What happens when the DEA asks for records
An investigator or state board typically wants a complete list: every controlled-substance prescription, by date range, prescriber, or schedule, with quantities and patients. With a paper log book or EMR notes, staff rebuild that list by hand. With Rx Ledger CS, an administrator picks the dates and schedule, and downloads a formatted Excel report with a generated-on date and record count on every page.
DEA rules built into each entry
| Requirement | What Rx Ledger CS does |
|---|---|
| Schedule II: no refills (21 CFR 1306.12) | Rejects a C-II entry with refills before it is saved |
| Schedule III–IV: at most 5 refills (21 CFR 1306.22) | Rejects C-III/C-IV entries with more than 5 refills |
| Prescriber identification (21 CFR 1306.05) | Captures the prescriber’s DEA number, NPI, and state license on the record at the time it is written |
| Keep records at least 2 years (21 CFR 1304.04) | Blocks deletion of a controlled-substance record until two years after its issue date |
| State PDMP check before prescribing | Won’t save a controlled entry until the prescriber confirms the check; shows your state’s program by name (for example, Texas PMP AWARxE) and records who confirmed it, and when |
These checks support a compliance program; they don’t replace one. State rules vary, and your compliance officer has the final word.
Narcotics tracking across prescribers and locations
Every entry is tied to a prescriber and a clinic location. Filter by Schedule II opioids, Schedule IV benzodiazepines, or any class to see who is prescribing what, and how much. Multi-location practices can report per site or across the whole organization; each practice’s data is kept separate from every other customer’s.
Controlled-substance reconciliation (prescription side)
Many prescribers periodically compare what they wrote with what was filled. Export your ledger for the period, then compare it against your state PDMP prescriber report or pharmacy records. Fills that don’t appear in your ledger can point to forged prescriptions, stolen pads, or misattributed DEA numbers.
Rx Ledger CS is not a vault-count or pharmacy inventory system, and it does not file ARCOS reports.
How it fits your day
- Prescribe in your EMR or e-prescribing system as usual.
- Record the controlled-substance entry in Rx Ledger CS. Refill rules are checked and the PDMP check must be confirmed before it saves.
- Store — the entry is timestamped, attributed to the prescriber, encrypted, and any later edit is logged field by field.
- Export a DEA report to Excel when anyone asks.
There is no automatic EMR connection today. If your practice can sponsor API or FHIR access with its EMR vendor, or can export a prescription list, write to contact@aianalyticsllc.io about an integration.
Who uses it
Independent physicians, pain management and addiction medicine practices, psychiatry and ADHD clinics, urgent care, medical spas, and multi-location groups. Some practices also use it to document prescribing under a monitoring agreement.
Pricing
$49.99 per month for the first prescribing doctor and location; $20 per month for each additional doctor or location. Nurse and admin accounts are included. Plans are billed yearly in advance ($599.88 per year for one doctor and one location). Annual payments are non-refundable; no refund is given if you cancel. New accounts include a 30-day evaluation at no charge; close the account within that time and you pay nothing. See pricing.