United States Ship Medical Chest Regulation

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Regulation at a glance

Last verified · 31 August 2026

StatusUnited States Code, Title 46, section 11102, together with vessel-type-specific Coast Guard requirements.
Applies toSpecified United States vessels on foreign or intercoastal voyages. Additional first-aid and medical-equipment rules can apply according to vessel type and certificate of inspection.
Medical chest basisFederal law requires a medicine chest for the voyages described in 46 U.S.C. §11102. The 2003 U.S. government publication The Ship’s Medicine Chest and Medical Aid at Sea is a medical reference, not a standalone replacement for all current vessel-specific legal requirements.
Regulatory relationNational Regulation.

The preserved U.S. government publication is the 2003 edition. Operators must combine the statutory requirement with the current Coast Guard rules that apply to their vessel type.

Disclaimer: This page is a practical overview and not legal advice. Always check the current flag-state notices and vessel-specific requirements.

KEY REQUIREMENTS

01 · Confirm applicability

Specified United States vessels on foreign or intercoastal voyages. Additional first-aid and medical-equipment rules can apply according to vessel type and certificate of inspection.

02 · Select the correct scale

Federal law requires a medicine chest for the voyages described in 46 U.S.C. §11102. The 2003 U.S. government publication The Ship’s Medicine Chest and Medical Aid at Sea is a medical reference, not a standalone replacement for all current vessel-specific legal requirements.

03 · Maintain compliant stores

Keep medicines, medical equipment and first-aid supplies complete, in date and ready for use.

04 · Verify before inspection

Check the current official sources and vessel particulars before supply, replenishment or certification.

Regulatory framework
National Regulation.
The flag-state’s current legislation and notices determine the final vessel-specific requirements.
!
Dangerous goods & IMDG

Check cargo-specific medical-store requirements

Where dangerous goods are carried, review cargo-specific medical-store requirements and the current IMDG Code alongside this flag-state framework. The applicable flag-state rules remain controlling.

Open official IMO IMDG page ↗

REQUIRED DOCUMENTS

Keep the statutory basis and vessel-specific working records together so the medical chest can be checked efficiently on board.

Primary legislation
United States Code, Title 46, section 11102, together with vessel-type-specific Coast Guard requirements.
Vessel-specific scale
Applicable medical-store requirements
Federal law requires a medicine chest for the voyages described in 46 U.S.C. §11102. The 2003 U.S. government publication The Ship’s Medicine Chest and Medical Aid at Sea is a medical reference, not a standalone replacement for all current vessel-specific legal requirements.
On-board working file
Inventory, expiry and vessel details
Maintain a current vessel-specific overview for replenishment and compliance checks.
Compliance evidence
Inspection and certificate evidence
Retain the inspection, certificate or verification evidence required by the applicable flag-state rules.

HOW SEAFARMA CAN HELP

Seafarma can translate the applicable requirements into a practical vessel-specific supply, inspection and delivery workflow.

Scale review
Identify the applicable medical-store framework and vessel category.
Supply and replenishment
Prepare medicines, equipment and first-aid supplies for the applicable scale.
Inspection preparation
Support inventory checks and readiness for the applicable inspection process.
Ship delivery & agent coordination
Arrange worldwide delivery to the vessel and coordinate ETA, berth, agent details and handover instructions.

When the vessel is carrying dangerous goods, the medical chest should also be in accordance with the following regulation:

get in touch

Seafarma can supply medical chests tailored to United States vessel and voyage requirements. Final contents must be checked against current federal law, applicable Coast Guard regulations and the vessel’s certificate of inspection.

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