Wyoming MPJE (Pharmacy Jurisprudence) Practice Exam

Which DEA form do you use to report theft or loss?

1. Form 105

2. Form 106

3. Form 41

4. Form 91

The correct answer is: Form 106

The appropriate form to report theft or loss of controlled substances is Form 106. This form is specifically designed for practitioners and entities that experience any theft or significant loss of controlled substances. When a theft or loss occurs, it's crucial to report it promptly to the Drug Enforcement Administration (DEA) using this form to ensure compliance with federal regulations and to help in tracking potential drug diversion activities. Form 106 includes details such as the type of substance lost, the quantity, the circumstances surrounding the incident, and any other relevant information that would assist the DEA in their investigation. Properly completing and submitting this form helps to document the incident and can protect the pharmacy or practitioner from liability associated with the loss. Forms such as 105, 41, and 91 serve different purposes and would not be appropriate for reporting theft or loss. Form 105 is used for registration of a practitioner, Form 41 is utilized for the disposal of controlled substances, and Form 91 pertains to the application for a state controlled substance license. Each of these forms has its specific function within the regulatory framework of controlled substances but does not address the issue of theft or loss directly.