the Department and, where applicable, the U.S. Drug Enforcement Administration (DEA), and receive Controlled Substances Registrations for the period of time for which their limited license is issued. Upon full licensure by the Board of Registration in Medicine, a physician must then reapply to the Department, and, where applicable, to the DEA for a new full registration(s). The appropriate fee must accompany the application to the Department. The newly issued registration will not be restricted to the period of time in which the limited license was valid.

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