The Only EMS Platform That Actively Detects Diversion
Narcotic tracking built for EMS — log every custody movement with Tap To Track, monitor inventory in real time, and catch diversion risk early with a built-in investigation engine.
- 25 diversion patterns monitored continuously — not just logged
- Pharmacodynamic analysis, z-score peer comparison, and behavioral pattern detection
- Forensic-grade audit trail built to hold up in a DEA proceeding
Active Units
24
Open Variances
3
Compliant
98%
Narcotic Diversion Is a Real Risk in EMS
Controlled substances move through dozens of hands in a typical EMS system—field crews, supervisors, supply rooms, and pharmacies. Without a clear chain of custody and real-time accountability, diversion can occur unnoticed until it becomes a serious compliance issue.
- Lack of Visibility
Many EMS systems rely on manual logs or spreadsheets, making it difficult to track medication movement across shifts, stations, and vehicles.
- Compliance Risk
State regulators and the DEA expect agencies to maintain accurate records of controlled substances and chain-of-custody events.
- Diversion Detection
Without centralized tracking, unusual medication usage patterns can go unnoticed until a major issue occurs.
- Investigation Challenges
When incidents occur, reconstructing medication movement can take days or weeks without a reliable event history.
DEA PPAEMA: Now in Effect
The DEA's final rule on EMS controlled substance handling — the Preventing Drug Diversion Act (PPAEMA) — took effect March 9, 2026. EMS agencies are now required to maintain chain-of-custody records and demonstrate active accountability for controlled substances. Paper logs and basic spreadsheets may not satisfy these requirements. NarcTrack is designed specifically to meet and exceed these standards.
How NarcTrack Helps
NarcTrack provides EMS agencies with a simple, secure system to track narcotics boxes, monitor movement events, and detect potential diversion risks before they escalate.
- ✓Tap-to-track narcotics box movement
- ✓Automated chain-of-custody event logging
- ✓Diversion alert engine
- ✓Investigation tools for compliance review
- ✓Audit-ready reporting for inspections
Prevent Diversion Before It Begins
Most agencies don't discover medication variance until it's already a problem. NarcTrack's proprietary investigation engine watches continuously — so you can act early, not after the fact.
Paper logs can't tell you that the same provider has been the last person to handle a medication kit three shifts in a row with unexplained count variances. NarcTrack can. Our proprietary engine continuously monitors medication activity and surfaces actionable intelligence — not just data — so supervisors can intervene early and document thoroughly.
- Automated flags for count variances, timing anomalies, and access-pattern outliers
- Structured case files with attached evidence — ready for internal review
- Supervisor-level investigation workflow with full audit trail
- Exportable documentation for compliance and regulatory needs
1,004 test cases · 100% pass rate
Every detector independently validated — view the full report
Alert Triggered
System detects a variance or behavioral anomaly
Evidence Collected
Relevant custody logs, photos, and signatures auto-gathered
Pattern Review
Historical trends analyzed across shifts and personnel
Supervisor Review
Authorized reviewer evaluates the case with full context
Resolution & Documentation
Outcome recorded — whether cleared, escalated, or referred
The Engine That Sees What Humans Miss
NarcTrack combines real-time event scoring with cross-shift behavioral pattern analysis — it doesn't just catch today's anomaly, it recognizes a pattern that started weeks ago.
100%
detection rate across 1,004 synthetic diversion scenarios
Each scenario modeled from documented real-world diversion patterns and validated across 25 independent detection patterns — without a single miss.
Repeated Count Gaps, Same Provider
A provider has minor count discrepancies on 4 of their last 6 shifts. Each incident looks like an honest mistake in isolation.
What NarcTrack sees
The engine flags the behavioral pattern across shifts and generates a deviation alert before any supervisor would notice.
Waste Without a Witness
A medication waste event is logged but no witness signature exists on record. The field appears complete — the gap is invisible until audit.
What NarcTrack sees
The documentation failure is flagged the moment it occurs, not discovered weeks later during a compliance review.
Off-Hours Access Anomaly
A controlled substance kit is checked out at 2:14 am — outside the provider's typical shift window, with no active dispatch linked to the event.
What NarcTrack sees
The timing anomaly is scored against the provider's normal access patterns and flagged in real time.
Statistical Outlier vs. Peer Cohort
No single incident stands out — but something is subtly off compared to every other provider in the agency.
What NarcTrack sees
NarcTrack continuously calculates z-score deviation against agency peer baselines for every provider — the same statistical methodology used in hospital diversion monitoring, applied to EMS for the first time. When a provider drifts beyond their peer cohort's normal range, a risk signal is generated automatically.
Drugs Replaced With Saline — Before Anyone Noticed
Inventory counts match perfectly. Waste is documented. Everything looks normal on paper. But the concentrations don't match expected values for the drug on record.
What NarcTrack sees
Concentration substitution detection flags statistical deviations from expected drug concentrations — a pattern completely invisible to count-based tracking, but not to NarcTrack.
Administered Faster Than the Drug Can Work
A provider documents fentanyl administration on three consecutive calls in a single shift. Each entry looks complete. But the timing between administrations is physiologically inconsistent with the drug's known onset and duration profile.
What NarcTrack sees
Pharmacodynamic window violation detection compares administration timing against drug-specific pharmacological thresholds for fentanyl, morphine, and ketamine — flagging sequences that couldn't occur clinically without diversion.
How We Know It Works
Claiming 100% detection is easy. Being able to defend it is different.
1,004 Test Scenarios
Each synthetic scenario was modeled from documented real-world EMS diversion patterns — not invented edge cases.
25 Independent Patterns
Every scenario was run against all 25 detection patterns independently — no single pattern carries the load alone.
Zero Missed Detections
Every scenario was flagged. The full methodology and results are available in the NarcTrack Validation Report.
