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Controlled Substances Regulations (SOR/2025-242)

Regulations are current to 2026-03-17

Hospitals (continued)

Documents

Information

The following provision is not in force.

Marginal note:Substances received

 A hospital that receives a controlled substance, other than one that has been previously returned by an individual for the purposes of destruction, must record the following information:

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    (a) the name of the person receiving the controlled substance;

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    (b) with respect to the person from whom the controlled substance is received, their name and, if applicable, title, as well as their municipal address;

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    (c) the date of receipt;

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    (d) in the case of a controlled substance set out in any of Schedules 1 to 3, its name, form and quantity; and

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    (e) in the case of a finished product,

    • (i) its name or, if applicable, brand name,

    • (ii) its form, strength and quantity, and

    • (iii) its drug identification number, if any.

The following provision is not in force.

Marginal note:Substances sold — persons other than individuals

 A hospital that sells or provides a controlled substance to a person, other than an individual referred to in section 177, must record the following information:

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    (a) the name of the person selling or providing the controlled substance;

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    (b) with respect to the person to whom the controlled substance is sold or provided, their name and, if applicable, title, as well as their municipal address;

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    (c) the date of the sale or provision;

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    (d) in the case of a controlled substance set out in any of Schedules 1 to 3, its name, form and quantity;

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    (e) in the case of a finished product,

    • (i) subject to subparagraph (iv), its name or, if applicable, brand name,

    • (ii) subject to subparagraph (iv), its form, strength and quantity,

    • (iii) subject to subparagraph (iv), its drug identification number, if any, and

    • (iv) if the finished product has been previously returned by an individual for the purposes of destruction, only the identifier marked on the collection container of the finished product and the number of collection containers; and

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    (f) if applicable, the reason for the emergency sale or provision.

The following provision is not in force.

Marginal note:Substances sold or administered — individuals

 A hospital that sells or provides a controlled substance to an individual for their own use, for the use of another individual or for an animal, or that administers a controlled substance to an individual or an animal, must record the following information:

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    (a) the name of the person selling, providing or administering the controlled substance;

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    (b) the name of the individual who is named in the prescription or who is responsible for the animal identified in the prescription and, if applicable, the name of the animal;

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    (c) the date of the sale, provision or administration;

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    (d) in the case of a controlled substance set out in any of Schedules 1 to 3, its name, form and quantity; and

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    (e) in the case of a finished product,

    • (i) its name or, if applicable, brand name,

    • (ii) its form, strength and quantity, and

    • (iii) its drug identification number, if any.

The following provision is not in force.

Marginal note:Finished products compounded

 A hospital that compounds a finished product must record the following information:

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    (a) the name of the person compounding the finished product;

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    (b) the name of the individual who is named in the prescription or who is responsible for the animal identified in the prescription and, if applicable, the name of the animal;

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    (c) the name of the practitioner who issued the prescription, as well as the name and municipal address of the place where they practise;

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    (d) the number assigned to the prescription;

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    (e) the date of compounding; and

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    (f) with respect to the finished product,

    • (i) its name, and

    • (ii) its form, strength and quantity.

The following provision is not in force.

Marginal note:Controlled substance substitutions

 A hospital that substitutes a controlled substance for another controlled substance identified in a prescription must record the following information:

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    (a) the name of the person who carries out the substitution;

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    (b) the number assigned to the original prescription;

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    (c) the date of the substitution;

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    (d) the name of the controlled substance identified in the prescription; and

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    (e) the name of the substitute controlled substance.

The following provision is not in force.

Marginal note:Written orders

 A hospital that receives a written order for a controlled substance must record the following information:

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    (a) the name of the person receiving the order; and

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    (b) the date of the order and the date on which it was received.

The following provision is not in force.

Marginal note:Verbal orders

 A hospital that receives a verbal order for a controlled substance must record the following information:

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    (a) the name of the person receiving the order;

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    (b) with respect to the person placing the order,

    • (i) their name, municipal address and, in the case of another hospital, the name of the person permitted to place the order on its behalf, and

    • (ii) a declaration that they require the controlled substance for emergency purposes or, in the case of another hospital, a declaration from the person placing the order that the other hospital requires the controlled substance for emergency purposes;

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    (c) the date of receipt of the order;

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    (d) in the case of a controlled substance set out in any of Schedules 1 to 3, its name, form and quantity; and

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    (e) in the case of a finished product,

    • (i) its name or, if applicable, brand name,

    • (ii) its form, strength and quantity, and

    • (iii) its drug identification number, if any.

