(2) Sensitive and accountable items should be stored away from the mainstream of heavy foot
traffic to aid in detecting removal.
(3) A controlled medical substance is a drug or other substance, or its immediate precursor,
listed in current schedules of 21 USC 812 in medical facilities. Such substances are used for
treatment, therapy, or research. Categories listed in this section are as follows:
(4) Medically sensitive items are standard or nonstandard medical items. They are considered
by medical COs to be sensitive enough to warrant some physical security in storage. Needles and
syringes are examples.
(5) Controlled medical items are assigned letter designation in the Federal Supply Catalog,
Nonstandard Drug Enforcement Administration Schedule III, IV, and V. Controlled substances denote
specific categories which are as follows:
(a) Note R Controlled Medical Items. These are drugs having a high abuse potential with
severe psychic or physical dependence liability; they are identified as Schedule II controlled
(b) Note Q Controlled Medical Items. These are drugs having an abuse potential less than
Note R substances; they are identified as Schedule III, IV, and V controlled substances.
(c) Note C Controlled Medical Items.
Sets, kits, and outfits containing one or more
components of Note R or Q items.
(6) Structural Standards.
(a) Provide controlled access protection to Note R items. These should be stored in an
approved safe or vault, and they should be secured with a Class V vault door, as follows:
(1) Store small quantities of controlled medical substances in an approved safe.
(2) Ensure minimum structural standards for a vault in a new facility.
(a) Walls, floor, and ceiling will have at least 8 inches of concrete. This will be
reinforced vertically and horizontally on each face with 1/2 inch diameter bars placed 9 inches on