Abstract: A controlled substance distribution system may include a controlling entity having a database. The database may include data associated with a patient, an amount of a controlled substance that the patient is authorized to receive, and an amount of the controlled substance that the patient has already received during a time period. The system may include a token having a unique identifier. The data may include data that is associated with the unique identifier. The system may include a dispensing center having a computing device in communication with the controlling entity. The computing device may be configured to obtain the unique identifier from the token, transmit the unique identifier and a request for the controlled substance to the controlling entity, receive an indication of whether or not the request is allowed, and authorize a dispensing event in response to the request if the indication indicates that the request is allowed.