The following provision is not in force.

Marginal note:Transportation

 A hospital that delivers, sends or transports a controlled substance must record the following information:

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    (a) its name and municipal address;

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    (b) with respect to the agent or mandatary of the hospital delivering, sending or transporting the controlled substance, their name;

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    (c) if the controlled substance is delivered, sent or transported to another person, the following information with respect to that person:

    • (i) if it is not a person referred to in subparagraph (ii), their name and, if applicable, title, or

    • (ii) if they are an individual who is named in a prescription or who is responsible for an animal identified in a prescription, their name and, if applicable, the name of the animal;

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    (d) the municipal address of the place where the controlled substance will be delivered, sent or transported;

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    (e) the date of the delivery, sending or transportation;

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    (f) the means of transportation used;

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    (g) in the case of a controlled substance set out in any of Schedules 1 to 3, its name, form and quantity; and

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    (h) in the case of a finished product,

    • (i) subject to subparagraph (iv), its name or, if applicable, brand name,

    • (ii) subject to subparagraph (iv), its form, strength and quantity,

    • (iii) subject to subparagraph (iv), its drug identification number, if any, and

    • (iv) if the finished product has been previously returned by an individual for the purposes of destruction, only the identifier marked on the collection container of the finished product and the number of collection containers.

The following provision is not in force.

Marginal note:Destruction

 A person who destroys a controlled substance in a hospital must record the following information:

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    (a) their name;

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    (b) the name of the witness to the destruction;

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    (c) the municipal address of the hospital;

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    (d) the date of destruction;

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    (e) the method of destruction;

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    (f) in the case of a controlled substance set out in any of Schedules 1 to 3, its name and quantity; and

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    (g) in the case of a finished product,

    • (i) subject to subparagraph (iii), its name or, if applicable, brand name,

    • (ii) subject to subparagraph (iii), its quantity, and

    • (iii) if the finished product has been previously returned by an individual for the purposes of destruction, only the identifier marked on the collection container of the finished product and the number of collection containers.

Recording Information and Retention and Provision of Documents

The following provision is not in force.

Marginal note:Method of recording

 Any person who records any information under sections 175 to 183 must do so using a method that permits an audit of it to be made at any time.

The following provision is not in force.

Marginal note:Documents to retain

 A hospital or, if a hospital ceases its operations, the person who was responsible for those operations on the date those operations ceased must ensure that

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    (a) any document containing the information that is required to be recorded under sections 175 to 183 is kept for two years after the day on which the last record is recorded in the document;

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    (b) every written order and prescription is kept, in sequence as to date and number, for two years after the day on which it is received or issued respectively; and

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    (c) every declaration and report is kept for two years after the day on which it is provided or received.

The following provision is not in force.

Marginal note:Place

 The documents must be accessible

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    (a) at the hospital where the information was recorded; or

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    (b) if that hospital has ceased its operations, at a place in Canada.

The following provision is not in force.

Marginal note:Quality of documents

 The documents must be complete and readily retrievable and the information in them must be legible and indelible.

The following provision is not in force.

Marginal note:Providing documents

 A hospital or, if a hospital has ceased its operations, the person who was responsible for those operations on the date those operations ceased, must provide any documents that the Minister requests in the time and manner that the Minister specifies.

Minister

Authorizations and Conditions Applicable to Activities

Sale of Controlled Substances

The following provision is not in force.

Marginal note:Sale to practitioner

  • The following provision is not in force.

     (1) The Minister may sell or provide a controlled substance to a practitioner that the Minister has named in a letter of authorization.

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    Marginal note:Exception — prohibition

    (2) The Minister must not sell or provide to the practitioner a controlled substance that is the subject of a prohibition on the practitioner’s professional practice imposed by the provincial professional regulatory authority.

 

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