The LA County Fire Department launched a hub and spoke network of Automated Drug Dispensing Systems (ADDS) in June 2017. Doing so required drafting state legislation and partnering with both the DEA, California Board of Pharmacy, Los Angeles Department of Health Services, vendors, etc. The end result is a streamlined system that enhances access, security, and accountability of controlled drugs. Patient care has also been changed with dramatic increases in controlled drug utilization, even when controlled for the rise in call volume. We believe that this is a model that can be equally successful for large and small departments across the country.