Page 149 - PJ MED OPS Handbook 8th Ed

9. Pararescue Drug Formulary

Drug Formulary Guidelines and Considerations

The keys to safe drug utilization are caution and attention to detail. Familiarity with adverse drug
effects and being prepared to deal with those effects are paramount to safe drug use. The following
Formulary is for all Pararescuemen regardless of MAJCOM, additional medications may be autho-
rized if coordinated through USAF Pararescue Medical Director, MOAB, and documented in Memo-
randum format through applicable MAJCOM SGP, or equivalent.

Management of Controlled Substances PJs will:
• Sign out controlled substances for requisite alert status, training, Temporary Duty (TDY), de-
ployment, or mission, and sign in controlled substances to the medical materiel section when
no longer required.
• Be responsible and accountable for the security and safeguard of all issued medications and
controlled substances.
• Inspect and rotate medications prior to expiration date and turn in expired medications to
the medical logistics section for disposal.
• Inspect controlled substances for adequate quality and quantity whenever they are signed
out and/or prior to assumption of alert duty.
• Report type and quantity to Medical Logistics NCOIC within 12 hours when medications are
used.
NOTE: In the event of ongoing operations, every effort will be made to report use within
12 hours of mission completion. Prescribed controlled substances must be documented in
either the SF 600, Chronological Record of Medical Care, or the Consolidated Mission Report
and must be reported to the unit’s medical logistics upon return.
• Inspect controlled substances for adequate quality and quantity prior to turn in. If discrepan-
cies are noted, report them to the controlled medical item custodian (CMIC).
• During TDY or deployments, controlled substances will be safeguarded using the following
procedures:
○ At a TDY or deployed location, medications should be stored double-locked in a secure
area with 24-hour access (alert facility/rescue coordination center, MTF, security forces,
etc.).
○ In the absence of an approved safe, vault, or secure storage area, controlled substances
will be maintained on the individual.
○ Controlled substances may be stored on board mission aircraft if they are in a hi-valued
bin or placed in a standard weapons storage container when the container is used solely
for medication storage. Storage containers must be secured to a floor tie down ring and
the container hasp must be secured with a combination lock.
NOTE: When required, the combination should only be given to the aircraft commander.
○ Access to the controlled substance bin must be authorized by the PJ team leader or team
member who signed for the controlled substances being stored.
○ A daily inspection of the controlled substances stored on any aircraft is required. Loss or
theft at a TDY or deployment location will be immediately reported to the commander
of the storage facility and to the home station squadron commander with an immediate
investigation initiation.

Chapter 9. Pararescue Drug Formulary n 147