Controlled Substance Chargeback Restrictions and DEA Compliance Failures

$1,000 - $6,000/month in aged inventory write-offs + $300 - $1,000 analyst overhead managing manual tracking • $1,500 - $8,000/month in aged inventory write-offs + $500 - $1,500 analyst overhead managing manual tracking • $10,000 - $50,000/month lost sales + $4,000 - $15,000 audit fees + $8,000 - $40,000 legal fees

Accounts Receivable Specialist manually reconciles restricted-account chargebacks by exporting disputed items into spreadsheets, annotating reasons from email notices or portal messages, matching them against internal customer and contract codes, and tracking back-and-forth with manufacturer chargeback teams and internal compliance via email and ad hoc trackers. • Custodian maintains manual DEA Form 106 records on paper and in Excel; attempts to manually contact DEA and state pharmacy board; coordinates with QA manager using email; creates manual weekly inventory logs to demonstrate legitimacy • Custodian manually compiles 90+ days of DEA Form 106 records and patient treatment histories; creates Excel pivot tables showing patient-to-prescriber relationships; coordinates with clinical staff to justify high volumes; prepares narrative for manufacturer compliance committee