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California State Board of Pharmacy

Report a Drug Theft/Drug Loss/Impaired Licensee

Any controlled substance loss (significant or not), must be reported to the California Board of Pharmacy within 14 calendar days from the date of loss for losses due to licensed employee theft (pursuant to Business and Professions Code, §4104), or 30 calendar days (pursuant to California Code of Regulations, Title 16, §1715.6) for any other type of loss.

To report an impaired licensee, file a complaint with the California State Board of Pharmacy within 14 days of discovery.

A copy of the DEA-106 form can be sent to the Board of Pharmacy if one was completed and submitted to the DEA. (You can complete and submit the DEA 106 form on-line to the DEA at https://www.deadiversion.usdoj.gov/webforms/app106Login.jsp). However, notifications of controlled substance drug losses sent to the Board of Pharmacy may be in any format that includes the following information:

Optional, but helpful information to include:

Notifications can be sent to the Board of Pharmacy in one of three ways: