Countra
For multi-provider pain clinics

Be ready before the DEA is at your door.

Countra replaces the paper binder for pain clinics that handle controlled substances in-house. Document, track, and reconcile every dose from delivery to witnessed waste, and see each provider's activity next to their peers, so the pattern that matters is not buried on page 214 of a binder.

One field to start. We carry it down to the full request so you do not retype it.

No dispensing cabinet required. No staff pharmacist required.
Countra per-provider monitoring, provider compared to peers, illustrative interface

Pattern flagged for review. One provider sits above the group's range. Surfaced for review, not a conclusion. Illustrative interface, sample data.

What Countra is

Controlled-substance documentation and per-provider monitoring, in one system.

Countra replaces the paper binder. Your team logs delivery into inventory, checkout for a case, administration, and witnessed waste as it happens, and Countra reconciles the running record against your perpetual inventory. Its machine-learning analytics then compares activity across your providers and flags outliers for a person to review. It runs from the locked safe or cabinet you already have, with the clinical staff you already have.

Behind Countra
NIH logo
Developed with NIH/NIDA funding
Featured in Politico Pro
HIPAA badge
Built to support HIPAA safeguards
Tamper-evident records

A flag is a prompt to look closer, not an accusation and not a conclusion. Countra surfaces the pattern with the documentation behind it. The review, and the judgment, stay with you.

Where it usually starts

The count that will not reconcile.

Your nurse sees it first at end of shift. Your compliance lead has to explain it on paper. And you have to decide whether it becomes a Form 106. A discrepancy can sit in a binder for months before anyone has a reason to open that page, and by then the trail is cold.

Paper hides drift

A binder records what was written down. It cannot tell you when one provider's usage or waste drifts away from the rest of the team.

You find out late

A discrepancy from a Friday case can surface a month later, after the easy answer is gone.

Your registration, your name

Controlled-substance records trace back to a registrant. Steady oversight of every provider protects the people whose names are on them.

You do not have a hospital pharmacy or a diversion officer. You have a binder, a count, and more providers than one person can watch.

Recordkeeping first, then analytics

Recordkeeping for every clinic. Per-provider analytics the moment you have more than one provider.

Level 1: Recordkeeping

Audit-ready documentation

Every clinic, from a single proceduralist up
  • Logs each step of handling, from delivery into inventory through witnessed waste
  • Reconciles against your perpetual inventory and supports the biennial count
  • Locks each entry once recorded, so the record stays tamper-evident
  • Exports clean PDF reports on demand
Level 2: Analytics · The differentiator

Per-provider diversion monitoring

The part a single-provider clinic cannot use yet
  • Compares usage, waste, and sequences of activity against peer patterns
  • Flags outliers and discrepancies while there is still time to act
  • Queues alerts for your administrator: informational for a deviation, actionable for a discrepancy to resolve
Per-provider monitoring

The more providers you have, the more a binder can hide.

A solo proceduralist has no internal baseline. A pain group does. With several providers handling controlled substances, Countra compares their activity provider to provider, and the outlier stands out. That is the one thing a binder cannot do.

1

Every provider adds surface area

More hands on the tray means more places a count can slip.

2

Comparison creates the baseline

One provider's numbers mean little on their own. Next to their peers, the one that drifts stands out.

3

Your administrator sees it first

An alert arrives with the record behind it, ready to open.

4

The review gets documented

Countra gathers the evidence, records what was reviewed and how it resolved, and keeps it ready to produce, so you can show an inspector the follow-up, not just the flag.

Countra cycle count report with a flagged discrepancy

One count flagged for review. A count that does not reconcile is flagged, with the record behind it ready to open. A prompt to look closer, not a conclusion. Illustrative interface, sample data.

Who this is for

Multi-provider pain clinics that handle controlled substances in-⁠house.

From a locked safe or cabinet, without a hospital pharmacy behind you. If your team documents its own stock from delivery through waste, Countra is built for the way you already work.

1

Document

Log each handling step as it happens.

2

Track

Every controlled substance, every provider, one running record.

3

Reconcile

Balance against your perpetual inventory so a count that will not close is visible early.

4

Surface

Analytics reviews activity across providers and flags what a person should look at.

