If a medication is not authorized and prohibited, what action is mandatory?

• A. Discretionary Counseling
• B. Mandatory Disqualification
• C. Temporary Grounding
• D. Medical Review

Answer: (B)

When a medication is not authorized and prohibited, safety requires that the individual cannot fly. The drug could impair judgment, reaction time, or consciousness, creating a clear risk to flight safety. Because of that, the mandatory action is disqualification from flight duties—the binding step to prevent any unsafe operation.

Discretionary counseling would be optional and not sufficient when the medication is prohibited. Temporary grounding implies a reversible, short-term pause, which doesn’t apply when the substance is outright forbidden for flight. Medical review is a process used to assess fitness or determine possible conditions for return, but it cannot override a prohibition; it may come into play later if the person stops the medication and meets standards, but during the period of prohibition the required action is disqualification.