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controlled-substance-audit

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Reconcile controlled-substance records and prepare for an inspection — the count against the register, the discrepancy investigation, the documentation an inspector asks for, and the reporting obligations a shortfall triggers. Use when asked to reconcile controlled drugs, prepare for a DEA or controlled-drug inspection, investigate a discrepancy or suspected diversion, or audit the CD register. Produces the reconciliation, the discrepancy investigation record, the inspection-readiness checklist, and the escalation and reporting decision tree. A process framework only; reporting thresholds, timelines and obligations are set by law in your jurisdiction and must be verified there.

plugins/pm-pharmacy/skills/controlled-substance-audit/SKILL.md

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Nov 10, 2026
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MIT

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# Controlled Substance Reconciliation & Audit

A controlled-substance discrepancy is a countdown, not a puzzle. There are legal reporting obligations with real deadlines, an investigation that has to be documented as it happens rather than reconstructed, and a serious possibility that a colleague is unwell. This structures the reconciliation, the investigation, and the decision about who must be told and by when.

## What This Skill Produces

- **The reconciliation** — physical count against the register, by product and strength, with the arithmetic shown
- **A discrepancy investigation record** — the sequence checked, documented as you go
- **The inspection-readiness checklist** — the records, storage, and access controls an inspector examines
- **The escalation and reporting decision** — what threshold triggers which obligation, and by when
- **The diversion considerations** — handled as a personnel and welfare matter, not only a stock one
- **The corrective actions** — what changes so the same gap does not recur

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