Chain of custody

One record from delivery to witnessed waste, with who signed and when, ready to hand an inspector without a fire drill.

Per-provider monitoring

Activity compared across your team, outliers flagged for a person to review.

Reconciliation

A count that does not close shows up while you can still act on it.

Witnessed waste co-sign

The co-signature is captured at the moment of waste, not reconstructed later.

Tamper-evident record

Entries lock once recorded. The record cannot be quietly changed after the fact.

PDF export

Generate clean PDF reports of your records on demand: for an inspection, an accreditation survey, or your own files. Your records are yours.

Why your narcotic log is not diversion monitoring

Your binder records. Countra compares across providers.

Capability
Paper binder
Countra
Digital controlled-substance record
Reconciliation against perpetual inventory
Manual, if at all
Per-provider comparison across your team
Flags outlier patterns for review
No dispensing cabinet or staff pharmacist required
What actually backs it up

Built for the buyer who reads the fine print.

Controlled-substance records are legally serious. Here is what stands behind Countra.

NIH + NIDA

Countra's approach to controlled-substance monitoring came out of work supported by the National Institutes of Health and the National Institute on Drug Abuse.

8 hrs to under 1
Weekly time on controlled-substance logging, as reported by a Countra clinic.
Results vary.
Press Coverage
Countra's work on diversion detection was covered by Politico Pro. Read the article.
Questions pain clinics ask

Controlled substances, DEA readiness, and per-provider monitoring.

What software do pain clinics use to track controlled substances across multiple providers?

Most pain clinics that handle their own procedural stock, such as fentanyl and midazolam for sedation, still track it in a paper binder. Countra is a digital option built for multi-provider pain clinics: it replaces the binder, keeps a reconciled record from delivery through waste, and compares activity across providers, which a binder cannot do. It does not require a dispensing cabinet or a staff pharmacist.

How do pain clinics prepare for a DEA inspection?

Preparation comes down to producing complete, reconciled controlled-substance records on demand: receipts into inventory, administration and waste with witnessed co-signatures, a perpetual inventory that reconciles, your biennial inventory, and any theft or loss reports. Countra keeps these records in one place and ready to pull up, so an inspection becomes a retrieval task instead of a scramble. Filing forms and maintaining compliance remain the registrant's responsibility.

Does Countra make my pain clinic DEA compliant?

No. Compliance with the Controlled Substances Act and DEA recordkeeping rules is the registrant's own responsibility, and no software can take it over. Countra supports those obligations by helping you document, track, and reconcile controlled substances and keep audit-ready records, but it does not make a facility DEA compliant, does not file your DEA forms, and does not prevent or guarantee the detection of diversion.

What is per-provider diversion monitoring, and why do multi-provider pain clinics need it?

It compares each provider's controlled-substance activity, such as usage, waste, and sequences of activity, against the rest of the group. Diversion monitoring works by comparison: a solo proceduralist has no internal baseline, but a pain group does. When a provider's pattern drifts from their peers, your administrator sees an alert with the documentation behind it. It is a prompt to review, not an accusation.

Do we need a dispensing cabinet or a staff pharmacist to use Countra?

No. Countra is built for the way smaller pain clinics and ASCs actually handle controlled substances: from a locked safe or cabinet, without an automated dispensing cabinet such as a Pyxis or Omnicell, and without an on-site pharmacist. Your existing clinical staff document each step as part of the routine they already run.

Can we get our controlled-substance records out of Countra?

Yes. Your records are yours. You can export them as PDF reports at any time, for an inspection, a survey, or your own files, and you can take your complete controlled-substance history with you if you ever leave the platform.

See it on your own workflow

Be ready before you need to be.

A short demo shows how Countra documents the count, reconciles the inventory, and compares activity across your providers. Built to fit the routine your team already runs, not replace it.

Prefer to talk? (650) 447-1122
Developed with NIH/NIDA funding
Built to support HIPAA safeguards
Tamper-evident records
  • Simple enough for non-technical staff
  • Your records are yours, exportable at any time
  • No dispensing cabinet or staff pharmacist required

Request a Demo

See Countra run on a clinic like yours. About 20 to 30 minutes, screen share, real workflow.

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Be audit-readyFor multi-provider pain clinics
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