Health Systems are moving towards EMS agency ownership of Medication Drug Kits due to
regulatory changes from the FDA Drug Supply Chain and Security Act of 2013, which is
scheduled to be enforceable on November 27, 2024, and the Protecting Patient Access to
Emergency Medications Act of 2017, which may ultimately require additional paperwork for the transfer of Schedule II medications.

The TEMS Regional Medication Kit (Drug Box) Exchange System, which has been operational for nearly five decades, must; therefore, end. Discussions regarding the Health Systems role during transition are underway. Regardless, EMS agencies in the TEMS Region must understand that they will require a Controlled Substance Registry (CSR) for Class II through VI Medications, and an EMS Agency DEA license for the purchase and storage of medications for EMS agency drug boxes.

Specific questions regarding the TEMS Regional EMS Medication Kit Transition can be directed to David Coulling, EMS Field Coordinator.