What must be done with a controlled substance removed from an automated dispensing device if it is not administered?

When a controlled substance is removed from an automated dispensing device but is not administered, it is important to handle it according to regulatory guidelines to ensure safety and compliance with the law. The correct action in this scenario is to return the substance to the return bin if it remains unopened.

Returning the unused controlled substance to the return bin preserves the medication for potential future use, provided it has not been altered or exposed. This process optimizes inventory management and minimizes wastage of controlled substances, which can be expensive. Additionally, this action aligns with best practices aimed at preventing drug diversion while maintaining patient safety.

Disposing of the drug immediately or destroying it would not be appropriate if the substance is intact, as that would lead to unnecessary waste and potential financial loss for the facility. Likewise, redispensing to any patient is not permissible for the same reasons—only unopened and unexpired medications can usually be reused for other patients after ensuring compliance with specific return and reuse policies set forth by state regulations and the Drug Enforcement Administration (DEA) guidelines.