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Controlled substances aboard vessels
CATEGORY

Controlled substances aboard vessels

Everything governing the Schedule II-V medication on your vessels: who may hold it, who may dispense it, what must be recorded, and which reports are due when. Reviewed by a board-certified emergency physician and cited to 21 CFR.
2 articles
Reviewed by Ann Jarris MD, FACEP
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About this category

Written for the operator, cited to the rule

What this category covers

Acquisition, storage, dispensing, recordkeeping and disposal of controlled substances on vessels, plus the registration structure that makes all of it lawful.

Why it matters more than it looks

A general marine supplier legally cannot touch these medications. Getting the structure wrong does not break anything visible, it surfaces during an inspection. See 21 CFR 1301.25 and part 1317 for disposal.

What medical equipment and guides must a ship carry?

Under MLC 2006 Standard A4.1(4)(a), every ship must carry a medicine chest, medical equipment and a medical guide, inspected at regular intervals and at least once every 12 months. Contents are set by the flag state using the WHO International Medical Guide for Ships. Vessels holding controlled substances also need a DEA-registered medical officer under 21 CFR 1301.25.
Sources: MLC 2006 Standard A4.1 and Guideline B4.1.1 (ILO), WHO International Medical Guide for Ships 3rd edition and its Quantification Addendum, 21 CFR 1301.25 (eCFR).
Start here

The guide operators open first

MOST READ · GUIDE

21 CFR 1301.25 explained, for the people who have to comply with it

The whole rule, paragraph by paragraph: who it applies to, the three medical officer conditions, and both annual reports.
All guide articles

Everything in Guide

Controlled substances recordkeeping aboard a vessel | Discovery Health MD

Controlled substances recordkeeping aboard a vessel

DEA medical officer or master requisition which route fits your fleet | Discovery Health MD

DEA medical officer or master requisition: which route fits your fleet

Common questions

Answers operators and search engines look for

No. The registration attaches to the medical officer, held at the principal office of the owner or operator, or elsewhere provided the Form 223 details are readily retrievable at the principal office, per 21 CFR 1301.25(b)(3). Read the full explainer or see Controlled Substances.

Yes, under a single registration, but only while every vessel shares one owner or operator. A second owner triggers a separate registration or the Form 223 route, per 21 CFR 1301.25(c).

The master or first officer may purchase directly, without being registered, by appearing in person at the vendor with photo identification and a written requisition on the vessel official stationery, per 21 CFR 1301.25(d).

They live inside it. The chest follows MLC 2006 and flag-state rules, the controlled portion follows 21 CFR 1301.25. We run both as one program, see MedChest.

Reading about compliance is not the same as being compliant

Tell us your vessels, flags and routes. A physician reviews your controlled substancesmedicine chesttelehealth and Consulting picture and shows you the gaps.

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