How NarcTrack Compares to Other EMS Tracking Software
Other platforms digitize the paper log. NarcTrack actively monitors for diversion. Here's what that difference looks like feature by feature.
| Capability | NarcTrack | Digital Tracking Platforms | Paper / Homegrown Systems |
|---|---|---|---|
| Digital chain-of-custody logging | |||
| Mobile-optimized interface | |||
| DEA Form 41 & biennial inventory | |||
| DEA Form 106 (theft/significant loss) | |||
| Real-time diversion detection engine | |||
| Pharmacodynamic window violation detection | |||
| Z-score peer comparison (statistical) | |||
| Concentration substitution detection | |||
| GPS deviation & impossible speed detection | |||
| Immutable forensic audit trail (DB-level) | |||
| Structured investigation case files | |||
| Off-shift & shift-boundary access detection | |||
| Validated test suite (1,004 scenarios) |
One Platform. Complete Medication Accountability.
Everything your agency needs to move from paper-based tracking to verifiable, audit-ready medication management — without changing how your crews work.
Medication Accountability Ledger
A single source of truth for controlled substance tracking — every movement, administration, waste event, and return — timestamped and signed automatically.
Unit & Station Inventory Views
Real-time snapshots of what's on each vehicle and in each station, with expected-vs-actual tracking for every shift.
Event Logging + Evidence
Attach photos, notes, and electronic signatures to any event. Build a complete, tamper-evident record without the paperwork.
Automated Exceptions & Alerts
NarcTrack flags discrepancies, missed counts, and timing anomalies the moment they occur — not days later when someone notices a count is off.
Reporting & Audit Exports
Generate agency-formatted reports, export audit trails, and share compliance documentation in minutes — not days.
Mobile-Ready Interface
Optimized for tablets and phones in the field. Crews can complete custody transfers, document waste, and capture signatures from any device.
How Your Agency Uses NarcTrack
From shift start to audit day — here's how NarcTrack fits into the workflow your crews already follow.
Shift Start — Check Out
ProviderMedic taps the medication kit, verifies contents against expected counts, and signs for custody — all in under 30 seconds.
In the Field — Administer & Document
ProviderMedication administered to a patient. Provider captures dosage, waste, witness signature, and photos — digitally, at the point of care.
Shift End — Transfer & Restock
Provider → SupervisorOutgoing crew transfers custody to incoming crew. Supervisor reviews any variances flagged during the shift before sign-off.
Ongoing — Review & Investigate
Supervisor / AdminLeadership reviews real-time dashboards, investigates flagged patterns, and exports audit-ready reports — no binders, no guesswork.
Tap To Track
Tapping a medication kit works exactly like tapping your phone to pay — fast, familiar, and cryptographically secured. Your crews don't need to understand the encryption. They just need to know it works. And because NarcTrack is system-agnostic, it works alongside whatever ePCR, CAD, or scheduling platform you're already running.
Tap or Scan
Tap the NFC tag on the medication kit — the same technology that secures contactless payments. Each tap generates a unique cryptographic code that can't be cloned or replicated. On devices without NFC, scan the QR fallback instead. Same encrypted verification, same chain-of-custody integrity.
Verify Identity
The scan opens a secure, time-limited session tied to that specific kit. Log in with your credentials. The session expires in 2 minutes if unused — no shortcuts, no shared logins.
Choose Your Action
Select what you're doing: administering a medication, completing a shift checkoff, or transferring custody to a new location. The system knows the difference — and so does the audit trail.
Document & Submit
Enter counts, patient info, or transfer details. Attach a photo. Get a witness signature. Everything is validated before submission — and the diversion engine runs automatically in the background.
Why Crews Prefer It Over Paper
Why Leadership Trusts It
Simple, Transparent Pricing
NarcTrack is designed to scale with your EMS system. The platform license includes the full system and support for up to five narcotics boxes. Additional boxes can be added as your fleet grows.
One undetected diversion incident — DEA investigation costs, regulatory exposure, civil liability, and remediation — typically costs more than five years of NarcTrack. Early detection isn't an expense. It's liability insurance.
Standard Platform License
Everything you need to secure your controlled substances, built for the realities of modern EMS.
What's included
- Unlimited users and roles
- Automated diversion monitoring
- Compliance reporting dashboard
Additional Costs
- Box Fee$20 / box / month (5-box minimum, $100/mo min)
- Implementation & TrainingOne-time fee, varies by agency size
Annual License
$2,500/ year
Most agencies spend between $3,400 and $14,500 annually, depending on fleet size. Box fees billed monthly at a 5-box minimum.
See it in actionSee more details about our Pilot Program or view the demo to see it in action.
Frequently Asked Questions
Common questions from EMS directors, medical directors, and compliance officers evaluating NarcTrack.
Resources & Insights
Explore the latest on narcotic tracking, DEA compliance, and EMS medication accountability.
DEA Narcotic Tracking Requirements for EMS: What Your Agency Needs to Know
The DEA's final rule under PPAEMA took effect March 9, 2026. Here's what your agency needs to understand about federal narcotic tracking requirements — and how to stay ahead of them.
Read MorePaper Logs vs. Digital: The True Cost of Manual Medication Tracking
Paper narcotic logs feel familiar — but they carry hidden costs that compound over time. Here's what agencies actually spend to maintain manual medication tracking.
Read MoreHow to Detect and Prevent Medication Diversion in EMS
Medication diversion in EMS is rare — but when it happens, the consequences are severe. Here's how agencies can build systems that detect risk early.
Read MoreStop Finding Diversion at Audit. Start Finding It in Real Time.
NarcTrack is the only EMS platform with an active diversion detection engine. While others log what happened, NarcTrack tells you what's about to become a problem — early enough to intervene.